مريضة بدأت أليندرونات لهشاشة العظام. أي تعليم صحيح؟

A woman starts alendronate for osteoporosis. Which teaching is correct?

1. Together with calcium tablets at the same time
2. Empty stomach, full glass of water, upright
3. Just before bed while lying down
4. With milk and breakfast to reduce stomach upset

Answer: B) Empty stomach, full glass of water, upright. Alendronate is taken in the morning on an empty stomach with plain water, staying upright 30 minutes to avoid oesophagitis, and waiting before food or calcium.