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Risedronate

General Information and Indications:

Risedronate is used to prevent and treat osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause (change of life). Risedronate is also used to prevent and treat osteoporosis in men and women who are taking glucocorticoids (corticosteroids; a type of medication that may cause osteoporosis). Risedronate is also used to treat Paget's disease of the bone (a condition in which the body replaces healthy bones with weak bones). Risedronate is in a class of medications called bisphosphonates. It works by preventing bone breakdown and increasing bone density (thickness) to make bones stronger and less likely to break.
 

Information For Users:

Risedronate comes as a tablet to take by mouth. It is usually taken on an empty stomach once a day in the morning or once a week in the morning. If you are taking risedronate once a week, take it on the same day every week. Follow the directions on your prescription label, ask your doctor or pharmacist If you have any questions. Take risedronate exactly as directed. Do not take more or less of it or take it more often than prescribed by your health care provider.

Risedronate may not work properly and may damage the esophagus (tube between the mouth and stomach) or cause sores in the mouth if it is not taken according to the following instructions. Inform your doctor if you do not understand, do not think you will remember, or are unable to follow these instructions.

You must take risedronate immediately after you get out of bed in the morning, and before you eat or drink anything. Never take risedronate at bedtime or before you get up for the day.

Swallow the tablets whole. Do not split, chew, crush, or suck on them, and do not hold them in your mouth for any length of time.

Swallow the tablets with a full glass (6-8 ounces) of plain water while you are sitting or standing up. Do not take risedronate with tea, coffee, juice, mineral water, milk, other dairy drinks, or any liquid other than plain water.

After you take risedronate, do not eat, drink, or take any other medications for at least 30 minutes. Do not lie down immediately after you take risedronate. Sit or stand upright until at least 30 minutes have passed and you have eaten your first food of the day.

Risedronate controls osteoporosis and Paget's disease of the bone, but does not cure these conditions. Risedronate helps to prevent osteoporosis only as long as it is taken regularly. Continue taking risedronate even if you feel well. Do not discontinue taking risedronate without informing your doctor.
Other uses for this medicine

special precautions:

o Inform your doctor or pharmacist if you have allergy to risedronate or any other medications.
o Inform your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention aspirin and other non steroidal anti-inflammatory medications (NSAIDs) such as ibuprofen (Advil, Motrin) and naproxen (Aleve, Naprosyn). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
o if you are taking any other medications, vitamins, calcium or iron supplements or antacids by mouth, take them at least 30 minutes after risedronate.
o Inform your doctor if you are unable to sit or stand upright for 30 minutes, and if you have or have ever had problems with your esophagus, difficulty swallowing, heartburn, ulcers, other stomach problems, low levels of calcium in your blood, frequent muscle cramps or spasms, osteomalacia (softening of bones due to lack of vitamin D), or kidney disease.
o Inform your doctor if you are pregnant or are breast-feeding. Also Inform your doctor if you plan to become pregnant at any time in the future, because risedronate may remain in your body for years after you stop taking it. If you become pregnant while taking risedronate, call your doctor.
o talk to your doctor about other things you can do to prevent osteoporosis from developing or worsening. Your doctor will probably tell you to avoid smoking and drinking large amounts of alcohol and to follow a regular program of weight-bearing exercise.


You should eat plenty of foods that are rich in calcium and vitamin D while you are taking risedronate. Your doctor will tell you which foods are good sources of these nutrients and how many servings you need each day. If you find it difficult to eat enough of these foods, Inform your doctor. In that case, your doctor can prescribe or recommend a supplement.


Possible Adverse Effects:

Risedronate may cause adverse effects. Inform your doctor if any of the following symptoms are severe or do not go away:

o pain in back or joints
o diarrhea
o constipation
o gas
o headache
o dizziness
o anxiety
o weakness

Some adverse effects could be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor without delay:

o difficulty swallowing or pain when swallowing
o heartburn
o stomach pain
o upset stomach
o blood in the vomit (Hematemesis) or vomit that looks like coffee grounds
o black, tarry, or bloody stools
o weight loss
o chest pain
o flu-like symptoms
o painful or difficult urination
o rash

Brand Name(s):

o Actonel®

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