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


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


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


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


Where can I get more information?
• Your pharmacist has more information about Actonel written for healthprofessionals that you may read romaine lettuce good for osteoporosis.

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