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


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


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


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


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


What happens if I overdose?
• Seek emergency medical attention merck fosamax package insert.
• 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 merck fosamax package insert.


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


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


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


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

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