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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. | |
Spanish And French Translations Of Common Medication Words:
| English | Spanish | French |
|---|---|---|
| Medications | Medicamentos | Médicaments |
| Tablets | Comprimidos | Comprimés |
| Capsules | Cápsulas | Gélules |
Pharmacies in the United States
Top 10 Pharmacy chains in the U. S. ranked by the number of pharmacists:| 1 Walgreens | 2 CVS | 3 Walmart | 4 Rite Aid | 5 Kroger |
| 6 Target | 7 Kaiser Permanente | 8 Sears | 9 Cardinal Health | 10 Dominick's |
Pharmacy-led chains in the United Kingdom
| Alliance Boots | The Co-operative | Lloyds Pharmacy |
| Numark | Rowlands Pharmacy | Superdrug |
Synonyms of Alendronate *:
Acide Alendronique [INN-French], Acido Alendronico [INN-Spanish], Acidum Alendronicum [INN-Latin], Alendronate Sodium, Alendronic acid
* Official titles and synonyms used in the British, European, and US Pharmacopoeias. INNs in the other main official languages (French, Latin, and Spanish) have also been included in the list of synonyms where these differ from the English INN.
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Can you buy Alendronate OTC in online drugstore with low cost?
Dosage forms of Alendronate:
| Name, Strength, Form, Route |
|---|
| Alendronate 70 mg/75 ml Solution Oral |
| Alendronate 10 mg Tablet Oral |
| Alendronate 35 mg Tablet Oral |
| Alendronate 40 mg Tablet Oral |
| Alendronate 5 mg Tablet Oral |
| Alendronate 70 mg Tablet Oral |
Therapeutic classes of Alendronate:
Antihypocalcemic Agents, Antiresorptives, Bisphosphonates, Bone Density Conservation Agents
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:
(The World's Largest Pharmaceutical Companies: Abbott, Amgen, AstraZeneca, Baxter, Bayer, Bristol-Myers Squibb, Boots, CSL, Eli Lilly, Forest, GlaxoSmithKline, Hoffmann - La Roche, Johnson & Johnson, Merck & Co., Mylan, Novartis, Pfizer (with Wyeth), Sanofi - Aventis, Sandoz, Solvay, Takeda, Teva, UCB, Watson)(Australia, Canada, India, Mexico, New Zealand, USA, Europe [Belgium, France, Germany, Holland, Ireland, Spain, Switzerland, Great Britain (UK), Italy], and etc)
| Alendronate sodium 10 mg tablet | Alendronate sodium 5 mg tablet | Fosamax 10 mg tablet | Fosamax 5 mg tablet |
| Alendronate sodium 40 mg tablet | Fosamax 40 mg tablet | Alendronate sodium 35 mg tablet | Alendronate sodium 70 mg tablet |
| 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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