Fosamax®

Question 1

drug class

Answer 1

bisphosphonate

Question 2

use

Answer 2

slows bone loss and prevent fractures

treats postmenopausal who have osteoporosis and cancers that lead to bone loss

Question 3

common side effect

Answer 3

GI irritation, constipation, diarrhea, gas, nausea

Question 4

severe side effects

Answer 4

esophageal cancer

osteonecrosis of jaw

Question 5

osteonecrosis

Answer 5

breakdown or loss of jaw bone

Question 6

symptoms of osteonecrosis

Answer 6

pain of gums, loosening of teeth, numbness in jaw, trouble chewing, exposed bone

Question 7

diagnosis of osteonecrosis

Answer 7

X-rays, microbial cultures

Question 8

treatment of osteonecrosis

Answer 8

antibiotics, oral rinses, minor dental work, surgery typically avoided

Question 9

after 3 years on bisphosphonates

Answer 9

if osteonecrosis suspected- stop to allow for bone recovery

Question 10

factors that increase risk of osteonecrosis

Answer 10

radiation, chemotherapy, steroid therapy, cancer, anemia, infection, dental surgery, poor dental health, gum disease, poor nutrition, cigarettes, poor blood circulation, alcohol abuse

Question 11

patient teaching

Answer 11

routine dental hygiene
take Fosamax with® with full glass of plain water
stay upright after swallowing tablet