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fosamax liquid prescribing information
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 fosamax liquid prescribing information. Others are taken onlyonce a week fosamax liquid prescribing information. It is very important that you follow your doctor's directions fosamax liquid prescribing information. If you take alendronate once a week, take it on the same day each week fosamax liquid prescribing information.
• 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 fosamax liquid prescribing information.
• Do not crush, chew, or suck the tablets fosamax liquid prescribing information. Swallow them whole fosamax liquid prescribing information.
• Do not take alendronate at bedtime or before getting up for the day fosamax liquid prescribing information.


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


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 fosamax liquid prescribing information.
• 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 fosamax liquid prescribing information.
• Fosamax is in the FDA pregnancy category C fosamax liquid prescribing information. This means that it is notknown whether Fosamax will harm an unborn baby fosamax liquid prescribing information. Do not take Fosamax withoutfirst talking to your doctor if you are pregnant fosamax liquid prescribing information.
• It is also not known whether Fosamax passes into breast milk fosamax liquid prescribing information. Do nottake Fosamax without first talking to your doctor if you are breast-feedinga baby fosamax liquid prescribing information.


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


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 fosamax liquid prescribing information. Missing one dosewill not affect your treatment fosamax liquid prescribing information. Do not take two tablets at the same time fosamax liquid prescribing information.
• If you take alendronate once a week and you miss a dose, take the misseddose on the morning after you remember fosamax liquid prescribing information. Do not take two tablets on the sameday fosamax liquid prescribing information. Return to taking one tablet once a week, as originally scheduled on yourchosen day fosamax liquid prescribing information.


What happens if I overdose?
• Seek emergency medical attention fosamax liquid prescribing information.
• 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 fosamax liquid prescribing information.


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


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 fosamax liquid prescribing information.
• Other, less serious side effects may be more likely to occur fosamax liquid prescribing information. 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 fosamax liquid prescribing information.
• Side effects other than those listed here may also occur fosamax liquid prescribing information. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome fosamax liquid prescribing information.


What other drugs will affect Fosamax?
• Antacids and other medicines taken by mouth may decrease the effectsof Fosamax fosamax liquid prescribing information. Do not take any other medicines within 30 minutes after a dose ofFosamax fosamax liquid prescribing information. Talk to your doctor before taking any other medicines during treatmentwith Fosamax fosamax liquid prescribing information.
• 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 fosamax liquid prescribing information. Talkto your doctor before taking anti-inflammatory medications, pain relievers orfever reducers during treatment with Fosamax fosamax liquid prescribing information.
• Drugs other than those listed here may also interact with Fosamax fosamax liquid prescribing information. Talkto your doctor and pharmacist before taking any prescription or over-the-countermedicines fosamax liquid prescribing information.


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


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