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Overview	Photos	How To Use	Side Effects	Precautions	Missed Dose	Drug Interactions

Alendronate Fosamax Uses Treats and prevents osteoporosis (weak or brittle bones). Also treats a bone disorder called Paget's disease. Storage Store the medicine at room temperature in a closed container, away from heat, moisture, and direct light. Do not freeze. Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any leftover medicine after you have finished your treatment. You will also need to throw away old medicine after the expiration date has passed. Keep all medicine away from children and never share your medicine with anyone. How To Use APPEARANCE: Tablet, Liquid. Your doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to. If any of this medicine stays in your esophagus, it may cause serious damage. The esophagus is the tube that carries food from your mouth to your stomach when you swallow. To lower the risk of this problem, use this medicine exactly as directed below. Take this medicine as soon as you get out of bed in the morning, before you eat or have anything to drink. Do not take the medicine while you are still in bed, and do not take it at bedtime. Swallow the tablet whole with a large glass (8 ounces) of plain water only (not mineral water, coffee, juice, or any other liquid). Do not chew or suck on the tablet. If you use the oral liquid, drink at least 2 ounces (1/4 cup) of only plain water after you take the medicine. Measure the oral liquid medicine with a marked measuring spoon, oral syringe, or medicine cup. Wait at least 30 minutes after you take the medicine before you eat or drink anything or take any other medicines. This will help your body absorb the medicine. Do not lie down for at least 30 minutes after taking alendronate, and do not lie down until after you have eaten some food. Carefully follow your doctor's instructions about diet and exercise. It is especially important that you get enough calcium and vitamin D in your diet. Side Effects Call your doctor right away if you notice any of these side effects: Allergic reaction: Itching or hives, swelling in face or hands, swelling or tingling in the mouth or throat, tightness in chest, trouble breathing Unusual or severe stomach pain Precautions You should not use this medicine if you have had an allergic reaction to alendronate, if you have trouble swallowing, or if you have very low levels of calcium in your blood (hypocalcemia). You should not take this medicine if you are not able to sit upright or stand for at least 30 minutes after taking the medicine. Missed Dose If you miss a dose or forget to take your medicine in the morning, skip the missed dose and take your medicine the next morning. Follow all of the usual instructions about taking it on an empty stomach and not lying down for at least 30 minutes. If you are using the medicine only once a week, return to your regular schedule the following week. Do not use extra medicine to make up for a missed dose. Drug Interactions Make sure your doctor knows if you are pregnant or breastfeeding, or if you have kidney disease, ulcers, heartburn, trouble swallowing, or any other kind of digestive problems. If you think this medicine has started to damage your esophagus, stop taking the medicine and call your doctor. Symptoms to watch for include heartburn (either new or worse than usual), pain when swallowing, pain in the center of your chest, trouble swallowing, or feeling that food gets stuck on the way to your stomach.

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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.