How perilous is it to pinch Fosmax for osteoporosis.?

I have been taking Fosmax for many years but hold heard some bad things about it. I don't want my bones to go and get any worse so don't know what to do. Don't want to break a hip. It really hasn't helped all that much according to the tests. Besides that they won't put it out contained by generic.

Answers:    What is the most important information I should know about alendronate?= Fosmax
Some forms of alendronate are taken once a day. Others are taken individual once a week. It is very important that you follow your doctor's directions. If you take alendronate once a week, bear it on the same day each week.

After swallowing the tablet or oral solution, do not slouch down, remain fully upright sitting, standing or walking, for at least 30 minutes and until after you have eat.
Do not take alendronate at bedtime or before getting up for the day.
Do not crush, chew, or suck the tablets. Swallow them unharmed.

What is alendronate?
Alendronate is a compound that alters the cycle of bone formation and breakdown in the body. Alendronate increases new bone formation.

Alendronate is used to treat and prevent osteoporosis and to treat Paget's disease. Alendronate is also used to treat osteoporosis that is cause by treatment with a corticosteroid.

Alendronate may also be used for purposes other than those listed contained by this medication guide.

Who should not take alendronate?
Before taking alendronate, tell your doctor if you

have a problem swallowing, such as a narrowing of the esophagus;
enjoy esophageal ulcers or an esophageal disease;
have a condition that causes low level of calcium in the body;
have kidney disease;
have stomach ulcer or other stomach or digestive problems; or
are unable to stand or sit upright for at least 30 minutes.
You may not know how to take alendronate, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

Alendronate is within the FDA pregnancy category C. This means that it is not known whether alendronate will be harmful to an unborn babe-in-arms. Do not take alendronate without first talking to your doctor if you are pregnant or could become pregnant during treatment.
It is not agreed whether alendronate passes into breast milk. Do not take alendronate without first conversation to your doctor if you are breast-feeding a baby.

How should I take alendronate?
Take alendronate exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Some forms of alendronate are taken once a time. Others are taken only once a week. It is very important that you follow your doctor's directions. If you transport alendronate once a week, take it on the same day respectively week.

Take alendronate first thing in the morning, at least 30 minutes since you eat any food or drink any liquid (other than plain water). This timing is very influential for getting the maximum amount of medication from each dose. Foods and beverages greatly decrease the effect of alendronate.
To ensure that you get a correct dose, benchmark the alendronate oral suspension with a dose-measuring spoon, dropper, or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can return with one.
Take each tabet dose with a full glass (6 to 8 ounces) of touch water or bottled water. Follow each dose of oral solution near at least 2 ounces (one quarter cup) of water. Taking each dose next to a full glass of water will ensure proper swallowing of the medication and reduce the risk of mouth or throat irritation. Do not lug this medication with mineral water, juice, or any other beverage.
Do not crush, chew, or suck the tablets. Swallow them adjectives.
After swallowing the tablet or oral solution, do not lie down. Remain fully upright sitting, standing or walking, for at least 30 minutes and until after you own eaten.
Do not take alendronate at bedtime or before getting up for the light of day.
If you have difficulty or pain upon swallowing, chest pain, or unusual or worsening heartburn, stop taking alendronate and call your doctor.

It is important that you continue taking alendronate for as long as your doctor prescribes it. Alendronate can treat or prevent osteoporosis one and only if you continue to take it.

Store alendronate at room temperature away from moisture and boil.

What happens if I miss a dose?
If you take alendronate every day and you miss a dose, skip that dose and whip the next regularly scheduled dose the following day. Missing one dose will not affect your treatment. Do not help yourself to two tablets at the same time.

If you take alendronate once a week and you miss a dose, take the missed dose on the morning after you remember. Do not steal two tablets on the same day. Return to taking one tablet once a week, as originally scheduled on your chosen hours of daylight.

What happens if I overdose?
Seek emergency medical attention if an overdose is suspected.

The symptoms of an alendronate overdose are unknown, but the following symptoms might be expected: nausea, heartburn, pain in the belly, other stomach-related symptoms, muscle cramps, uncontrollable facial grimacing, seizures, irritability, and abnormal behavior.

What should I avoid while taking alendronate?
Follow you doctor's recommendation about drinking alcohol and smoking. These activities are related to decreased bone density.

What are the possible side effects of alendronate?
Stop taking alendronate and desire emergency medical attention or contact your doctor 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 obverse; or hives);
difficulty or pain when swallowing;
chest pain;
pain or burning underneath the ribs or in the back; or
new or worsening heartburn.
Other, smaller number serious side effects may be more likely to occur. Continue to take alendronate and have a word to your doctor if you experience

abdominal discomfort;
stomach upset, nausea, vomiting, diarrhea, or constipation;
headache;
muscle, bone, or joint soreness or aches;
eye pain;
a imprudent; or
an altered sense of taste.
Side effects other than those listed here may also come about. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect alendronate?
Antacids and other medicine taken by mouth may decrease the effects of alendronate. Do not take any other medicines inside 30 minutes after a dose of alendronate. Talk to your doctor before taking any other medicines during treatment with alendronate.

Aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs) 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 may increase the risk of make worse to your stomach if they are taken during treatment with alendronate. Talk to your doctor before taking anti-inflammatory medications, distress relievers or fever reducers during treatment with alendronate.

Drugs other than those timetabled here may also interact with alendronate. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.

Where can I capture more information?
Your pharmacist has more information about alendronate written for health professionals that you may read.

What does my medication look similar to?
Alendronate is available with a prescription under the brand name Fosamax. Other brand or generic formulations may also be available. Ask your pharmacist any question you have about this medication, especially if it is new to you.

Fosamax 10 mg--white, round tablets next to a bone image
Fosamax 35 mg-white, oval tablets
Fosamax 40 mg--white, triangular tablets
Fosamax 70 mg-white, oval tablets
Fosamax Oral Solution 70 mg-clear, colorless, raspberry-flavored solution

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