RISEDRONATE

(rih SED ro nayt) Brand: Actonel, Atelvia

What is the most significant information I must know about risedronate?

• You must not take this medicine if you are allergic to risedronate, or if you have low levels of calcium in your blood (hypocalcemia), or a problem with the movement of muscles in your esophagus.

• Do not take a risedronate tablet if you can't sit upright or stand for at least 30 minutes. Risedronate can reason serious problems in the stomach or esophagus (the pipe that connects your mouth and stomach). You will need to remain upright for at least 30 minutes after taking this medication.

What is risedronate?

• Risedronate is in a group of medicines called bisphosphonates (bis FOS fo nayts). It alters the cycle of bone formation and breakdown in the body. Risedronate slows bone loss while increasing bone mass, which may prevent bone fractures.

• Risedronate is used to treat or prevent osteoporosis in men and women. Risedronate is also used to treat Paget's malady of bone.

• Risedronate may also be used for purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till taking risedronate?

• To create certain risedronate is safety for you, speak your doctor if you have:

· low blood calcium (hypocalcemia);

· a vitamin D deficiency;

· kidney malady; or

· an ulcer in your stomach or esophagus.

• In rare cases, this medication may reason bone loss (osteonecrosis) in the jaw. Symptoms include jaw pain or numbness, red or swollen gums, loose teeth, or slow healing after dental work. The longer you use risedronate, the more likely you are to develop this condition.

• Osteonecrosis of the jaw may be more likely if you have cancer or received chemotherapy, radiation, or steroids. Another risk factors include blood clotting disorders, anemia (low red blood cells), and a pre existing dental problem.

• Talk with your doctor about the risks and benefits of using this medication.

• FDA pregnancy category C. It is not known whether risedronate will harm an unborn child. Speak your doctor if you are pregnant or plan to become pregnant while using this medication.

• It is not known whether risedronate passes into breast milk or if it could harm a nursing child. Speak your doctor if you are breast-feeding a baby.

How must I take risedronate?

• Follow all directions on your prescription label. Do not take this medication in larger or less amounts or for longer than recommended.

• Risedronate tablets come in various strengths (number of milligrams for pill). Some tablets are taken once every day. Some tablets are taken once every week, or only 1 or 2 times every month.

• Your dosing schedule will depend on the tablet power your doctor has predesigned. If you change tablet strengths, you may also need to change your schedule. Follow the directions on your prescription label.

• Take the Actonel tablet first thing in the morning with a full glass (6 to 8 ounces) of water, at least 30 minutes till you ate or drink anything or take any another medicine.

• Take the Atelvia tablet just after breakfast, with at least 4 ounces of water.

• Use only plain water (not mineral water) when taking a risedronate tablet.

• After taking a risedronate tablet, carefully follow these instructions:

· Do not lie down or recline for at least 30 minutes after taking risedronate.

· Do not ate or drink anything another than plain water.

· Do not take any another medicines including vitamins, calcium, or antacids for at least 30 minutes after taking risedronate. It may be excellent to take your another medicines at a various time of the day. Conversation with your doctor about the excellent dosing schedule for your another medicines.

• Do not take two various strengths of risedronate tablet at the same time.

• If you take risedronate only once a week, take it on the same day and time every week.

• Do not crush, chew, or suck the risedronate tablet. Swallow it intact. The pill has a particular coating to protect your stomach. Breaking the pill will hurt this coating.

• If you need to have any dental work (especially surgery), speak the dentist onward of time that you are using risedronate. You may need to stop using the medication for a short time.

• To be certain this medicine is helping your condition, your bone mineral density will need to be tested on a regular basis. You may not need to take risedronate for longer than 3 to 5 years if you take it for osteoporosis.

• Risedronate is only part of a complete program of treatment that may also include diet changes, exercice, and taking calcium and vitamin supplements. Follow your diet, medicine, and exercice routines very closely.

• Store at room temperature away from moisture and heat.

What happens if I miss a dose?

• If you take risedronate tablets once daily: If you forget to take this medication first thing in the morning, do not take it later in the day. Wait before the next morning to take the medication and skip the missed doze. Do not take two (2) tablets in one day.

• If you take risedronate tablets once a week, or once or twice for month: If you forget to take risedronate on your scheduled day, take it first thing in the morning on the day after you remember the missed doze. Then return to your regular weekly schedule on your chosen doze day. Do not take two (2) tablets in one day.

What happens if I overdose?

• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222. Drink a full glass of milk and call your local poison control center or abnormal room right away. Do not create yourself vomit and do not lie down.

• Overdose symptoms may include nausea, heartburn, stomach pain, diarrhea, muscle cramps, numbness or tingling, tight muscles in your person, seizure (convulsions), irritability, and unusual thoughts or behavior.

What must I avoid while taking risedronate?

• Avoid taking any another medicines including vitamins, calcium, or antacids for at least 30 minutes after taking a risedronate tablet. Some medicines can create it harder for your body to absorb risedronate.

What are the possible side effects of risedronate?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your person, lips, tongue, or throat.

• Stop using risedronate and call your doctor at once if you have:

· chest pain, new or worsening heartburn;

· difficulty or pain when swallowing;

· pain or burning under the ribs or in the back;

· severe or ongoing indigestion;

· severe joint, bone, or muscle pain;

· new or unusual pain in your thigh or hip; or

· jaw pain, numbness, or swelling.

• General side effects may include:

· mild stomach pain or upset stomach;

· flu symptoms, muscle pain;

· diarrhea, constipation;

· mild joint or back pain; or

· headache.

• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1 800 FDA 1088.

What another drugs will affect risedronate?

• Speak your doctor about all medicines you use, and those you start or stop using during your treatment with risedronate, especially:

· aspirin or another NSAIDs (non-steroidal anti-inflammatory drugs)--ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others.

• This list is not complete. Another drugs may interact with risedronate, including prescription and over-the-counter medicines, vitamins, and herbal commodity. Not all possible interactions are listed in this medicine manual.

Where can I get more information?

• Your pharmacist can provide more information about risedronate.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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