transient osteoporosis and fosamax

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

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

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

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

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

What happens if I overdose?
• Seek emergency medical attention transient osteoporosis and fosamax.
• 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 transient osteoporosis and fosamax.

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

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

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

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

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