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Alendronate, a bisphosphonate, is used to prevent and treat osteoporosis.

Take exactly as prescribed by your health care professional.

Contact your paediatrician regarding the use of this medicine in children.

Do not take alendronate at bedtime or before you get out of bed in the morning or
lie down for 30 minutes after taking alendronate and until you eat your first food of the day.

Take alendronate by mouth on an empty stomach in the morning at least 30 minutes before your first food, drink, or other medicine of the day.

Check with your doctor if any of these most common side effects persist or become bothersome:

bone, muscle, or joint pain; constipation; diarrhea; dizziness; feeling bloated or full; flu-like symptoms at the start of treatment; gas; headache; mild stomach pain; nausea; taste changes; vomiting.

Seek medical attention right away if any of these severe side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue);
difficult or painful swallowing;
coughing or vomiting blood;
black, tarry, or bloody stools;
chest pain;
severe bone, muscle, or joint pain;
mouth sores;
new, worsening, or severe heartburn;
red, swollen, blistered, or peeling skin;
severe or persistent sore throat or stomach pain;
swelling of the hands, legs, or joints; swelling or pain in your jaw

Inform your doctor if you are allergic to the formulation of this medication or any other medication in any other form.

NSAIDs

Inform your doctor about any other medication you may be taking in any other form.

In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

If you conceive whilst on a course with this medication inform your doctor immediately.

If you need to undergo any kind of surgery, inform your doctor you are taking this medicine.

Inform your doctor if you are pregnant, breast feeding or planning to conceive.

Avoid alcohol and alcohol containing beverages whilst on a course with this medication.

Do not double doses to make up for a missed dose. Consult your health care professional about your missed dose.

Ask your doctor or pharmacist for more information.

Store at room temperature away from heat and light.

Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

if you have a history of stomach or bowel problems (eg, inflammation, ulcer), oesophagus problems (eg, heartburn, reflux disease, severe irritation), or kidney problems, or if you have difficult or painful swallowing

if you have low blood vitamin D levels, mental problems, cancer, anemia, blood clotting problems, an infection, or calcium metabolism problems

if you have poor dental hygiene, other dental problems, or you will be having a dental procedure

if you smoke or drink alcohol

if you take a corticosteroid (eg, prednisone), or you have had or will be having chemotherapy or radiation treatment