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CUE CARD CONSULT #3

Writer's picture: Concise Curated CounsellingConcise Curated Counselling

Updated: Jan 12, 2024

Happy Wednesday!

Click here and scroll down for previous newsletters.


1. Pictured Counselling Cue Card: a free sample of our counselling reference

2. Patient Consultation: exactly what a pharmacist may say to a patient picking up this medication, with formatting to show where the information is coming from on the cue card

Clearly, there are nuances that may not be captured in this format. The goal here is to provide you with an example of how a pharmacist may counsel a patient. Basic counselling tactics (e.g. showing the patient the labeled medication as you read it, having the patient repeat the information in their own words, double checking allergies, and so on) may not be depicted in the interest of keeping the content concise.


RPh: Hi! Is this your first time using this medication?

Patient: Yes it is. What should I know about it?

RPh: What has (prescriber) told you?

Patient: She said it was for my bones.

RPh: Understood. This medication is called DENOSUMAB, also known as PROLIA, and you'll use it (as directed). It's in the family of what's called a RANKL inhibitor, but basically it strengthens your bones to prevent fractures caused by osteoporosis. Often your (prescriber) will give it to you, but you can give it to yourself; let it warm at room temperature for 15-30 minutes as this makes it more comfortable, and do not shake it. You can give it to yourself either in the upper thigh, your abdomen two inches from the belly button, or in the outer arms (typically with help), remove the grey cap, pinch where you're injecting, insert it at a 45-90 degree angle, push the plunger, then push up the green needle card to prevent any accidents. You may notice a bit of irritation where you injected it, and upset stomach as well as a rash is possible. You'll get most of the benefit by the time 1-2 years passes. It's very important that you get enough vitamin D and calcium. Keep it in the fridge, though it does last 30 days at room temperature. Keep in mind you should not stop this medication without speaking to your prescriber as rebound fractures can happen, and make sure you tell any healthcare providers taking care of your bones (like dentists, surgeons) that you take it as it puts you at higher risk of certain bone conditions.

Patient: I have kidney disease; is this medication still ok to take?

RPh: Yes it's safe if you're kidneys don't function normally.

Patient: Ok, thank you.

RPh: Any other questions?

Patient: No, that was very thorough!

We hope you have found this useful, and please reply to this email with any feedback or topic suggestions you can; it will be the key to making this newsletter the best it can be.



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