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Fosamax (Alendronic acid)


Fosamax is the brand name for the generic drug Alendronate sodium. This drug comes under the category of bisphosphonates which slows the bone loss and builds up bone mass. This is used to prevent fractures and is used in the treatment of osteoporosis that occur post menopause in women and is also used in the prevention of osteoporosis in both men and women. It is used in the treatment of Pagetís disease.

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How to use

Fosamax should be taken 30 minutes before taking any form of food for the day in the morning. You can take water while taking this medication. If you take any other food before 30 minutes of taking Fosamax that food might affect the absorption of Fosamax in your body. It is important that you do not lie down for about 30 minutes after taking Fosamax. If you do not follow this procedure chances are that your esophagus might get affected. Proper intake of vitamin D and calcium is necessary with your food. If you feel that your food does not have sufficient quantity of these, you can take supplements to match the requirement. The recommended dosage of Fosamax is a 70 mg tablet for once in a week or 70 mg oral solution once weekly. You can also split this dosage as 10 mg per day. This strength of dosage applies to men who need to increase the bone mass. In case of treating osteoporosis in women post menopause the dosage could be 35 mg once weekly or 5 mg per day. This dosage can be followed for treating glucocorticoid induced osteoporosis too. For treating patients with Pagetís disease the recommended dosage is 40 mg per day for about 6 months.


Patients with severe renal insufficiency should not take Fosamax. Do not take any other food items before 30 minutes of taking Fosamax. Fosamax should be the first item that you take after you wake up for the day. Do not lie for 30 minutes after taking Fosamax. Esophagus irritation might be there if you do not follow these procedures. Osteonecrosis which is loss of jaw bone occurs in some patients. You can identify this with the symptoms like pain in the jaw, gum infection, numbness, and swelling. Inform your doctor if you have vitamin D deficiency, kidney diseases or ulcer in your esophagus or stomach.

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