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Alendronate is authorised in the world under the following brand names: Adronat, Alendros, Arendal, Fosamax, Fosamax Plus D, Onclast.

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Relevant Evaluation Criteria Scenario/Model Outcome
Information Gathering
1. Gather essential information about the patient’s symptoms, including:
a. description of symptom(s) (i.e., nature, onset, duration, severity, associated symptoms) Patient describes difficulty swallowing solid foods for several weeks and requests a “low-cost Ensure product” that she can drink. She describes solid foods as “getting stuck” in her throat.
b. description of any factors that seem to precipitate, exacerbate, and/or relieve the patient’s symptom(s) She can drink liquids, but all solid food seems to be a problem, even soft foods.
c. description of the patient’s efforts to relieve the symptoms She takes only liquids, avoids solid foods, crushes all pills and mixes them with water.
2. Gather essential patient history information:
a. patient’s identity Abigail Quinn
b. patient’s age, sex, height, and weight 74-year-old female; 5 ft 5 in; 120 lb
c. patient’s occupation Retired bookkeeper
d. patient’s dietary habits She has been taking only liquids for the past several weeks.
e. patient’s sleep habits Averages 5-6 hours per night but naps during the day
f. concurrent medical conditions, prescription and nonprescription medications, and dietary supplements Hypertension, treated with hydrochlorothiazide/triamterene; osteoporosis, treated with calcium, vitamin D, and alendronate; multivitamin
g. allergies NKA
h. history of other adverse reactions to medications None
i. other (describe) Weight loss over the past 2-3 months; usual weight 135 lb; history of stroke several years ago
Assessment and Triage
3. Differentiate the patient’s signs/symptoms and correctly identify the patient’s primary

problemfe).

 Dysphagia is of unknown cause but could be related to stroke or esophageal damage related to alendronate. Weight loss of 11% over 2-3 months is significant, and may place the patient at risk of electrolyte and fluid abnormalities associated with refeeding syndrome.
4. Identify exclusions for self-treatment. Significant weight loss
5. Formulate a comprehensive list of therapeutic alternatives for the primary problem to determine if triage to a medical practitioner is required, and share this information with the patient. Options include:
(1)  Refer Mrs. Quinn to her PCP for evaluation of her dysphagia and assessment

of nutritional status.
(2)  Recommend a liquid meal replacement product that can be used without

medical supervision.
(3) Take no action.
Plan
6. Select an optimal therapeutic alternative to address the patient’s problem, taking into account patient preferences. Refer the patient to her PCP for evaluation.
7. Describe the recommended therapeutic approach to the patient. N/A
8. Explain to the patient the rationale for selecting the recommended therapeutic approach from the considered therapeutic alternatives. You need to see your PCP, because the swallowing problem may be related to the alendronate you take to improve your bone strength or to something more serious. Your weight loss also indicates that blood tests might be needed to monitor your electrolytes when you start taking the liquid nutrition product.
Patient Education
9. When recommending self-care with nonprescription medications and/or nondrug therapy, convey accurate information to the patient. Criterion does not apply in this case.
10. Solicit follow-up questions from patient. Why is the weight loss so concerning? I thought it was good for me to weigh less.
11. Answer patient’s questions. Many people are overweight and they are encouraged to lose weight. However, your usual weight was considered a healthy weight; you had a body mass index of 22.4, which is considered normal. Any time weight loss is not planned, there are concerns about the cause. Rapid weight loss can cause changes in blood tests (your electrolytes) that could affect your heart and breathing.

Synonyms of Alendronate:

Acide Alendronique [INN-French], Acido Alendronico [INN-Spanish], Acidum Alendronicum [INN-Latin], Alendronate Sodium, Alendronic acid

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Therapeutic classes of Alendronate:

Antihypocalcemic Agents, Antiresorptives, Bisphosphonates, Bone Density Conservation Agents

Dosage forms of Alendronate:

Form Route Strength
Solution Oral 70 mg/75 ml
Tablet Oral 10 mg
Tablet Oral 35 mg
Tablet Oral 40 mg
Tablet Oral 5 mg
Tablet Oral 70 mg

Do I need a Prescription to buy Alendronate in Online Pharmasy?
No. You can purchase Alendronate without a prescription!

Common brands (equivalents) of Alendronate, which people buy in pharmacies of the world:

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Fosamax plus d 70 mg-2800 iu Fosamax 35 mg tablet Fosamax 70 mg tablet Fosamax plus d 70 mg-5600 iu
Fosamax 70 mg/75ml Solution 75ml Bottle Alendronate Sodium 4 35 mg tablet Package Alendronate Sodium 4 70 mg tablet Package Fosamax 1 Package = 4 tablet (35 mg) Package
Fosamax 1 Package = 4 tablet (70 mg) Package Fosamax Plus D 4 70-2800 mg-Unit tablet Disp Pack Fosamax Plus D 4 70-5600 mg-Unit tablet Disp Pack  

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