nams osteoporosis 2004
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 nams osteoporosis 2004. Do not lie down for atleast 30 minutes after taking a dose of Actonel nams osteoporosis 2004.
• 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 nams osteoporosis 2004. Do not take Actonel with mineral water, juice,or any other beverage since these beverages may decrease the effectiveness ofthe medication nams osteoporosis 2004. This timing is very important in getting the maximum amountof medication from each dose nams osteoporosis 2004. Foods, beverages, and other medications greatlydecrease the effect of Actonel nams osteoporosis 2004.
• The 35 mg Actonel tablets should only be taken once a week, preferablyon the same day each week nams osteoporosis 2004. Follow your doctor's instructions nams osteoporosis 2004.
What is Actonel?
• Actonel alters the cycle of bone formation and breakdown in the body nams osteoporosis 2004.
• Actonel is used to prevent and treat postmenopausal and steroid-causedbone-thinning (osteoporosis) nams osteoporosis 2004. Actonel is also used to treat Paget's diseaseof bone (osteitis deformans) nams osteoporosis 2004.
• Actonel may also be used for purposes other than those listed in thismedication guide nams osteoporosis 2004.
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 nams osteoporosis 2004.
• 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 nams osteoporosis 2004.
• Actonel is in the FDA pregnancy category C nams osteoporosis 2004. This means that it is notknown whether it will be harmful to an unborn baby nams osteoporosis 2004. Do not take Actonel withoutfirst talking to your doctor if you are pregnant or could become pregnant duringtreatment nams osteoporosis 2004.
• It is not known whether Actonel passes into breast milk nams osteoporosis 2004. Do not takeActonel without first talking to your doctor if you are breast-feeding a baby nams osteoporosis 2004.
How should I take Actonel?
• Take Actonel exactly as directed by your doctor nams osteoporosis 2004. If you do not understandthese directions, ask your pharmacist, nurse, or doctor to explain them to you nams osteoporosis 2004.
• 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 nams osteoporosis 2004. Do not take Actonel with mineral water, juice,or any other beverage since these beverages may decrease the effectiveness ofthe medication nams osteoporosis 2004. This timing is very important in getting the maximum amountof medication from each dose nams osteoporosis 2004. Foods, beverages, and other medications greatlydecrease the effect of Actonel nams osteoporosis 2004.
• Although it has been reported less frequently with Actonel, other similardrugs can be very damaging to the mouth and stomach nams osteoporosis 2004. Do not lie down for atleast 30 minutes after taking a dose of Actonel nams osteoporosis 2004.
• Do not crush, chew, or suck the pills nams osteoporosis 2004. Swallow them whole nams osteoporosis 2004.
• The 35 mg Actonel tablets should only be taken once a week, preferablyon the same day each week nams osteoporosis 2004. Follow your doctor's instructions nams osteoporosis 2004.
• It is important to maintain adequate amounts of calcium and vitamin Din the diet while taking Actonel nams osteoporosis 2004. Discuss with your doctor appropriate amountsof calcium and vitamin D nams osteoporosis 2004.
• Store Actonel at room temperature away from moisture and heat nams osteoporosis 2004.
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 nams osteoporosis 2004. Missing one dose willnot make a difference in the treatment nams osteoporosis 2004.
• If you take Actonel once a week and you miss a dose, take the misseddose the next morning nams osteoporosis 2004. Do not take two tablets on the same day nams osteoporosis 2004. Then, returnto your regular schedule, taking one tablet on the chosen morning of the week nams osteoporosis 2004.
What happens if I overdose?
• Seek emergency medical attention nams osteoporosis 2004.
• 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 nams osteoporosis 2004.
What should I avoid while taking Actonel?
• There are no restrictions on food, beverages, or activity while takingActonel, unless otherwise directed by your doctor nams osteoporosis 2004.
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 nams osteoporosis 2004.
• Other, less serious side effects may be more likely to occur nams osteoporosis 2004. 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 nams osteoporosis 2004.
• Side effects other than those listed here may also occur nams osteoporosis 2004. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome nams osteoporosis 2004.
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 nams osteoporosis 2004. Any drug that is taken at the same time as Actonel can decrease the effectsof this medicine nams osteoporosis 2004.
• 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 nams osteoporosis 2004.
• 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 nams osteoporosis 2004.
• Drugs other than those listed here may also interact with Actonel nams osteoporosis 2004. Talkto your doctor and pharmacist before taking any prescription or over-the-countermedicines, including herbal products nams osteoporosis 2004.
Where can I get more information?
• Your pharmacist has more information about Actonel written for healthprofessionals that you may read nams osteoporosis 2004.
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