Per policy, use of these medications is restricted as noted below:
generic (Brand)
Restrictions
alendronate (Fosamax)
HB-SNF only, hold for inpatients
Enteral Drug Administration notes.
Generic (Brand)
Comments and Considerations
Recommendations for Administration with Enteral Nutrition
alendronate (Fosamax)
Do NOT crush tablets as a mucosal irritant.
Use once-weekly tablet dispersed in 60 mL of mineral-free water. Consider holding tube feeding for 30 minutes before and 30 minutes after. Patient should remain upright to prevent esophageal damage caused by reflux.
(Brand)
(Fosamax)