Generic name: Alendronate sodium
Brand names: Fosamax
Why is Fosamax prescribed?
Fosamax is prescribed for the prevention and treatment of osteoporosis, the brittle bone disease, in postmenopausal women. It is also used to increase bone mass in men with osteoporosis, and is prescribed for both men and women who have developed a form of osteoporosis sometimes caused by steroid medications such as prednisone. This drug can also be used to relieve Paget's disease of bone, a painful condition that weakens and deforms the bones.
What side effects may occur?
Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue using Fosamax.
- More common side effects may include:
Abdominal pain, Acid regurgitation, bone and joint pain, constipation, diarrhea, gas, indigestion, muscle pain, nausea
Why should Fosamax not be prescribed?
You should not take Fosamax if the calcium level in your blood is low. Avoid Fosamax if it causes an allergic reaction.
You will not be able to take Fosamax if you are unable to stand or sit upright for at least 30 minutes. You must also avoid the drug if your esophagus is not working properly due to strictures or achalasia (a swallowing disorder).
If you're prone to swallowing air or choking when you drink something, you should not use the oral solution.
Special warnings about Fosamax
Fosamax is not recommended for women on hormone replacement therapy, or for women with kidney problems.
Be sure to tell your doctor if you have trouble swallowing or have any digestive problems, including heartburn or ulcers. Fosamax may cause problems in your esophagus such as inflammation, ulcers, bleeding, and in rare cases, blockage or perforation.
Possible food and drug interactions when taking Fosamax
Combining aspirin with a Fosamax dose of more than 10 milligrams per day will increase the likelihood of stomach upset.
Calcium supplements such as Caltrate, antacids such as Riopan, and some other oral medications will interfere with the absorption of Fosamax, so wait at least 30 minutes after taking Fosamax before you take anything else.
Special information if you are pregnant or breastfeeding
The effects of Fosamax during pregnancy and breastfeeding have not been adequately studied. If you are pregnant or plan to become pregnant, notify your doctor immediately. It is not known whether Fosamax appears in breast milk. The drug is not recommended for nursing mothers.
