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ALENDRONATE (a LEN droe nate) slows calcium loss from bones. It helps to make normal healthy bone and to slow bone loss in people with Paget's disease and osteoporosis. It may be used in others at risk for bone loss.
You must take this medicine exactly as directed or you will lower the amount of the medicine you absorb into your body or you may cause yourself harm. Take your dose by mouth first thing in the morning, after you are up for the day. Do not eat or drink anything before you take this solution. Use a specially marked spoon or container to measure the oral solution. Take the solution with 2 fluid ounces (1/4 cup) of plain water. Do not take the solution with any other drink. After taking this medicine do not eat breakfast, drink, or take any other medicines or vitamins for at least 30 minutes. Stand or sit up for at least 30 minutes after you take this medicine; do not lie down. Do not take your medicine more often than directed. Take this medicine on the same day every week.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
black or tarry stools
bone, muscle, or joint pain
changes in vision
heartburn or stomach pain
jaw pain, especially after dental work
redness, blistering, peeling or loosening of the skin, including inside the mouth
trouble or pain when swallowing
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
changes in taste
diarrhea or constipation
eye pain or itching
nausea or vomiting
stomach gas or fullness
drugs for inflammation like ibuprofen, naproxen, and others
vitamins with minerals
If you miss a dose, take the dose on the morning after you remember. Then take your next dose on your regular day of the week. Never take 2 doses on the same day. Do not take double or extra doses.
Keep out of the reach of children.
Store at room temperature of 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.
They need to know if you have any of these conditions:
esophagus, stomach, or intestine problems, like acid reflux or GERD
low blood calcium
low vitamin D
problems sitting or standing for 30 minutes
an unusual or allergic reaction to alendronate, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
Visit your doctor for regular check ups. It may be some time before you see benefit from this medicine. Do not stop taking your medicine unless your doctor tells you to. Your doctor or health care professional may order regular blood tests to see how you are doing.
You should make sure you get enough calcium and vitamin D in your diet while you are taking this medicine, unless your doctor tells you not to. Discuss the foods you eat and the vitamins you take with your health care professional.
If you get a rash, limit your time in the sun and in tanning beds. Sunlight may cause the rash to get worse. Call your doctor.
Some people who take this medicine have severe bone, joint, and/or muscle pain. Tell your doctor if you have pain that does not go away or that gets worse.
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