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To the Editor—In their 1999 case report, Campisi and colleagues1 advised caution in prescribing Fleet® Phospho-soda® (CB Fleet Co., Inc., Lynchburg, VA) for patients taking bisphosphonates. They reported that their subject patient, who had been on a bisphos-phonate, Fosamax®, (Merck Human Health Division, West Point, PA) for several years, suffered hypocalcemic-induced tetany when taking Fleet® Phospho-so-da® before colonoscopy. At least three issues should be noted with this serious adverse event:
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Frincis, M.O., Caswell, M. Patients on bisphosphonates should not be at increased risk for hypocalcemic-induced tetany when given fleet® phosphosoda®. Dis Colon Rectum 46, 1717–1718 (2003). https://doi.org/10.1007/BF02660784
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DOI: https://doi.org/10.1007/BF02660784