Learn more about usage, cautions, and possible side effects .
Chemical Name: RISEDRONATE (RIS-e-DROE-nate)
Actonel 4 35mg Tablets is a bisphosphonate used to treat and prevent osteoporosis in certain patients. It may also be used to treat other conditions as determined by your doctor.
Some medicines or medical conditions may interact with Actonel 4 35mg Tablets. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions including if you have a history of stomach or bowel problems (eg, inflammation, ulcer); esophagus problems (eg, narrowing, blockage, heartburn, reflux disease, severe irritation); kidney problems; difficult or painful swallowing; low blood vitamin D levels; cancer; anemia; blood clotting problems; an infection; calcium metabolism problems; allergies, pregnancy, or breast-feeding. Tell your doctor if you have poor dental hygiene or other dental problems; you will be having a dental procedure; you smoke or drink alcohol; you take a corticosteroid (eg, prednisone), or if you have had or will be having chemotherapy or radiation treatment. Tell your doctor if you have a mental disorder or other condition that may decrease your ability to follow the dosing instructions for Actonel 4 35mg Tablets. USE OF ACTONEL 4 35mg TABLETS IS NOT RECOMMENDED if you are unable to stand or sit upright for at least 30 minutes, or if you have low blood calcium levels or severe kidney problems. Contact your doctor or pharmacist if you have any questions or concerns about taking Actonel 4 35mg Tablets.
Follow the directions for using Actonel 4 35mg Tablets provided by your doctor. An additional patient information leaflet is available with Actonel 4 35mg Tablets. Ask your doctor, nurse, or pharmacist any questions that you may have about this information. SWALLOW WHOLE. Do not break, crush, chew, or suck on the tablet before swallowing. Take Actonel 4 35mg Tablets by mouth on an empty stomach in the morning at least 30 minutes before your first food or drink of the day. Do NOT take Actonel 4 35mg Tablets at bedtime or before you get out of bed in the morning. Take Actonel 4 35mg Tablets with a full glass of plain water (6 to 8 oz/180 to 240 mL). Do not take Actonel 4 35mg Tablets with mineral water, coffee, tea, milk, or juice. Take Actonel 4 35mg Tablets while you are sitting up or standing. Do not lie down for 30 minutes after taking Actonel 4 35mg Tablets and until you eat your first food of the day. Do not take antacids, calcium, or vitamins for at least 30 minutes after you take Actonel 4 35mg Tablets. Take them at a different time of the day than Actonel 4 35mg Tablets. Actonel 4 35mg Tablets is usually taken 1 time each week. Be sure you understand how to take Actonel 4 35mg Tablets. Contact your doctor or pharmacist if you have any questions. STORE ACTONEL 4 35mg TABLETS at room temperature, between 68 and 77 degrees F (20 and 25 degrees C), in a tightly closed container, away from heat, moisture, and light. Continue to take Actonel 4 35mg Tablets even if you feel well. Do not miss any doses. IF YOU MISS A DOSE OF ACTONEL 4 35mg TABLETS, do not take it later in the day. Skip the missed dose and go back to your regular dosing schedule. DO NOT take 2 doses at once.
DO NOT TAKE ACTONEL 4 35mg TABLETS if you have had an allergic reaction to it or are allergic to any ingredient in the product. Actonel 4 35mg Tablets may cause dizziness. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to Actonel 4 35mg Tablets. Using Actonel 4 35mg Tablets alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. TALK TO YOUR DOCTOR before you drink alcohol, smoke, or use other tobacco products while taking Actonel 4 35mg Tablets. ACTONEL 4 35mg TABLETS MAY CAUSE JAW BONE PROBLEMS IN SOME PATIENTS. Your risk may be greater if you have cancer, poor dental hygiene, or certain other conditions (eg, anemia, blood clotting problems, infection, dental problems). Your risk may also be greater if you use certain medicines or therapies (eg, chemotherapy, corticosteroids, radiation). Talk to your doctor about having a dental exam before you start to use Actonel 4 35mg Tablets. Ask your doctor any questions you may have about dental treatment while you use Actonel 4 35mg Tablets. Proper dental care is important while you are taking Actonel 4 35mg Tablets. Brush and floss your teeth and visit the dentist regularly. Laboratory and/or medical tests, including bone density tests and calcium levels, may be performed to monitor your progress or to check for side effects. KEEP ALL DOCTOR AND LABORATORY APPOINTMENTS while you are taking Actonel 4 35mg Tablets. It is important to have enough calcium and vitamin D in your diet. Ask your doctor, nurse, or pharmacist if you have questions about your diet or about taking dietary supplements such as calcium or vitamin D. ACTONEL 4 35mg TABLETS MAY AFFECT CERTAIN LAB TEST RESULTS. Make sure laboratory personnel and your doctors know you use Actonel 4 35mg Tablets. BEFORE YOU HAVE ANY MEDICAL OR DENTAL TREATMENTS, EMERGENCY CARE, OR SURGERY, tell the doctor or dentist that you are using Actonel 4 35mg Tablets. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. This includes any medicines which contain aspirin, ibuprofen, or naproxen. FOR WOMEN: IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using Actonel 4 35mg Tablets during pregnancy. IT IS UNKNOWN IF ACTONEL 4 35mg TABLETS IS EXCRETED in breast milk. DO NOT BREAST-FEED while taking Actonel 4 35mg Tablets.
SIDE EFFECTS that may occur while taking Actonel 4 35mg Tablets include back pain; constipation; diarrhea; dizziness; mild flu-like symptoms (eg, fever, headache, muscle aches, tiredness); joint pain; mild stomach pain or upset; or nausea. If they continue or are bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience black, tarry, or bloody stools; chest pain; coughing or vomiting blood; difficult or painful swallowing; mouth sores; new, worsening, or severe heartburn; painful or difficult urination; severe bone, muscle, or joint pain; severe headache, dizziness, blurred vision; severe or persistent sore throat or stomach pain; swelling or pain in your jaw; or unusual eye pain, swelling, redness, or sensitivity to light. AN ALLERGIC REACTION TO ACTONEL 4 35mg TABLETS IS UNLIKELY, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; or unusual hoarseness. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your healthcare provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other. Check drug interactions
If overdose is suspected, contact your local poison control center or emergency room immediately.
Non-drug therapy may also help prevent bone loss. Consult your doctor about a weight-bearing exercise plan or other lifestyle changes that may be helpful. Follow all diet recommendations for adequate daily calcium and vitamin D intake. DO NOT SHARE ACTONEL 4 35mg TABLETS with others for whom it was not prescribed. DO NOT USE ACTONEL 4 35mg TABLETS for other health conditions. KEEP ACTONEL 4 35mg TABLETS out of the reach of children and pets. IF USING ACTONEL 4 35mg TABLETS FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.
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