Do I have to take Fosamax? Fosamax alendronate is in a class of medications called bisphosphonates that work by increasing bone formation and decreasing bone breakdown in the body. If you have osteopenia, then you have a high risk of developing osteoporosis and possibly having a bone fracture in the future.

You should consult your physician about osteoporosis prevention. The most common side effects of Fosamax are mild heartburn, diarrhea, gas, constipation, swelling in your hands or feet, dizziness, weakness, and headache. Contact your physician if any of the following severe side effects occur: This is not a complete list of side effects of Fosamax. Fosamax can cause problems in the stomach or esophagus.

Staying upright for at least 30 minutes after taking this medication and taking it with a full glass of water can lower the risk of stomach problems. Always take Fosamax first thing in the morning 30 minutes before you eat or drink anything or take any other medications. Burton Dunaway, PharmD Q: My gynecologist has me on Fosamax Plus D for osteopenia.

Can I take calcium with vitamin D? I know that the calcium needs the vitamin D to be absorbed. Is it possible to take too much vitamin D? What amount would you recommend? Fosamax Plus D is a prescription medicine that contains alendronate sodium and vitamin D3 cholecalciferol as the active ingredients. The Daily Value is IU. Fosamax Plus D is used for the treatment of osteoporosis thinning of bone in women after menopause.

It reduces the chance of having a hip or spinal fracture break. Treatment to increase bone mass in men with osteoporosis. Fosamax Plus D alendronate cholecalciferol , a single once weekly tablet containing 70 mg Fosamax alendronate and 2, IU vitamin D3, representing seven days worth of IU of vitamin D.

The recommended intake of vitamin D is to IU daily. Maintaining adequate levels of vitamin D is necessary for the development of strong bones because it helps increase the intestinal absorption of calcium. Vitamin D insufficiency is associated with reduced calcium absorption, bone loss and increased risk of fracture. Patients at increased risk for vitamin D insufficiency e.

For more detailed information, consult with your physician or pharmacist for guidance based on your specific condition and current medications. Am I safe in taking alendronate Fosamax? Only a health care provider who knows your health conditions and health status can determine if Fosamax alendronate is safe for you to take. In general, do not take an alendronate tablet if you cannot sit upright or stand for at least 30 minutes.

Alendronate 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 alendronate, tell your doctor if you have: If you have any of these conditions, you may need a dose adjustment or special tests to safely take alendronate.

Lowell Sterler, RPh Q: Recently I started taking Fosamax. I have been experiencing a lot of pain in my hands especially, also in my legs and arms. Could this pain be from the Fosamax? According to the package insert, muscle, joint, and bone pain have been reported in patients taking Fosamax alendronate and other drugs like it.

The pain can be severe and even limit activities in some patients. Most patients have relief of symptoms after stopping the medication, but please speak with your healthcare provider before stopping this medication.

Is searing, burning pain in the lower back and hips a normal side effect of Fosamax? I've been taking this medication for two weeks. The pain lasts for several days and wakes me up at night. Some patients aren't able to tolerate Fosamax due to its gastro-intestinal effects. They may develop reflux esophagitis, where the stomach acid burns the inner lining of the esophagus and makes it difficult for people to eat or drink for several days.

Although the effect is rare, it's important to discuss it with your doctor, since there are other alternatives including a quarterly infusion that completely bypasses the digestive system.

Matt Curley, PharmD Q: What are the pros and cons of bone building drugs such as Boniva and Fosamax?

Boniva ibandronate is classified in the group of medicines called bisphosphonates. It alters the cycle of bone formation and breakdown in the body. Boniva is beneficial because it slows bone loss while increasing bone mass, which may prevent bone fractures.

Boniva is taken once a month and should be taken with a full glass of water before any other medication or food. Do not lie down, recline or eat for 60 minutes after taking Boniva. Side effects of Boniva may include back pain, headache, nausea or upset stomach.

Some patients who have taken Boniva have developed bone loss in the jaw. Symptoms include jaw pain, swelling, numbness, loss of teeth, and gum infections. According to the prescribing information, Boniva has been associated with renal kidney toxicities, so close monitoring is recommended when using Boniva. Fosamax alendronate is also classified as a bisphosphonate and works by slowing down the breakdown of bones. Fosamax is beneficial because it slows the breakdown of bone and increases bone formation.

Fosamax is indicated for osteoporosis. Fosamax is available as a daily or weekly tablet. Fosamax should be administered with 6 to 8 ounces of plain water, at least 30 minutes before the first food, beverage, or medication of the day. Patients should remain upright for at least 30 minutes following administration of Fosamax. Common side effects of Fosamax include nausea, diarrhea, mild joint pain, and possibly dizziness.

Fosamax can also cause bone loss of the jaw. Kidney function should also be monitored with Fosamax as well as the other bisphosphonates. Most of the drugs in the bisphosphonate class carry the same side effect profile and precautions. Kimberly Hotz, PharmD Q: Is it safe to take Fosamax over a long period of time? What are the side effects? Fosamax alendronate is in a drug class called bisphosphonates. Fosamax is used to prevent and treat osteoporosis thinning and weakening of bones which may cause them to break easily in women who have been through menopause.

Fosamax is also used to treat osteoporosis in men. Additionally, Fosamax is used to treat osteoporosis in women and men who are taking corticosteroids, which are medicines that have the potential to cause osteoporosis. Also, Fosamax is used to treat Paget's disease of bone, which is a disorder where bones are soft, weak, and may be deformed, cause pain, and break easily.

Fosamax works by preventing the breakdown of bone and increasing bone density thickness of bone. Fosamax should be taken with a glass of water and no other food or drink should be consumed for 30 minutes. Also, do not lie down after taking Fosamax, it is important to remain up straight for at least 30 minutes after taking Fosamax.

Some of the common side effects experienced with Fosamax include: Some people experienced this pain within 1 day to several months after starting Fosamax. The pain usually subsides with discontinuation of the medication. Some people will have the pain reoccur if they are rechallenged with Fosamax or another bisphosphonate.

One of the rare side effects of Fosamax is called osteonecrosis of the jaw ONJ. ONJ may occur spontaneously after dental procedures or tooth extractions. There may be delayed healing after dental procedures and the bone of the jaw becomes exposed.

Symptoms of ONJ may include: According to the National Osteoporosis Foundation, it is important for patients taking Fosamax, or similar medications, to maintain good oral hygiene and have regular dental visits. Fosamax may also cause problems with the esophagus.

The esophagus is the tube that connects the mouth to the stomach. Fosamax can cause irritation and erosion to the esophagus, especially if the dosing directions are not followed. Low blood calcium hypocalcemia has been reported with the use of Fosamax.

Before therapy is started, calcium levels should be checked and it is important for the patient to have adequate calcium and vitamin D supplementation during therapy. Please consult with your doctor about the long term use of Fosamax and the duration of treatment appropriate for you. For more specific information, consult with your doctor for guidance based on your health status and current medications, particularly before taking any action.

Kristen Dore, PharmD Q: Is there a generic equivalent for Fosamax? Fosamax alendronate is a medication that is used to treat osteoporosis. Fosamax belongs to a group of medications called bisphosphonates that work by binding to cells in the bones and preventing them from breaking down. Fosamax does come in a generic form called alendronate and is available in several strengths including 5 mg, 10 mg, 35 mg, 40 mg and 70 mg. It is made by many different manufacturers and your local pharmacy should have one of these in stock.

Lori Poulin, PharmD Q: I had a quick onset of swelling in my jaw and neck, a rather a large area. I could not open mouth to eat, no real pain, just discomfort. But I am taking generic Fosamax. I used cold compresses and it resolved after a couple of hours, but not completely. I have polymyalgia rheumatica, and I am also on 5 mg prednisone daily. Is this the kind of symptom that one experiences with Fosamax?

Fosamax alendronate belongs to a class of drugs called bisphosphonates that works by preventing the breakdown of bone. It can help slow bone loss and increase bone density or mass. Fosamax is used to treat or prevent osteoporosis and to treat a bone disease called Paget's disease.

Common side effects of Fosamax include abdominal pain, constipation, diarrhea, gas, indigestion, bloating, vomiting, and headache. More serious side effects are rare, but can occur. This includes a disorder called osteonecrosis of the jaw ONJ.

Basically, ONJ is loss of bone or bone death in the jaw. Symptoms can include jaw pain, swelling, numbness, loose teeth, and infection pus draining from the area. ONJ is more likely to occur in people who have had recent dental surgery or tooth extractions. Other conditions that may increase the risk of ONJ are cancer, poor oral hygiene, pre-existing dental diseases or gum diseases, anemias, ill-fitting dentures, and medications such as chemotherapy or corticosteroids.

Prednisone is classified as a corticosteroid. Consult your doctor, dentist, or oral surgeon for proper evaluation of your jaw and to determine if you are experiencing ONJ. If ONJ is diagnosed, treatment by an oral surgeon is recommended. This is not a complete list of risks and side effects that can occur with Fosamax. Sarah Lewis, PharmD Q: Doctors acknowledge that the risk of these side effects also increases with long-term use of bisphosphonates, so most women take these drugs for about five years.

The good news is that the bone-protective benefits continue even after you stop taking bisphosphonates. Other drug options For postmenopausal women who aren't starting with a bisphosphonate, or those who've already been on one for five years, here are a few other options. Raloxifene Evista , a selective estrogen receptor modulator SERM , is perhaps best known for its role in breast cancer prevention and treatment, but it serves double duty in treating osteoporosis, too. It works by binding with estrogen receptors around the body to produce estrogen-like effects, one of which is to decrease bone turnover.

The main side effects are hot flashes, muscle pain, and an increased risk of blood clots in the leg deep-vein thrombosis. Teriparatide Forteo is a synthetic version of parathyroid hormone that increases bone density and strength. It can reduce the risk of fractures significantly in the spine and other bones. Doctors usually limit teriparatide treatment to two years, because it hasn't been tested for longer than that.

After two years, your doctor may switch you to a bisphosphonate to help you maintain bone density. Women on teriparatide need to give themselves a daily injection. Denosumab Prolia is given as a twice-yearly injection. It prevents bone-dissolving osteoclast cells from forming. If you do not understand the instructions on the box, ask your doctor or pharmacist for help.

Do not take it at bedtime. Swallow one tablet whole with a full glass of plain water. Do not lie down immediately after swallowing it. It is important to stay upright sitting, standing or walking around for at least 30 minutes after swallowing your tablet. It is also very important to stay upright until after you have eaten your first food of the day. These actions will help make sure your tablet reaches your stomach quickly and help reduce the potential for irritation to your food pipe oesophagus.

Mouth ulcers may occur if the tablet is chewed or dissolved in the mouth. If you forget to take it If you miss a tablet, take one tablet on the morning after you remember. Do not take two tablets on the same day. Return to taking one tablet once a week, as originally scheduled on your chosen day.

If you are not sure about what to do, talk to your doctor or pharmacist. Do this even if there are no signs of discomfort or poisoning. If you take too many tablets at one time, drink a full glass of milk. Do not induce vomiting. Do not lie down. If you develop new or unusual pain in your leg, tell your doctor. Rarely, patients have experienced fracture in a specific part of the thigh bone.

Make sure you have an adequate intake of calcium in your diet. Your doctor, dietician or pharmacist can tell you what foods you should eat.

Things that would be helpful for your osteoporosis Some self help measures suggested below may help your osteoporosis. Talk to your doctor or pharmacist about these measures and for more information. Exercise - can be helpful in building and maintaining strong bones. Regular exercise such as a brisk walk is a good idea.

Talk to your doctor before you begin any exercise program. Diet - eat a balanced diet. You may need to increase the amount of calcium in your diet by eating calcium-rich foods or taking a calcium supplement. Yourdoctor will advise you.

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Fosamax alendronate is in a class of medications called bisphosphonates that work by increasing bone formation and decreasing bone breakdown in the body. Set dose Pull out black injection button until it stops. The review states that patients respond well to these treatments. They will sum up any questions you may have. Online more information on Fosamax go to: All patients demonstrated a beneficial clinical response, with relief of pain, increased activity and improved well-being. I have been experiencing a lot of order in my hands especially, also in my legs and arms. Unfortunately, significant adverse events occurred with pamidronate use. Pull off large needle cover and save it. If you have trouble remembering to take your medicine, ask your pharmacist for some hints. So it is very important. We typically sodium take care of it hassle-free. Pamidronate therapy was again performed successfully with near disappearance of alendronate symptoms. Fosamax is indicated for the treatment of steroid-induced osteoporosis in men and women, for the treatment and prevention of postmenopausal osteoporosis in women, and for the treatment of osteoporosis in men, alendronate sodium order online. Alendronate Fosamax and risedronate Actonel have been the most extensively studied bisphosphonates under clinical trials conditions.

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