Fosamax

Brand Name: Fosamax
Generic Name: Alendronate (a len' droe nate)
Drug Class: MISCELLANEOUS:OSTEOPOROSIS

Why is Fosamax prescribed?

Fosamax is used to prevent and treat postmenopausal osteoporosis (bone weakening) or Paget's disease. It prevents or slows weakening of bone.

Fosamax is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

How should Fosamax be used?

Fosamax comes as a tablet to take by mouth. It should be taken once a day in the morning on an empty stomach. Fosamax should be taken with a full glass (6-8 ounces) of plain water. Wait at least 30 minutes after taking Fosamax before you eat, drink, or take other medications. Do not take Fosamax with mineral water, coffee, orange juice, milk, or other dairy products. Do not suck or chew the tablet; swallow the tablet whole. Do not lie down for at least 30 minutes after taking Fosamax. Standing or sitting upright helps you get the full dose and decreases heartburn or the risk of injury to your esophagus.

Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Fosamax exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. Do not stop taking Fosamax without talking to your doctor.

Other uses for Fosamax:

Fosamax also may be used to treat patients with diabetes insipidus and certain electrolyte disturbances and to prevent kidney stones in patients with high levels of calcium in their blood. Talk to your doctor about the possible risks of using this medicine for your condition.

What special precautions should I follow?

Before taking Fosamax,

tell your doctor and pharmacist if you are allergic to Fosamax or any other drugs.
tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially antacids, aspirin products, calcium products, and vitamins.
tell your doctor if you have or have ever had abnormalities of your esophagus; upper gastrointestinal disease such as ulcers, gastritis, heartburn, chronic stomach problems, or duodenitis; a history of neuroleptic malignant syndrome (high temperature with rigid muscles and abnormal consciousness); or below normal calcium levels in your blood or if you are unable to stand or sit upright for 30 minutes.
tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking Fosamax, call your doctor.
if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking Fosamax.
be aware that you should not drink alcoholic beverages while you are taking this drug.

What special dietary instructions should I follow?

It is important that you get enough calcium and vitamin D while you are taking Fosamax. Your doctor may prescribe supplements if your dietary intake is not enough.

Remember that Fosamax should be taken with at least 6-8 ounces of water. Food, drinks, and other drugs (including vitamins, calcium, and vitamin D) should not be taken for at least 30 minutes after taking Fosamax.

What should I do if I forget a dose?

If you miss a dose, do not take it later in the day. Continue your usual schedule of one tablet once a day the next morning.

What side effects can Fosamax cause?

Although side effects from Fosamax are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away:

gas
bloating
constipation
diarrhea
stomach irritation or upset stomach
acid regurgitation (reflux)
stomach pain
headache
muscle or bone pain

If you experience any of the following symptoms, call your doctor immediately:

difficulty swallowing
pain during swallowing
chest pain
new or worsening heartburn
vomiting blood

What storage conditions are needed for Fosamax?

Keep Fosamax in the container it came in, tightly closed, and out of reach of children. You may ask your pharmacist to put this medication in a container without a child-resistant cap, but be sure to keep it out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Talk to your pharmacist about the proper disposal of your medication.

In case of emergency/overdose

In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

Symptoms of overdose may include:

upset stomach
heartburn
bloody vomit
vomiting material that looks like coffee ground
stomach pain

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