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


What is Actonel?
• Actonel alters the cycle of bone formation and breakdown in the body non drug treatment for osteoporosis.
• Actonel is used to prevent and treat postmenopausal and steroid-causedbone-thinning (osteoporosis) non drug treatment for osteoporosis. Actonel is also used to treat Paget's diseaseof bone (osteitis deformans) non drug treatment for osteoporosis.
• Actonel may also be used for purposes other than those listed in thismedication guide non drug treatment for 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 non drug treatment for 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 non drug treatment for osteoporosis.
• Actonel is in the FDA pregnancy category C non drug treatment for osteoporosis. This means that it is notknown whether it will be harmful to an unborn baby non drug treatment for osteoporosis. Do not take Actonel withoutfirst talking to your doctor if you are pregnant or could become pregnant duringtreatment non drug treatment for osteoporosis.
• It is not known whether Actonel passes into breast milk non drug treatment for osteoporosis. Do not takeActonel without first talking to your doctor if you are breast-feeding a baby non drug treatment for osteoporosis.


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


What happens if I overdose?
• Seek emergency medical attention non drug treatment for 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 non drug treatment for 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 non drug treatment for 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 non drug treatment for osteoporosis.
• Other, less serious side effects may be more likely to occur non drug treatment for 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 non drug treatment for osteoporosis.
• Side effects other than those listed here may also occur non drug treatment for osteoporosis. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome non drug treatment for 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 non drug treatment for osteoporosis. Any drug that is taken at the same time as Actonel can decrease the effectsof this medicine non drug treatment for 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 non drug treatment for 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 non drug treatment for osteoporosis.
• Drugs other than those listed here may also interact with Actonel non drug treatment for osteoporosis. Talkto your doctor and pharmacist before taking any prescription or over-the-countermedicines, including herbal products non drug treatment for osteoporosis.


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

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