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  • Some forms of alendronate are taken once a day. Others are taken only once a week. It is very important that you follow your physician's directions. If you take alendronate once a week, take it on the same day each week.
  • After swallowing the tablet, NOT lie down, remain fully upright sitting, standing or walking, for at least 30 minutes and until after you have eaten.
  • NOT crush, chew, or suck the tablets. Swallow them whole.
  • NOT take alendronate at bedtime or before getting up for the day.
  • Alendronate is a compound that alters the cycle of bone formation and breakdown in your body. alendronate increases new bone formation.
  • Fosamax is used to treat and prevent osteoporosis and to treat Paget's disease. Fosamax is also used to treat osteoporosis that is caused by treatment with a corticosteroid.
  • Fosamax may also be used for purposes other than those listed in this medication guide.




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  • Fosamax - Drug dosage. Dosage information on Fosamax

  • Take Fosamax exactly as directed by your physician. If you NOT understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
  • Some forms of alendronate are taken once a day. Others are taken only once a week. It is very important that you follow your physician's directions. If you take alendronate once a week, take it on the same day each week.
  • Take Fosamax first thing in the morning, at least 30 minutes before you eat any food or drink any liquid (other than plain water). This timing is very important for getting the maximum amount of medication from each dose. Foods and beverages greatly decrease the effect of Fosamax.
  • Take each dose with a full glass (6 to 8 ounces) of tap water or bottled water. Taking each dose with a full glass of water will ensure proper swallowing of the tablet and reduce the risk of mouth or throat irritation. NOT take this medication with mineral water, juice, or any other beverage.
  • After swallowing the tablet, NOT lie down, remain fully upright sitting, standing or walking, for at least 30 minutes and until after you have eaten.
  • NOT crush, chew, or suck the tablets. Swallow them whole.
  • NOT take Fosamax at bedtime or before getting up for the day.
  • If you have difficulty or pain upon swallowing, chest pain, or new or worsening heartburn, stop taking Fosamax and call your physician.
  • It is important that you continue taking Fosamax for as long as your physician prescribes it. Fosamax can treat or prevent osteoporosis only if you continue to take it.
  • Store Fosamax at room temperature away from moisture and heat.

    Fosamax side effects

  • Stop taking Fosamax and seek emergency medical attention or contact your physician 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.
  • Other, less serious side effects may be more likely to occur. Continue to take Fosamax and talk to your physician 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.
  • Side effects other than those listed here may also occur. Talk to your physician about any side effect that seems unusual or that is especially bothersome.

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