What should a pharmacist do when a patient expresses concerns over side effects from bisphosphonates?

When a patient expresses concerns about side effects from bisphosphonates, the appropriate action is to assist them in finding alternative therapies through motivational interviewing. This approach is important because it fosters open communication between the pharmacist and the patient, allowing the patient to express their feelings and preferences regarding their treatment.

Motivational interviewing is a counseling technique that empowers patients by helping them explore and resolve their ambivalence about medication adherence and management of side effects. By using this technique, the pharmacist can collaboratively identify any barriers the patient may have in continuing the medication and explore alternative treatment options or supportive strategies that align better with the patient's needs and lifestyle.

This method not only addresses the patient's immediate concerns but also helps to maintain a therapeutic alliance, ensuring that the patient feels heard and supported in their treatment journey. In contrast, simply encouraging them to stop the medication, recommending a drug holiday without considering the patient's preferences, or advising them to tolerate side effects does not address the root of the patient's concerns or support their active participation in their healthcare decisions.