low calcium intake and osteoporosis

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

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

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

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

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

What happens if I overdose?
• Seek emergency medical attention low calcium intake and osteoporosis.
• 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 low calcium intake and osteoporosis.

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

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

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

Where can I get more information?
• Your pharmacist has more information about Actonel written for healthprofessionals that you may read low calcium intake and osteoporosis.

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