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


What is alendronate?
• Alendronate is a compound that alters the cycle of bone formation andbreakdown in your body lose weight with fosamax. alendronate increases new bone formation lose weight with fosamax.
• Fosamax is used to treat and prevent osteoporosis and to treat Paget'sdisease lose weight with fosamax. Fosamax is also used to treat osteoporosis that is caused by treatmentwith a corticosteroid lose weight with fosamax.
• Fosamax may also be used for purposes other than those listed in thismedication guide lose weight with 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 lose weight with 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 lose weight with fosamax.
• Fosamax is in the FDA pregnancy category C lose weight with fosamax. This means that it is notknown whether Fosamax will harm an unborn baby lose weight with fosamax. Do not take Fosamax withoutfirst talking to your doctor if you are pregnant lose weight with fosamax.
• It is also not known whether Fosamax passes into breast milk lose weight with fosamax. Do nottake Fosamax without first talking to your doctor if you are breast-feedinga baby lose weight with fosamax.


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


What happens if I overdose?
• Seek emergency medical attention lose weight with 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 lose weight with fosamax.


What should I avoid while taking Fosamax?
• Follow you doctor's recommendations about drinking alcohol and smoking lose weight with fosamax. These activities are related to decreased bone density lose weight with 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 lose weight with fosamax.
• Other, less serious side effects may be more likely to occur lose weight with 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 lose weight with fosamax.
• Side effects other than those listed here may also occur lose weight with fosamax. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome lose weight with fosamax.


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


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


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