Online Pharmacy

What is Fosamax?

Fosamax is used to prevent osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause (change of life). Fosamax is also used to treat osteoporosis in men and women who have developed the disease due to natural causes or because they took corticosteroids (a type of medication that may cause osteoporosis). Fosamax is also used to treat Paget's disease of the bone (a condition in which the body replaces healthy bones with weak bones). Fosamax 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.

Fosamax Warnings

Before taking Fosamax,

• tell your doctor and pharmacist if you are allergic to Fosamax or any other medications.
• tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention any of the following: antacids; aspirin and other non-steroidal anti-inflammatory medications (NSAIDs) such as ibuprofen (Advil, Motrin) and naproxen (Naprosyn, Aleve); calcium, iron, or potassium supplements; doxycycline (Doryx, Vibramycin); quinidine (Quinaglute); and tetracycline (Sumycin). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
• if you are taking any other medications, vitamins, or antacids by mouth, take them at least 30 minutes after Fosamax.
• tell your doctor if you are unable to sit or stand upright for 30 minutes or to feed yourself. Also tell your doctor if you have or have ever had any 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.
• tell your doctor if you are pregnant or are breast-feeding. Also tell your doctor if you plan to become pregnant at any time in the future, because Fosamax may remain in your body for many years after you stop taking it. If you become pregnant while taking Fosamax, call your doctor.
• 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.

Fosamax Side Effects

Fosamax may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

• stomach pain
• constipation
• diarrhea
• gas
• bloating or fullness in the stomach
• change in ability to taste food
• pain in bones, muscles, or joints
• headache

Some side effects can be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor immediately. It is very important to talk to your doctor right away after you develop these symptoms to be sure you do not develop a serious condition:

• new or worsening heartburn
• difficulty swallowing or pain when swallowing
• chest pain
• upset stomach
• vomiting
• bloody vomit or vomit that looks like coffee grounds
• black, tarry, or bloody stools
• mouth sores or pain in the mouth (especially if you chew or suck on tablets)
• rash (may be severe and may be made worse by sunlight)
• itching
• hives
• swelling of eyes, face, lips, tongue, or throat
• difficulty breathing or swallowing
• hoarseness
• eye pain
• flu-like symptoms
• fever

Some laboratory animals who were given Fosamax developed a certain type of cancer. It is not known if Fosamax causes this type of cancer in humans. Talk to your doctor about the risk of taking this medication.

Fosamax may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.

Fosamax Dosage

Fosamax comes as a tablet and a solution (liquid) to take by mouth. The liquid is usually taken on an empty stomach once a week in the morning. The tablets are usually taken on an empty stomach once a day in the morning or once a week in the morning. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Fosamax exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Fosamax 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. Tell your doctor if you do not understand, do not think you will remember, or are unable to follow these instructions.

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

Swallow the tablets with a full glass (6-8 ounces) of plain water, and drink at least a quarter of a cup (2 ounces) of plain water after drinking Fosamax liquid. Never take Fosamax with tea, coffee, juice, mineral water, or any liquid other than plain water.

Swallow the tablets whole; do not split, chew, crush, or suck on them.

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

Fosamax controls osteoporosis and Paget's disease of the bone, but does not cure these conditions. Fosamax helps to prevent osteoporosis only as long as it is taken regularly. Continue to take Fosamax even if you feel well. Do not stop taking Fosamax without talking to your doctor.

Fosamax - Missed Dose

If you miss a dose of once-daily Fosamax, do not take it later in the day. Skip the missed dose and take one dose the next morning as usual. If you miss a dose of once-weekly Fosamax, take one dose the morning after you remember. Then return to taking one dose once each week on your regularly scheduled day. Never take a double dose to make up for a missed one, and never take more than one dose in 1 day.

What special dietary instructions should I follow?

You should eat plenty of foods that are rich in calcium and vitamin D while you are taking Fosamax. 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, tell your doctor. In that case, your doctor can prescribe or recommend a supplement.

What storage conditions are needed for this medication?

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Do not freeze Fosamax solution. Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

What other information should I know?

Keep all appointments with your doctor and the laboratory. Your doctor may order certain lab tests to check your body's response to Fosamax.

Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.