28th August 2020

A 72-year-old lady with osteoporosis is seen in clinic

A 72-year-old lady with osteoporosis is seen in clinic. She has been feeling well recently other than a persistent cough and heartburn which have been present for several weeks now. She has been taking risedronate sodium for 1.5 years now. Her last blood tests revealed haemoglobin 92g/L, MCV 82fL, platelets 298×109/L, stage 3 kidney disease (eGFR is 32), potassium 3.9mmol/L, sodium 139mmol/L. 

Which of the following would be the most suitable next step in managing this lady’s osteoporosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.