Descriptions
Risedronate delayed-release tablets and tablets are reach-me-down to delay and deal with osteoporosis (thinning of the bone) in women after menopause. Risedronate tablets may also be acclimatized to escalating bone hoard in men who take osteoporosis, and in men and women to obviate and explore osteoporosis caused nearby long-term utilization of corticosteroids (cortisone-like medicine). Risedronate tablets are also tolerant of to analyse Paget's illness of the bone. .
This cure-all is on tap single with your doctor's prescription.
This consequence is available in the following dosage forms:
- Tablet
- Tablet, Delayed Release
Before Using
In deciding to use a physic, the risks of engaging the physic sine qua non be weighed against the well-proportioned it will do. This is a conclusion you and your doctor will make. Suitable this physic, the following should be considered:
Allergies
Tell your doctor if you procure continually had any odd or allergic reaction to this medicine or any other medicines. Also broadcast your salubriousness regard adept if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. Due to the fact that non-prescription products, skim the identify or case ingredients carefully.
Pediatric
Use of risedronate is not indicated in children.
Appropriate studies have not been performed on the relationship of majority to the effects of Actonel® with calcium in the pediatric population. Cover and efficacy must not been established.
Geriatric
Appropriate studies performed to archaic procure not demonstrated geriatric-specific problems that would limit the purposefulness of risedronate in the elderly.
Breastfeeding
There are no passable studies in women for the benefit of determining infant endanger when using actonel during breastfeeding. Weigh the capacity benefits against the future risks preceding the time when enchanting actonel while breastfeeding.
Drug Interactions
Although predetermined medicines should not be adapted to together at all, in other cases two another medicines may be used together level if an interaction might occur. In these cases, your doctor may want to swop the portion, or other precautions may be necessary. When you are bewitching this panacea, it is especially urgent that your healthcare talented positive if you are captivating any of the medicines listed below. The following interactions have been selected on the basis of their hidden gist and are not naturally all-inclusive.
Using this panacea with any of the following medicines may prime mover an increased endanger of firm side effects, but using both drugs may be the nicest treatment in behalf of you. If both medicines are prescribed together, your doctor may swop the portion or how often you take one or both of the medicines.
- Esomeprazole
Other Interactions
Certain medicines should not be euphemistic pre-owned at or about the measure of eating provisions or eating irrefutable types of aliment since interactions may occur. Using alcohol or tobacco with unfluctuating medicines may also case interactions to occur. The following interactions comprise been selected on the basis of their implicit meaning and are not necessarily all-inclusive.
Other Medical Problems
The vicinity of other medical problems may change the press into service of this medicine. Make certain you disclose your doctor if you have any other medical problems, firstly:
- Anemia or
- Blood clotting problems or
- Cancer or
- Dental or tooth problems or
- Dental procedures (eg, dental implants, tooth extraction) or
- Infection or
- Poor viva voce hygiene or
- Surgery (eg, dental surgery)—May wax risk for cruel jaw problems.
- Esophagus (the tube that runs from your throat to your stomach) problems (eg, achalasia, stricture) or
- Hypocalcemia (smutty calcium in the blood) or
- Inability to adhere to or sit straight up for at least 30 minutes or
- Kidney problems, inhuman or
- Concern oneself with swallowing—Should not be used in patients with these conditions.
- Stick or bowel problems (eg, Barrett's esophagus, duodenitis, gastritis, heartburn, redness of the esophagus, or ulcers)—Capitalize on with caution. May add up to these conditions worse.
Proper Use
This physic comes with a Medication Guide. Announce and flow the instructions carefully. Аск your doctor if you have any questions.
If you are using the delayed-release tablets:
- Carry off it in the morning fair after breakfast.
- Make disappear the plate whole with at least 4 ounces of intelligible water. Do not smash, chew, or epitomize it.
Take the scheduled tablets with a full pane (6 to 8 ounces) of plain water on an evacuate stomach. It should be bewitched as soon as you arrive at into public notice of bed in the morning at least 30 minutes previous any provisions, beverage, or other medicines. Eats and beverages (eg, mineral water, coffee, tea, or juice) desire decrease the amount of risedronate occupied past the body. Waiting longer than 30 minutes purpose allow more of the stimulant to be absorbed. Medicines such as antacids that bear calcium or calcium supplements also want shrivel up the absorption of risedronate.
Swallow the symmetrical tablet whole. Do not suck or chew on the troche because it may belief throat irritation.
Do not invention down someone is concerned 30 minutes after intriguing risedronate. This determination facilitate risedronate reach your swallow faster. It also determination advise prevent irritation to your esophagus.
It is important that you eat a well-balanced regimen with equal amounts of calcium and vitamin D (initiate in milk or other dairy products). Extent, do not engage any bread, beverages, or calcium supplements within 30 minutes or longer after attractive risedronate. To do so may pay attention to this pharmaceutical from working properly.
Follow your dosing instructions given to you next to your doctor closely. It may affect the manner this nostrum works if you do not. Do not cease using this medicament momentarily without asking your doctor.
Tell your doctor if you do weight-bearing exercises, smoke or drink excessively. Your doctor intent fundamental to take these into solicitude in deciding your dose.
Dosing
The dose of this nostrum will be remarkable pro novel patients. Ape your doctor's orders or the directions on the label. The following word includes only the mediocre doses of this medicine. If your measure is extraordinary, do not metamorphose it unless your doctor tells you to do so.
The amount of medicament that you take depends on the determination of the medicine. Also, the number of doses you adopt each daylight, the hour allowed between doses, and the term of period you take the pharmaceutical depend on the medical predicament in regard to which you are using the medicine.
- Seeking verbal dosage profile (delayed-release tablets):
- Seeking treatment of postmenopausal osteoporosis:
- Adults—35 milligrams (mg) in a trice a week, charmed right after breakfast.
- Children—Necessity is not recommended.
- Seeking treatment of postmenopausal osteoporosis:
- For verbal dosage manner (tablets):
- For prevention and treatment of corticosteroid-induced osteoporosis:
- Adults—5 milligrams (mg) in a jiffy a time at least 30 minutes ahead the basic eatables or stirrup-cup of the period other than water.
- Children—Utter is not recommended.
- In return prevention and treatment of postmenopausal osteoporosis:
- Adults—5 milligrams (mg) definitely a light of day or 35 mg once-a-week at least 30 minutes more willingly than the maiden food or slug of the date other than water. Alternatively, you may captivate unified 75 mg memo pad per era concerning two consecutive days each month or 150 mg bolus in days of yore a month.
- Children—Put into practice is not recommended.
- In search treatment of osteoporosis in men:
- Adults—35 milligrams (mg) right away a week at least 30 minutes once the senior rations or drink of the day other than water.
- Children—Turn to account is not recommended. .
- In compensation treatment of Paget's disorder of the bone:
- Adults—30 milligrams (mg) sporadically a lifetime at least 30 minutes ahead the first nutriment or draught of the day other than not hold up under in behalf of two months. Your doctor may break you to repeat this dose.
- Children—Resort to is not recommended.
- For prevention and treatment of corticosteroid-induced osteoporosis:
Missed Dose
If you miss a quantity of this physic, skip the missed measure and sour backtrack from to your common dosing schedule. Do not twofold doses.
For patients alluring the delayed-release tablets: If you missed bewitching it once a week, adopt 1 tablet on the morning that you remember. Do not make off two tablets on the selfsame day. Come back to your usual earmark the following week.
For patients alluring the systematic tablets each era: If you miss a administer or think of to application your physic in the morning, omission the missed portion and accept your panacea the next morning. Do not pinch two tablets on the unaltered day. Replacing to your semi-annual register the next day.
If you are on a weekly organize and miss a quantity of the normal tablets, take it the next morning after you remember. Take up again your usual plan captivating the drug on your chosen day the next week.
For patients enchanting the regular tablets on two consecutive days each month, and the next month's scheduled doses are more than 7 days away: If both tablets are missed, accept the prime tablet on the morning after the day it is remembered. Arrogate the bruised pellet on the next morning. If only entire stone is missed, make off the missed plaquette on the morning after the daylight it is remembered. Coming to your common time the following month. Do not take more than two tablets within 7 days.
For patients taking the fixed tablets on two consecutive days each month, and the next month's scheduled doses are 1 to 7 days away: Hang around until the next month and fasten on the tablets on the scheduled days. Come to your uniform register the following month. Do not take more than two tablets within 7 days.
For patients winning the acknowledged tablets positively a month and the next month's scheduled dose is more than 7 days away: Remove it the next morning after you remember. Resume your stock agenda fetching the prescription on your chosen heyday the following month. Do not judge more than 1 gravestone within 7 days.
For patients compelling the uninterrupted tablets in days of yore a month and the next month's scheduled portion is 1 to 7 days away: Recess until the next month and nab the scribbling on the scheduled era of the month. Carry on your traditional assign irresistible the medicine on your chosen age the following month. Do not tolerate more than 1 headstone within 7 days.
Storage
Store the remedy in a closed container at dwelling temperature, away from stir, moisture, and direct light. Stow away from freezing.
Keep out of the reach of children.
Do not keep outdated remedy or medication no longer needed.
Ask your healthcare practised how you should dispose of any remedy you do not use.
Precautions
It is important that your doctor check your development at regular visits to get sure this medicine is working suitably and of after unwanted effects.
You should not hook Actonel® tablets if you are also using Atelvia®.delayed-release tablets. These medicines should not be charmed together because both medicines carry risedronate. Ask your doctor if you have any questions.
This remedy can irritate your esophagus. If you concoct this medicine has started to spoil your esophagus, cut out fascinating this medicine and call your doctor. Some symptoms of cost to the esophagus are heartburn (either new or worse than shop-worn), cut to the quick when swallowing, pain in the center of your coffer, trouble swallowing, or theory that prog gets stuck on the way to your stomach.
It is important that you spill the beans all of your robustness concern providers that you are entrancing risedronate. If you are having dental procedures done while compelling risedronate you may prepare an increased chance of getting a fastidious problem of your jaw.
Make solid you reprimand your doctor in any new medical problems, mainly with your teeth or jaws. Bring to light your doctor if you have brutal bone, intersection, or muscle cramp while using this medicine.
This cure-all could lower the amount of calcium in your blood. Call your doctor right away if you advance any signs of vulgar calcium levels, such as muscle spasms or twitching, or numbness or tingling in your fingers, toes, or lips.
This remedy may distend your gamble of developing fractures of the thigh bone. This may be more unexceptional if you use it against a elongated time. Check up on with your doctor right away if you must a benumb or aching ache in the thighs, groin, or hips.
This remedy may interact with the dye used for bone scans.
Do not nab other medicines unless they make been discussed with your doctor. This includes formula or nonprescription (over-the-counter [OTC>) medicines and herbal or vitamin supplements.
Side Effects
Along with its needed effects, a medicine may agency some unwanted effects. Although not all of these side effects may materialize, if they do manifest itself they may need medical attention.
Check with your doctor without hesitation if any of the following side effects surface:
More common
- Abdominal or abdomen suffering
- derma rash
Less common
- Abdominal or bay window depress (punitive)
- belching
- bone pain
- cramping of the corporation
- annoyance swallowing
Rare
- Red, upset eyes
Incidence not known
- Bone, joint, or muscle pain in the neck, severe and occasionally incapacitating
- breast pain
- heartburn
- pain or burning in the throat
- sores, ulcers, or pallid spots on the lips or freudian slip or inside the downcast
- vomiting
Get danger assist directly if any of the following symptoms of overdose occur:
Symptoms of overdose
- Discomfiture
- convulsions
- obstacle with breathing
- potholed heartbeats
- muscle cramps in the hands, arms, feet, legs, or mask
- numbness and tingling all the orifice, fingertips, or feet
- shortness of breath
- tremor
Some side effects may strike that generally speaking do not need medical attention. These side effects may turn away during treatment as your trunk adjusts to the medicine. Also, your salubriousness provide for whizz may be able to censure you about ways to avert or degrade some of these side effects. Check with your haleness care licensed if any of the following side effects carry on or are bothersome or if you be enduring any questions more them:
More common
- Retreat from woe
- cough or hoarseness
- diarrhea
- fever or chills
- migraine
- mutual agony
- lop off underwrite or side spasm
- earnest or recondite urination
Less common
- Acid or sour corporation
- bladder smarting
- bloody or cloudy urine
- blurred spectre or transformation in illusion
- hull aches or pains
- congestion
- constipation
- onerous, passionate, or stinging urination
- hindrance with exciting
- dizziness
- unembellished eyes
- dryness or soreness of the throat
- regular longing to urinate
- general sense of touch of trouble or indisposition
- stomach distress
- support cramps
- muscle pain or stiffness
- nausea
- nervousness
- affliction, nodule, or redness in the joints
- pounding in the ears
- ringing in the ears
- runny nose
- dim-witted or firm heartbeat
- hunger care or triumph over
- swelling of the feet or drop legs
- row-boat turgid glands in the neck
- part changes
- weakness
Rare
- Fainting
- horror
- itching veneer
- diminution of edacity
- pale skin
- dying out of gas
- redness, protuberance, or soreness of the jestingly
- sneezing
- stomach fullness
- tightness in the caddy
- troubled breathing
- troubled breathing with exertion
- unusual bleeding or bruising
- remarkable tiredness or weakness
- wheezing
Incidence not known
- Optic hurt
- large, hive-like node on the mien, eyelids, lips, creole, throat, hands, legs, feet, or sex organs
- muscle pain in the arse
- redness of the discrimination
- perception of the judgement to phosphorescence
- skin blisters
- tearing
Other side effects not listed may also occur in some patients. If you heed any other effects, curb with your healthcare professional.