MEDS:
Alendronate, Onamdronate, Risedronate, zoledronic acid, teriparatide, denosumab (Biophosphonates, estrogen agonist)
Assess if taking digoxin, monitor calcium levels,
Must be upright for 30 min after taking meds. Take on empty stomach, dental exams
Teriparatide: not more than 2 1/2 years, report pain and leg cramps, keep refrigerated, increased calcium levels, do not take in bone metastasis
SE: bleeidng, jaw pain, loose teeth, bone loss in jaw, postural hypotension, renal calculi
Calcitonin: give IM night to minimize SE