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Fosamax (Alendronate) is a bisphosphonate used to prevent and treat osteoporosis. It may also be used to treat paget's disease steroid-induced osteoporosis and other conditions as determined by your doctor.
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About Fosamax (Alendronate):
Product Type: Women's Health
Brand name: Fosamax
Generic name: Alendronate
What is the most important information I should know about Fosamax?
• Do not take an Fosamax tablet if you cannot sit upright or stand for at least 30 minutes. Fosamax can cause serious problems in the stomach or esophagus (the tube that connects your mouth and stomach). You will need to stay upright for at least 30 minutes after taking this medication.
• Take the Fosamax tablet first thing in the morning at least 30 minutes before you eat or drink anything or take any other medicine.
• Take each dose with a full glass (6 to 8 ounces) of water. Use only plain water (not mineral water) when taking an Fosamax tablet.
• For at least the first 30 minutes after taking an Fosamax tablet do not lie down or recline; do not eat or drink anything other than plain water; and do not take any other medicines including vitamins calcium or antacids.
• Some people using medicines similar to Fosamax have developed bone loss in the jaw also called osteonecrosis of the jaw. Symptoms of this condition may include jaw pain swelling numbness loose teeth gum infection or slow healing after injury or surgery involving the gums. You may be more likely to develop osteonecrosis of the jaw if you have cancer or have been treated with chemotherapy radiation or steroids. Other conditions associated with osteonecrosis of the jaw include blood clotting disorders anemia (low red blood cells) and a pre-existing dental problem.
• Fosamax is only part of a complete program of treatment that may also include diet changes exercise and taking calcium and vitamin supplements. Follow your diet medication and exercise routines very closely.
What is Fosamax?
• Fosamax is in the group of medicines called bisphosphonates (bis FOS fo nayts). It alters the cycle of bone formation and breakdown in the body. Fosamax slows bone loss while increasing bone mass which may prevent bone fractures.
• Fosamax is used to treat or prevent postmenopausal osteoporosis and steroid-induced osteoporosis. Fosamax is also used to treat Paget's disease of bone.
• Fosamax may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking Fosamax?
• Do not take an Fosamax tablet if you cannot sit upright or stand for at least 30 minutes. Fosamax can cause serious problems in the stomach or esophagus (the tube that connects your mouth and stomach). You will need to stay upright for at least 30 minutes after taking this medication.
• Before using Fosamax tell your doctor if you have:
low blood calcium (hypocalcemia);
a vitamin D deficiency;
kidney disease; or
an ulcer in your stomach or esophagus.
• If you have any of these conditions you may not be able to use Fosamax or you may need a dosage adjustment or special tests during treatment.
• Some people using medicines similar to Fosamax have developed bone loss in the jaw also called osteonecrosis of the jaw. Symptoms of this condition may include jaw pain swelling numbness loose teeth gum infection or slow healing after injury or surgery involving the gums.
• You may be more likely to develop osteonecrosis of the jaw if you have cancer or have been treated with chemotherapy radiation or steroids. Other conditions associated with osteonecrosis of the jaw include blood clotting disorders anemia (low red blood cells) and dental surgery or pre-existing dental problems.
• FDA pregnancy category C. This medication may be harmful to an unborn baby and should not be used by a woman who is pregnant. Tell your doctor if you become pregnant during treatment.
• It is not known whether Fosamax passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
How should I take Fosamax?
• Take Fosamax exactly as it was prescribed for you. Do not use the medication in larger amounts or for longer than recommended by your doctor.
• Fosamax tablets are taken either once each day or once each week.
• Take the Fosamax tablet first thing in the morning at least 30 minutes before you eat or drink anything or take any other medicine. If you take an Fosamax tablet only once a week take it on the same day each week and always first thing in the morning.
• Take each Fosamax tablet with a full glass (6 to 8 ounces) of water. Use only plain water (not mineral water) when taking an Fosamax tablet.
• Do not crush chew or suck the Fosamax tablet. Swallow the pill whole.
• After taking an Fosamax tablet carefully follow these instructions:
Do not lie down or recline for at least 30 minutes after taking Fosamax.
Do not eat or drink anything other than plain water.
Do not take any other medicines including vitamins calcium or antacids for at least 30 minutes after taking Fosamax. It may be best to take your other medicines at a different time of the day. Talk with your doctor about the best dosing schedule for your other medicines.
• To be sure this medication is helping your condition your bone mineral density will need to be tested on a regular basis. It is important that you not miss any scheduled visits to your doctor.
• Fosamax is only part of a complete program of treatment that may also include diet changes exercise and taking calcium and vitamin supplements. Follow your diet medication and exercise routines very closely.
• Store Fosamax tablets at room temperature away from moisture and heat.
What happens if I miss a dose?
• If you take Fosamax tablets once daily: If you forget to take this medicine first thing in the morning do not take it later in the day. Wait until the following morning to take the medicine and skip the missed dose. Do not take take two (2) tablets in one day.
• If you take Fosamax tablets once a week: If you forget to take Fosamax on your scheduled day take it first thing in the morning on the day after you remember the missed dose. Then return to your regular weekly schedule on your chosen dose day. Do not take take two (2) tablets in one day.
What happens if I overdose?
• Seek emergency medical attention if you think you have used too much of this medicine. Drink a full glass of milk and call your local poison control left or emergency room right away. Do not make yourself vomit and do not lie down.
• Symptoms of an Fosamax overdose may include nausea heartburn stomach pain diarrhea muscle cramps numbness or tingling tight muscles in your face seizure (convulsions) irritability and unusual thoughts or behavior.
What should I avoid while taking Fosamax?
• Do not take any other medicines including vitamins calcium or antacids for at least 30 minutes after taking an Fosamax tablet.
• Do not lie down for at least 30 minutes after you take an Fosamax tablet.
What are the possible side effects of Fosamax?
• Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face lips tongue or throat.
• Stop using Fosamax and call your doctor at once if you have any of these serious side effects:
chest pain;
difficulty or pain when swallowing;
pain or burning under the ribs or in the back;
new or worsening heartburn;
severe joint bone or muscle pain; or
jaw pain numbness or swelling.
• Continue using Fosamax and talk with your doctor if you have any of these less serious side effects:
mild heartburn or stomach upset;
diarrhea gas or constipation;
mild joint or back pain; or
headache.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Fosamax?
• Antacids supplements or medicines that contain aluminum calcium magnesium or other minerals can interfere with how your body absorbs Fosamax. If you use these other medicines do not that take them for at least 30 minutes after taking an Fosamax tablet.
• Before using Fosamax tell your doctor if you also use aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) such as celecoxib (Celebrex) diclofenac (Voltaren) diflunisal (Dolobid) ibuprofen (Motrin Advil) indomethacin ketoprofen (Orudis) ketorolac (Toradol) naproxen (Aleve Naprosyn) piroxicam (Feldene) and others.
• There may be other drugs that can affect Fosamax. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
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This risk will increase the longer you use anaprox. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft or CABG). Seek emergency medical help if you have symptoms of heart or circulation problems such as chest pain weakness shortness of breath slurred speech or problems with vision or balance. This medicine can also increase your risk of serious effects on the stomach or intestines including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking anaprox. Older adults may have an even greater risk of these serious gastrointestinal side effects. Call your doctor at once if you have symptoms of bleeding in your stomach or intestines. This includes black bloody or tarry stools or coughing up blood or vomit that looks like coffee grounds. Do not use any other over-the-counter cold allergy or pain medication without first asking your doctor or pharmacist. Many medicines available over the counter contain aspirin or other medicines similar to anaprox (such as ibuprofen or ketoprofen). If you take certain products together you may accidentally take too much of this type of medication. Read the label of any other medicine you are using to see if it contains aspirin ibuprofen or ketoprofen. Do not drink alcohol while taking anaprox. Alcohol can increase the risk of stomach bleeding caused by anaprox. Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Naproxen can make your skin more sensitive to sunlight and sunburn may result. What should I discuss with my healthcare provider before taking anaprox? Taking an NSAID can increase your risk of life-threatening heart or circulation problems including heart attack or stroke. This risk will increase the longer you use an NSAID. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft or CABG). NSAIDs can also increase your risk of serious effects on the stomach or intestines including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking an NSAID. Older adults may have an even greater risk of these serious gastrointestinal side effects. Do not use this medication if you are allergic to anaprox or if you have a history of allergic reaction to aspirin or other NSAIDs. Before taking anaprox tell your doctor if you are allergic to any drugs or if you have: • a history of heart attack stroke or blood clot; • heart disease congestive heart failure high blood pressure; • a history of stomach ulcers or bleeding; • liver or kidney disease; • asthma; • polyps in your nose; • a bleeding or blood clotting disorder; or • if you smoke. If you have any of these conditions you may not be able to use anaprox or you may need a dosage adjustment or special tests during treatment. FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Taking anaprox during the last 3 months of pregnancy may result in birth defects. Do not take anaprox during pregnancy unless your doctor has told you to. Naproxen can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not give this medicine to a child younger than 2 years old without the advice of a doctor. How should I take anaprox? Take this medication exactly as directed on the label or as it has been prescribed by your doctor. Do not use the medication in larger amounts or use it for longer than recommended. EC-Naprosyn is a slower-acting form of anaprox and this brand should be used only for treating arthritis or ankylosing spondylitis. Follow your doctor's instructions. Do not crush chew or break an extended-release or enteric-coated tablet. Swallow the pill whole. The extended-release pill is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time. The enteric-coated pill has a special coating to protect your stomach. Breaking the pill could damage this coating. Shake the oral suspension (liquid) well just before you measure a dose. To be sure you get the correct dose measure the liquid with a marked measuring spoon or medicine cup not with a regular table spoon. If you do not have a dose-measuring device ask your pharmacist for one. If you take anaprox for a long period of time your doctor may want to check you on a regular basis to make sure this medication is not causing harmful effects. Do not miss any scheduled visits to your doctor. Store anaprox at room temperature away from moisture and heat. What happens if I miss a dose? Since anaprox is sometimes taken as needed you may not be on a dosing schedule. If you are taking the medication regularly take the missed dose as soon as you remember. If it is almost time for your next dose skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a anaprox overdose may include nausea vomiting stomach pain confusion drowsiness black or bloody stools coughing up blood shallow breathing fainting or coma. What should I avoid while taking anaprox? Do not use any other over-the-counter cold allergy or pain medication without first asking your doctor or pharmacist. Many medicines available over the counter contain aspirin or other medicines similar to anaprox (such as ibuprofen or ketoprofen). If you take certain products together you may accidentally take too much of this type of medication. Read the label of any other medicine you are using to see if it contains aspirin ibuprofen or ketoprofen. Do not drink alcohol while taking anaprox. Alcohol can increase the risk of stomach bleeding caused by anaprox. Avoid prolonged exposure to sunlight. Naproxen may increase the sensitivity of the skin to sunlight. Use a sunscreen and wear protective clothing when exposure to the sun is unavoidable. Naproxen side effects Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face lips tongue or throat. Stop taking anaprox and seek medical attention or call your doctor at once if you have any of these serious side effects: • chest pain weakness shortness of breath slurred speech problems with vision or balance; • black bloody or tarry stools; • coughing up blood or vomit that looks like coffee grounds; • swelling or rapid weight gain; • urinating less than usual or not at all; • nausea stomach pain low fever loss of appetite dark urine clay-colored stools jaundice (yellowing of the skin or eyes); • fever sore throat and headache with a severe blistering peeling and red skin rash; • bruising severe tingling numbness pain muscle weakness; or • fever headache neck stiffness chills increased sensitivity to light purple spots on the skin and/or seizure (convulsions). Keep taking anaprox and talk to your doctor if you have any of these less serious side effects: • upset stomach mild heartburn or stomach pain diarrhea constipation; • bloating gas; • dizziness headache nervousness; • skin itching or rash; • blurred vision; or • ringing in your ears. Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect anaprox? 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