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Discussion

fosamax max

i just found out that a confused medaid gave a pt on my floor fosamax yesterday and today, thinking it was a daily med and not once a week. also, she gave it with food (breakfast) instead of on an empty stomach. what can this do to the pt? The md said to continue the intended dose after 7 days and watch for abd distress.

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  • Experts

The absorption will be significantly decreased because it was given with food. The amount of drug absorbed is unlikely to cause much trouble other than the GI disturbance that is often a side effect. If it isn't taken with a full glass of water it can cause erosive esophagitis. There is little data regarding how much alendronate is considered an overdose in humans, but in dogs, doses of up to 400 mg/m3 were not associated with any serious effects. Your patient will probably be just fine. But I hope you filed an incident report!

  • Author

i found out via incident report, several people got written up because of poor communication/documenting. I was exempt because I am new, but I don't blame the med-aid, it looked like a daily order on her mar. Actually I am concerned because the potential for mistakes is HUGE on the unit, it's a little nerve wracking.

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