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


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


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


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


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


What happens if I overdose?
• Seek emergency medical attention treatment of osteoporosis new drug forteo.
• 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 treatment of osteoporosis new drug forteo.


What should I avoid while taking Actonel?
• There are no restrictions on food, beverages, or activity while takingActonel, unless otherwise directed by your doctor treatment of osteoporosis new drug forteo.


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


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


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

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