Bisphoshonates are prescribed to a patient with the following advice
Refer KDT 7th/345 Bisphoshonates are to be taken empty stomach in the morning with full glass water and patient is instructed not to lie down or take food for at least 30 min. These measures are required to prevent contact of the drug with esophageal mucosa which result in esophagitis
Take empty stomach with plenty of water
Take after meals
Duscintunes if gastritis develops
Discontinues if severe bone pain occurs
Endocrinology