Contact your doctor at once if you suddenly experience problems swallowing, find it painful to swallow, develop pain behind the sternum breastbone , or have new or worsening heartburn. To ease the passage of the medication to the stomach and thus reduce the potential for irritation of the esophagus, swallow alendronate with a full glass of plain water upon arising for the day.
Do not lie down until 30 minutes have passed and you have eaten your first food of the day. Do not chew or suck on the tablet, as this may lead to ulcers in the mouth or throat. Do not take alendronate at bedtime or before getting up for the day. Effects on the stomach and intestines: Rarely, people taking this medication have developed ulcers of the stomach or intestines.
If you suffer from stomach problems, such as ulcers and severe indigestion, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. Get immediate medical attention if you have symptoms of a stomach or intestinal ulcer, such as nausea, vomiting, abdominal pain, loss of weight or appetite, black or bloody stools, or vomiting blood.
Inflammation of the eye: Conditions of eye inflammation have been reported by people using alendronate. If you experience changes to your vision, red eyes, or eye pain, contact your doctor as soon as possible.
Jaw problems: Rarely, alendronate may cause severe jaw problems associated with delayed healing and infection, especially in people with cancer or after tooth extractions. If you experience any pain in the jaw, especially after having a tooth removed, contact your doctor immediately. Kidney function: Alendronate is removed from the body by the kidneys. If you have reduced kidney function or kidney disease, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediately. Breast-feeding: It is not known if alendronate passes into breast milk.
If you are a breast-feeding mother and are taking this medication, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children and adolescents: The safety and effectiveness of using this medication have not been established for children under 18 years of age. If you are taking any of these medications, speak with your doctor or pharmacist.
Depending on your specific circumstances, your doctor may want you to:. An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.
Medications other than those listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter non-prescription , and herbal medications that you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them. All material copyright MediResource Inc.
Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: www. About this Medication.
How does this medication work? You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies. Alendronate pronounced as a len' droe nate. Why is this medication prescribed? How should this medicine be used? Other uses for this medicine What special precautions should I follow? What special dietary instructions should I follow? What should I do if I forget a dose?
What side effects can this medication cause? What should I know about storage and disposal of this medication? Brand names Brand names of combination products. Alendronate may not work properly and may damage the esophagus tube between the mouth and stomach or cause sores in the mouth if it is not taken according to the following instructions.
Tell your doctor if you do not understand, you do not think you will remember, or you are unable to follow these instructions: You must take alendronate just after you get out of bed in the morning, before you eat or drink anything. Never take alendronate at bedtime or before you wake up and get out of bed for the day.
After you take alendronate, do not eat, drink, or take any other medications including vitamins or antacids for at least 30 minutes. Do not lie down for at least 30 minutes after you take alendronate. Sit upright or stand upright until at least 30 minutes have passed and you have eaten your first food of the day. If you are taking the alendronate tablets, swallow the tablet with a full glass 6 to 8 ounces [ to mL] of plain water. Never take alendronate tablets with tea, coffee, juice, milk, mineral water, sparkling water, or any liquid other than plain water.
Swallow the tablets whole; do not split, chew or crush them. Do not suck on the tablets. Never take alendronate solution with tea, coffee, juice, milk, mineral water, sparkling water, or any liquid other than plain water.
If you are taking the alendronate effervescent tablets, dissolve one effervescent tablet in a full glass 4 ounces [ milliliters] of plain, non-carbonated drinking water before drinking. Never dissolve alendronate effervescent tablets with tea, coffee, juice, milk, mineral water, sparkling water, or any liquid other than plain water.
Wait at least 5 minutes after the effervescence stops, stir the solution for 10 seconds and drink it. Do not swallow, suck, or chew on the effervescent tablets. Ask your pharmacist or doctor for a copy of the manufacturer's information for the patient. Other uses for this medicine. What special precautions should I follow? Before taking alendronate, tell your doctor and pharmacist if you are allergic to alendronate or any other medications.
Be sure to mention any of the following: angiogenesis inhibitors such as bevacizumab Avastin , everolimus Afinitor, Zortress , pazopanib Votrient , sorafenib Nexavar , or sunitinib Sutent ; aspirin and other nonsteroidal anti-inflammatory drugs NSAIDs such as ibuprofen Advil, Ibu-Tab, Motrin, others and naproxen Aleve, Naprelan, Naprosyn, others ; cancer chemotherapy; or oral steroids such as dexamethasone, methylprednisolone Medrol , and prednisone Rayos.
Your doctor may need to change the doses of your medications or monitor you carefully for side effects. Your doctor may tell you that you should not take alendronate. For the best results, take these pills at the same time every day. Take it on an empty stomach with a full glass of water , at least two hours after, or a full half hour before eating.
Do not take it in combination with other medications or any vitamin or food supplements. Individuals with untreated calcium deficiency or esophageal disease should not use this treatment. This includes prescription and non-prescription medicines as well as vitamins and herbal supplements.
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