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


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


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


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


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


What happens if I overdose?
• Seek emergency medical attention italian language osteoporosis treatment.
• 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 italian language osteoporosis treatment.


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


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


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


Where can I get more information?
• Your pharmacist has more information about Actonel written for healthprofessionals that you may read italian language osteoporosis treatment.

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