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fight osteoporosis without drugs
risedronate (rih SEH droe nate)

What is the most important information I should know about Actonel?
• Although it has been reported less frequently with Actonel, other similardrugs can be very damaging to the mouth and stomach fight osteoporosis without drugs. Do not lie down for atleast 30 minutes after taking a dose of Actonel fight osteoporosis without drugs.
• Take Actonel in the morning with a full glass (6 to 8 ounces) of tapwater or bottled water at least 30 minutes before eating any food, drinkingany liquid (other than water), or taking any other medicines including vitamins,minerals, or other supplements fight osteoporosis without drugs. Do not take Actonel with mineral water, juice,or any other beverage since these beverages may decrease the effectiveness ofthe medication fight osteoporosis without drugs. This timing is very important in getting the maximum amountof medication from each dose fight osteoporosis without drugs. Foods, beverages, and other medications greatlydecrease the effect of Actonel fight osteoporosis without drugs.
• The 35 mg Actonel tablets should only be taken once a week, preferablyon the same day each week fight osteoporosis without drugs. Follow your doctor's instructions fight osteoporosis without drugs.


What is Actonel?
• Actonel alters the cycle of bone formation and breakdown in the body fight osteoporosis without drugs.
• Actonel is used to prevent and treat postmenopausal and steroid-causedbone-thinning (osteoporosis) fight osteoporosis without drugs. Actonel is also used to treat Paget's diseaseof bone (osteitis deformans) fight osteoporosis without drugs.
• Actonel may also be used for purposes other than those listed in thismedication guide fight osteoporosis without drugs.


What should I discuss with my healthcare provider before taking Actonel?
• Do not take Actonel without first talking to your doctor if you
· have a problem swallowing, such as a narrowing of the esophagus;
· have esophageal ulcers or esophageal disease;
· have stomach ulcers or other stomach problems;
· have a condition that causes low levels of calcium in the body;
· have a kidney disease; or
· are unable to stand or sit upright for at least 30 minutes fight osteoporosis without drugs.
• You may not be able to take Actonel, or you may require a dosage adjustmentor special monitoring during treatment if you have any of the conditions listedabove fight osteoporosis without drugs.
• Actonel is in the FDA pregnancy category C fight osteoporosis without drugs. This means that it is notknown whether it will be harmful to an unborn baby fight osteoporosis without drugs. Do not take Actonel withoutfirst talking to your doctor if you are pregnant or could become pregnant duringtreatment fight osteoporosis without drugs.
• It is not known whether Actonel passes into breast milk fight osteoporosis without drugs. Do not takeActonel without first talking to your doctor if you are breast-feeding a baby fight osteoporosis without drugs.


How should I take Actonel?
• Take Actonel exactly as directed by your doctor fight osteoporosis without drugs. If you do not understandthese directions, ask your pharmacist, nurse, or doctor to explain them to you fight osteoporosis without drugs.
• Take Actonel in the morning with a full glass (6 to 8 ounces) of tapwater or bottled water at least 30 minutes before eating any food, drinkingany liquid (other than water), or taking any other medicines including vitamins,minerals, or other supplements fight osteoporosis without drugs. Do not take Actonel with mineral water, juice,or any other beverage since these beverages may decrease the effectiveness ofthe medication fight osteoporosis without drugs. This timing is very important in getting the maximum amountof medication from each dose fight osteoporosis without drugs. Foods, beverages, and other medications greatlydecrease the effect of Actonel fight osteoporosis without drugs.
• Although it has been reported less frequently with Actonel, other similardrugs can be very damaging to the mouth and stomach fight osteoporosis without drugs. Do not lie down for atleast 30 minutes after taking a dose of Actonel fight osteoporosis without drugs.
• Do not crush, chew, or suck the pills fight osteoporosis without drugs. Swallow them whole fight osteoporosis without drugs.
• The 35 mg Actonel tablets should only be taken once a week, preferablyon the same day each week fight osteoporosis without drugs. Follow your doctor's instructions fight osteoporosis without drugs.
• It is important to maintain adequate amounts of calcium and vitamin Din the diet while taking Actonel fight osteoporosis without drugs. Discuss with your doctor appropriate amountsof calcium and vitamin D fight osteoporosis without drugs.
• Store Actonel at room temperature away from moisture and heat fight osteoporosis without drugs.


What happens if I miss a dose?
• If you take Actonel every day and you miss a dose, skip that dose andtake the next regularly scheduled dose the following day fight osteoporosis without drugs. Missing one dose willnot make a difference in the treatment fight osteoporosis without drugs.
• If you take Actonel once a week and you miss a dose, take the misseddose the next morning fight osteoporosis without drugs. Do not take two tablets on the same day fight osteoporosis without drugs. Then, returnto your regular schedule, taking one tablet on the chosen morning of the week fight osteoporosis without drugs.


What happens if I overdose?
• Seek emergency medical attention fight osteoporosis without drugs.
• The symptoms of a Actonel overdose are unknown, but the following symptomsmight be expected: nausea, heartburn, pain in the abdomen, diarrhea, other stomach-relatedsymptoms, muscle cramps, numbness or tingling, uncontrollable facial grimacing,seizures, irritability, and abnormal behavior fight osteoporosis without drugs.


What should I avoid while taking Actonel?
• There are no restrictions on food, beverages, or activity while takingActonel, unless otherwise directed by your doctor fight osteoporosis without drugs.


What are the possible side effects of Actonel?
• Stop taking Actonel and seek emergency medical attention or contact yourdoctor immediately if you experience any of the following serious side effects:
· an allergic reaction (difficulty breathing; closing of the throat;swelling of the lips, tongue, or face; or hives);
· difficulty or pain when swallowing;
· pain or burning under the ribs or in the back; or
· new or worsening heartburn fight osteoporosis without drugs.
• Other, less serious side effects may be more likely to occur fight osteoporosis without drugs. Continueto take Actonel and talk to your doctor if you experience
· abdominal discomfort;
· stomach upset, nausea, vomiting, or diarrhea;
· headache; or
· muscle or joint soreness or aches fight osteoporosis without drugs.
• Side effects other than those listed here may also occur fight osteoporosis without drugs. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome fight osteoporosis without drugs.


What other drugs will affect Actonel?
• Do not take any other medicine, including vitamins, minerals, or othersupplements, at the same time as Actonel unless otherwise directed by your doctor fight osteoporosis without drugs. Any drug that is taken at the same time as Actonel can decrease the effectsof this medicine fight osteoporosis without drugs.
• Before taking this medication, tell your doctor if you are taking anyof the following medicines:
· an antacid;
· aspirin; or
· a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen (Motrin,Advil, Nuprin, others), ketoprofen (Orudis KT, Orudis, Oruvail), indomethacin(Indocin, Indocin SR), naproxen (Anaprox, Aleve, Naprosyn), oxaprozin (Daypro),nabumetone (Relafen), piroxicam (Feldene), and others fight osteoporosis without drugs.
• You may not be able to take Actonel, or you may require a dosage adjustmentor special monitoring during treatment if you are taking any of the medicineslisted above fight osteoporosis without drugs.
• Drugs other than those listed here may also interact with Actonel fight osteoporosis without drugs. Talkto your doctor and pharmacist before taking any prescription or over-the-countermedicines, including herbal products fight osteoporosis without drugs.


Where can I get more information?
• Your pharmacist has more information about Actonel written for healthprofessionals that you may read fight osteoporosis without drugs.


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