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Fosamax(Alendronate)

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Fosamax

Category: Healthy Bones

Brand: Fosamax

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Fosamax 35mg x 12 pills

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Fosamax is a medication indicated for the treatment of osteoporosis in postmenopausal women and men at high risk of fractures.

Active Ingredient:

Alendronate

Description

Fosamax is useful for the treatment and prevention of certain types of bone loss (osteoporosis) in adults, both men, and women. Osteoporosis causes bones to become thinner and break more easily. The chance of developing osteoporosis increases as aging, after menopause, or in case of taking corticosteroid medications (such as prednisone) for a long time.

The active ingredient of Fosamax is Alendronate that belongs to a class of drugs called bisphosphonates. This medication slows bone loss and helps to maintain bones stronger. Usually, to obtain a better effect, patients need to administrate this medication from 8 up to 12 weeks.

Uses of Fosamax

The medication is indicated for the following health conditions:

  • Osteoporosis.
  • Paget’s disease.
How it works

Fosamax is a bisphosphonate, and it works by suppressing the activity of osteoclasts, the cells that cause the destruction of the bone. It strengthens the bones and minimizes the risk of fractures.

Dosage

Patients should take Fosamax in the dose and duration as advised by your doctor. Swallow the medicine whole. Do not chew, crush, or break it. Take Fosamax first thing in the morning on an empty stomach. Do not lie down after taking the medicine. Wait at least 1 hour before taking any other medication or eating or drinking anything.

Expert advice for the use of Fosamax:

  • Patients need to take Fosamax on an empty stomach.
  • Patients need to take Fosamax in the morning at least 30 minutes before eating or drinking anything.
  • It is essential to maintain an upright posture for 30 minutes after taking the medication, so the medicine doesn't irritate your food pipe.
  • While taking Fosamax, the amount of calcium in your blood may fall. You need to take a calcium-rich diet and have regular blood tests to monitor the level of calcium in your blood.
  • Patients should visit the dentist regularly. Inform your dentist that you are taking Fosamax.
Missed dose

If a dose of Fosamax is missed, take it as soon as you remember. It is advisable to skip the missed dose if it is almost time for your next dose. Do not double your dose to make up for the missed one.

Overdose

Seek emergency medical treatment or contact the doctor in case of an overdose.

Side effects

The most common side effects associated with Fosamax are:

  • Hypersensitivity (severe/rare)
  • Abdominal pain (severe)
  • Nausea and vomiting
  • Heartburn (severe)
  • Difficulty with swallowing (severe)
  • Irregular heartbeat (severe)
  • Loss of appetite
  • Loosening of the teeth (severe)
  • Joint or muscle pain (severe)
  • Swelling of ankles or feet (severe)
  • Flu-like symptoms (severe)

Side effects occurrence does not only depend on the medication you are taking but also on your overall health and other factors.

Contraindications

Do not use Fosamax if you are allergic to Alendronate or any ingredients in the medication.

Precautions

Before taking this medication, consider the following as well:

  • Osteonecrosis of the jaw (ONJ). Patients undergoing invasive dental procedures need to use Fosamax with caution due to the increased risk of osteonecrosis of the jaw (ONJ).
  • Renal dysfunction. Fosamax is not recommended for use in patients with creatinine clearance less than 35 ml/min due to the increased risk of acute renal failure. It is recommended to have close monitoring of kidney function during treatment with Fosamax.
  • Hypocalcemia. Fosamax is not recommended for treating osteoporosis in patients with decreased calcium levels (hypocalcemia). Calcium and vitamin D levels should be checked before starting therapy with Fosamax. It is also important to continue appropriate supplementation of calcium and vitamin D during treatment with this medicine.
  • Upper gastrointestinal mucosal irritation. Fosamax may cause upper gastrointestinal mucosal irritation and increase the risk of gastric ulcers and bleeding. It is advised to take the tablet along with a full glass of water and stand or sit upright for at least 30 minutes after the dose to reduce the chances of these side effects. Therapy should be discontinued if a patient experiences any difficulty in swallowing or persistent abdominal pain. Report such symptoms to the doctor immediately. Do not stop the use of Fosamax without consulting your doctor.
  • Asthma. Caution is advised while using Fosamax in patients with asthma due to an increased risk of worsening of the patient's condition. Close monitoring of such patients for any adverse effects is necessary during the treatment with this medicine.
  • Aspiration. Fosamax is not recommended for use in patients with obstruction of the gastrointestinal tract due to an increased risk of aspiration.
Warnings

Alcohol. The interaction of Fosamax with alcohol is unknown. Consult your doctor.

Pregnancy. Fosamax is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. Please consult your doctor.

Lactation. Fosamax is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may advise you to discontinue breastfeeding or to discontinue the drug based on your clinical condition.

Driving. Do not drive unless you are feeling well. This medication rarely has any serious side effects though in some cases, it may cause dizziness, severe muscle, joint and bone pain, and eye pain or inflammation. This may affect your ability to drive.

Food. The combined use of Fosamax and products containing calcium, magnesium, aluminum, or iron may reduce the effectiveness of this medicine. It is recommended not to take such products for at least 30 minutes after taking Fosamax.

Drug interactions

Consult your doctor if you are taking any of the following medications:

  • Kanamycin
  • Tobramycin
  • Benzydamine
  • Netilmicin
  • Oxyphenbutazone
  • Nimesulide
  • Metamizole/Dipyrone
  • Amikacin
  • Gentamicin
  • Iron
  • Capreomycin
  • Sodium Bicarbonate
  • Streptomycin
  • Magaldrat

This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.

Q: What Fosamax is used for?

A: Fosamax is indicated for the treatment of osteoporosis in postmenopausal women and men at high risk of fractures.

Q: How should I take Fosamax?

A: You should take Fosamax in the dose and duration as advised by your doctor. Swallow it whole. Do not chew, crush, or break it. Take Fosamax in the morning on an empty stomach.

Q: Is it safe for use during pregnancy or when breastfeeding?

A: It is not recommended to use Fosamax while pregnant and breastfeeding until necessary. Consult your doctor before taking Fosamax.

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