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alendronate (a LEN droe nate)

What is the most important information I should know about Fosamax?
• Some forms of alendronate are taken once a day discount fosamax. Others are taken onlyonce a week discount fosamax. It is very important that you follow your doctor's directions discount fosamax. If you take alendronate once a week, take it on the same day each week discount fosamax.
• After swallowing the tablet, do not lie down, remain fully upright sitting,standing or walking, for at least 30 minutes and until after you have eaten discount fosamax.
• Do not crush, chew, or suck the tablets discount fosamax. Swallow them whole discount fosamax.
• Do not take alendronate at bedtime or before getting up for the day discount fosamax.


What is alendronate?
• Alendronate is a compound that alters the cycle of bone formation andbreakdown in your body discount fosamax. alendronate increases new bone formation discount fosamax.
• Fosamax is used to treat and prevent osteoporosis and to treat Paget'sdisease discount fosamax. Fosamax is also used to treat osteoporosis that is caused by treatmentwith a corticosteroid discount fosamax.
• Fosamax may also be used for purposes other than those listed in thismedication guide discount fosamax.


Who should not take Fosamax?
• Before taking Fosamax, tell your doctor if you
· have a problem swallowing, such as a narrowing of your esophagus;
· have esophageal ulcers or an esophageal disease;
· have a condition that causes low levels of calcium in your body;
· have kidney disease;
· have stomach ulcers or other stomach or digestive problems; or
· are unable to stand or sit upright for at least 30 minutes discount fosamax.
• You may not be able to take Fosamax, or you may require a lower doseor special monitoring during treatment if you have any of the conditions listedabove discount fosamax.
• Fosamax is in the FDA pregnancy category C discount fosamax. This means that it is notknown whether Fosamax will harm an unborn baby discount fosamax. Do not take Fosamax withoutfirst talking to your doctor if you are pregnant discount fosamax.
• It is also not known whether Fosamax passes into breast milk discount fosamax. Do nottake Fosamax without first talking to your doctor if you are breast-feedinga baby discount fosamax.


How should I take Fosamax?
• Take Fosamax exactly as directed by your doctor discount fosamax. If you do not understandthese directions, ask your pharmacist, nurse, or doctor to explain them to you discount fosamax.
• Some forms of alendronate are taken once a day discount fosamax. Others are taken onlyonce a week discount fosamax. It is very important that you follow your doctor's directions discount fosamax. If you take alendronate once a week, take it on the same day each week discount fosamax.
• Take Fosamax first thing in the morning, at least 30 minutes before youeat any food or drink any liquid (other than plain water) discount fosamax. This timing is veryimportant for getting the maximum amount of medication from each dose discount fosamax. Foodsand beverages greatly decrease the effect of Fosamax discount fosamax.
• Take each dose with a full glass (6 to 8 ounces) of tap water or bottledwater discount fosamax. Taking each dose with a full glass of water will ensure proper swallowingof the tablet and reduce the risk of mouth or throat irritation discount fosamax. Do not takethis medication with mineral water, juice, or any other beverage discount fosamax.
• After swallowing the tablet, do not lie down, remain fully upright sitting,standing or walking, for at least 30 minutes and until after you have eaten discount fosamax.
• Do not crush, chew, or suck the tablets discount fosamax. Swallow them whole discount fosamax.
• Do not take Fosamax at bedtime or before getting up for the day discount fosamax.
• If you have difficulty or pain upon swallowing, chest pain, or new orworsening heartburn, stop taking Fosamax and call your doctor discount fosamax.
• It is important that you continue taking Fosamax for as long as yourdoctor prescribes it discount fosamax. Fosamax can treat or prevent osteoporosis only if youcontinue to take it discount fosamax.
• Store Fosamax at room temperature away from moisture and heat discount fosamax.


What happens if I miss a dose?
• If you take alendronate every day and you miss a dose, skip that doseand take your next regularly scheduled dose the following day discount fosamax. Missing one dosewill not affect your treatment discount fosamax. Do not take two tablets at the same time discount fosamax.
• If you take alendronate once a week and you miss a dose, take the misseddose on the morning after you remember discount fosamax. Do not take two tablets on the sameday discount fosamax. Return to taking one tablet once a week, as originally scheduled on yourchosen day discount fosamax.


What happens if I overdose?
• Seek emergency medical attention discount fosamax.
• The symptoms of an Fosamax overdose are unknown, but the following symptomsmight be expected: nausea, heartburn, pain in your abdomen, other stomach-relatedsymptoms, muscle cramps, uncontrollable facial grimacing, seizures, irritability,and abnormal behavior discount fosamax.


What should I avoid while taking Fosamax?
• Follow you doctor's recommendations about drinking alcohol and smoking discount fosamax. These activities are related to decreased bone density discount fosamax.


What are the possible side effects of Fosamax?
• Stop taking Fosamax and seek emergency medical attention or contact yourdoctor immediately if you experience any of the following serious side effects:
· an allergic reaction (difficulty breathing; closing of your throat;swelling of your lips, tongue, or face; or hives);
· difficulty or pain when swallowing;
· chest pain;
· pain or burning under your ribs or in your back; or
· new or worsening heartburn discount fosamax.
• Other, less serious side effects may be more likely to occur discount fosamax. Continueto take Fosamax and talk to your doctor if you experience
· abdominal discomfort;
· stomach upset, nausea, vomiting, diarrhea, or constipation;
· headache;
· muscle, bone, or joint soreness or aches;
· eye pain;
· a rash; or
· an altered sense of taste discount fosamax.
• Side effects other than those listed here may also occur discount fosamax. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome discount fosamax.


What other drugs will affect Fosamax?
• Antacids and other medicines taken by mouth may decrease the effectsof Fosamax discount fosamax. Do not take any other medicines within 30 minutes after a dose ofFosamax discount fosamax. Talk to your doctor before taking any other medicines during treatmentwith Fosamax discount fosamax.
• Aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen(Motrin, Advil, Nuprin, others), ketoprofen (Orudis KT, Orudis, Oruvail), indomethacin(Indocin, Indocin SR), naproxen (Anaprox, Aleve, Naprosyn), oxaprozin (Daypro),nabumetone (Relafen), piroxicam (Feldene), and others may increase the riskof damage to your stomach if they are taken during treatment with Fosamax discount fosamax. Talkto your doctor before taking anti-inflammatory medications, pain relievers orfever reducers during treatment with Fosamax discount fosamax.
• Drugs other than those listed here may also interact with Fosamax discount fosamax. Talkto your doctor and pharmacist before taking any prescription or over-the-countermedicines discount fosamax.


Where can I get more information?
• Your pharmacist has more information about Fosamax written for healthprofessionals that you may read discount fosamax.


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