Risedronate

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Contents

Introduction

Risedronate sodium is a stronger bisphosphonate with a good evidence base

Clinical Use

Indications

Administration

Oral

dose

Clinical Issues

Contra-indications

Cautions and Interactions

Side effects

  • Nausea
  • Diarrhoea
  • Abdomenal pain and distension
  • Flatulence
  • Dyspepsia
  • In long term use (> 7 years) atypical femoral stem fractures have been associated with alendronate and the potential for decreased bone healing and increasing differential fracture risk is a concern for all bisphosphonates due to their mechanism of action[1]
  • Atrial fibrillation (subject to on going analysis by regulatory agencies).

Oral bisphosphonates

  • Oesophageal ulceration
    • Patient needs assessment if
      • Dyspepsia
      • Heart burn
      • Pain on swallowing
      • Retrosternal pain

Nitrogen-containing bisphosphonates

Special advice

Pharmacology

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