Mrs. S. is a relatively healthy 73-year-old retired clerk who has recently been diagnosed with postmenopausal osteoporosis. She has been prescribed treatment with ibandronate (Boniva), 150 mg each month. She has many questions, and you are reviewing the drug and its use with her. 1. Mrs. S. tells you that she likes to have breakfast, take her morning medicines, then lie down on the couch to read the morning newspaper. She asks whether the ibandronate will fit into her routine. What will you tell her? 2. Mrs. S. calls the clinic to ask what to use for headaches. “I have several different types of headache pills, so aren’t they all the same?” How will you respond? 3. A few months later, Mrs. S. comes in for a follow-up visit. She tells you that she is due for her next osteoporosis pill next week, but she has been having some jaw pains ever since she went to the dentist 2 weeks earlier to have a tooth pulled. She is worried that her osteoporosis has affected her jaw. What could be the reason for this pain? What do you think will be done about it?
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