improvement on osteoporosis nutrition

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 improvement on osteoporosis nutrition. Do not lie down for atleast 30 minutes after taking a dose of Actonel improvement on osteoporosis nutrition.
• 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 improvement on osteoporosis nutrition. Do not take Actonel with mineral water, juice,or any other beverage since these beverages may decrease the effectiveness ofthe medication improvement on osteoporosis nutrition. This timing is very important in getting the maximum amountof medication from each dose improvement on osteoporosis nutrition. Foods, beverages, and other medications greatlydecrease the effect of Actonel improvement on osteoporosis nutrition.
• The 35 mg Actonel tablets should only be taken once a week, preferablyon the same day each week improvement on osteoporosis nutrition. Follow your doctor's instructions improvement on osteoporosis nutrition.

What is Actonel?
• Actonel alters the cycle of bone formation and breakdown in the body improvement on osteoporosis nutrition.
• Actonel is used to prevent and treat postmenopausal and steroid-causedbone-thinning (osteoporosis) improvement on osteoporosis nutrition. Actonel is also used to treat Paget's diseaseof bone (osteitis deformans) improvement on osteoporosis nutrition.
• Actonel may also be used for purposes other than those listed in thismedication guide improvement on osteoporosis nutrition.

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 improvement on osteoporosis nutrition.
• 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 improvement on osteoporosis nutrition.
• Actonel is in the FDA pregnancy category C improvement on osteoporosis nutrition. This means that it is notknown whether it will be harmful to an unborn baby improvement on osteoporosis nutrition. Do not take Actonel withoutfirst talking to your doctor if you are pregnant or could become pregnant duringtreatment improvement on osteoporosis nutrition.
• It is not known whether Actonel passes into breast milk improvement on osteoporosis nutrition. Do not takeActonel without first talking to your doctor if you are breast-feeding a baby improvement on osteoporosis nutrition.

How should I take Actonel?
• Take Actonel exactly as directed by your doctor improvement on osteoporosis nutrition. If you do not understandthese directions, ask your pharmacist, nurse, or doctor to explain them to you improvement on osteoporosis nutrition.
• 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 improvement on osteoporosis nutrition. Do not take Actonel with mineral water, juice,or any other beverage since these beverages may decrease the effectiveness ofthe medication improvement on osteoporosis nutrition. This timing is very important in getting the maximum amountof medication from each dose improvement on osteoporosis nutrition. Foods, beverages, and other medications greatlydecrease the effect of Actonel improvement on osteoporosis nutrition.
• Although it has been reported less frequently with Actonel, other similardrugs can be very damaging to the mouth and stomach improvement on osteoporosis nutrition. Do not lie down for atleast 30 minutes after taking a dose of Actonel improvement on osteoporosis nutrition.
• Do not crush, chew, or suck the pills improvement on osteoporosis nutrition. Swallow them whole improvement on osteoporosis nutrition.
• The 35 mg Actonel tablets should only be taken once a week, preferablyon the same day each week improvement on osteoporosis nutrition. Follow your doctor's instructions improvement on osteoporosis nutrition.
• It is important to maintain adequate amounts of calcium and vitamin Din the diet while taking Actonel improvement on osteoporosis nutrition. Discuss with your doctor appropriate amountsof calcium and vitamin D improvement on osteoporosis nutrition.
• Store Actonel at room temperature away from moisture and heat improvement on osteoporosis nutrition.

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 improvement on osteoporosis nutrition. Missing one dose willnot make a difference in the treatment improvement on osteoporosis nutrition.
• If you take Actonel once a week and you miss a dose, take the misseddose the next morning improvement on osteoporosis nutrition. Do not take two tablets on the same day improvement on osteoporosis nutrition. Then, returnto your regular schedule, taking one tablet on the chosen morning of the week improvement on osteoporosis nutrition.

What happens if I overdose?
• Seek emergency medical attention improvement on osteoporosis nutrition.
• 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 improvement on osteoporosis nutrition.

What should I avoid while taking Actonel?
• There are no restrictions on food, beverages, or activity while takingActonel, unless otherwise directed by your doctor improvement on osteoporosis nutrition.

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 improvement on osteoporosis nutrition.
• Other, less serious side effects may be more likely to occur improvement on osteoporosis nutrition. 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 improvement on osteoporosis nutrition.
• Side effects other than those listed here may also occur improvement on osteoporosis nutrition. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome improvement on osteoporosis nutrition.

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 improvement on osteoporosis nutrition. Any drug that is taken at the same time as Actonel can decrease the effectsof this medicine improvement on osteoporosis nutrition.
• 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 improvement on osteoporosis nutrition.
• 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 improvement on osteoporosis nutrition.
• Drugs other than those listed here may also interact with Actonel improvement on osteoporosis nutrition. Talkto your doctor and pharmacist before taking any prescription or over-the-countermedicines, including herbal products improvement on osteoporosis nutrition.

Where can I get more information?
• Your pharmacist has more information about Actonel written for healthprofessionals that you may read improvement on osteoporosis nutrition.

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