Why is Fosamax Plus D prescribed?

Fosamax Plus D (Alendronate / Cholecalciferol) is a combined medication used for treating osteoporosis. It includes alendronate, a widely recommended osteoporosis treatment, and cholecalciferol (vitamin D3) in a single tablet. This medication can enhance bone mineral density (BMD) and reduce the likelihood of bone fractures.

Why is What does it do?

Fosamax Plus D (Alendronate / Cholecalciferol) is prescribed to treat specific forms of bone loss, known as osteoporosis, and to increase bone density. Osteoporosis causes bones to thin and become more prone to fractures. The risk of developing osteoporosis rises with age, post-menopause, or with prolonged use of corticosteroid medications like prednisone.

This product combines two medications: Alendronate works by slowing down the loss of bone tissue, thereby maintaining strong bones and reducing the risk of fractures. It belongs to a group of drugs called bisphosphonates. Vitamin D3 aids in calcium absorption in the body and is essential for the formation of healthy bones.

How should I use it?

Take this medication orally as directed by your doctor, typically once weekly. Select a day of the week that suits your schedule and consistently take it on that day. Take the medication after waking up for the day and before consuming food, beverages, or other medications. Swallow the tablet whole and do not chew or suck on the tablet.

After taking the medication, remain fully upright (sitting, standing, or walking) for at least 30 minutes and avoid lying down until after your first meal of the day. This medication is effective only when taken on an empty stomach.

Wait at least 30 minutes (preferably 1 to 2 hours) after taking the medication before consuming anything other than plain water.

What if I missed a dose?

If you forget to take a dose, take it the following morning when you remember. Afterward, resume your regular weekly dosing schedule on your usual day. Avoid taking two doses on the same day.

What are the special precautions before using Fosamax Plus D?

Before starting Alendronate/Vitamin D3, tell your doctor or pharmacist if you have any allergies to it, bisphosphonates, vitamin D products, or other substances.

Does it have any side effects?

It is important to note that all drugs have corresponding side effects and adverse reactions. Additional information may be obtained when you ask your doctor or pharmacist.

Common side effects may include:
• Flu like symptoms
• Stomach discomfort
• Constipation
• Diarrhea
• Nausea

Serious side effects may include:
• Chest pain
• New or worsening heartburn
• Trouble or pain when swallowing
• Jaw or ear pain
• Swelling of joints
• Increased or severe bone, joint, or muscle pain
• New or unusual hip, thigh, or groin pain
• Black or tarry stools
• Vomit resembling coffee ground

This medication may rarely cause severe irritation and ulcers in the esophagus immediately stop taking the medication and consult your doctor or pharmacist immediately.

This list does not encompass all possible side effects. If you observe any other effects not mentioned here, contact your doctor or pharmacist.

Is it safe to use it with another drug?

Fosamax Plus D (Alendronate / Cholecalciferol) have moderate interactions with the following drugs:

• Aluminum hydroxide
• Calcium acetate
• Calcium carbonate
• Calcium chloride
• Calcium citrate
• Calcium gluconate
• Nonsteroidal Anti-Inflammatory Drugs

Please wait least one-half hour after taking Fosamax Plus D before taking any other medications.

Ask your doctor or pharmacist for other possible interactions not listed within this section.

How should I store it?

Keep this medication at room temperature, away from light and moisture.

What action should I take in case of overdose?

Signs of overdose may include intense abdominal pain, severe heartburn, chest pain from esophageal irritation, muscle weakness or cramps, alterations in mental state, changes in urine output, and vomiting. Please seek immediate medical attention.

Is it safe for pregnant or breastfeeding women?

Advise your doctor if you are pregnant or planning to conceive. Alendronate can remain in your system for an extended period, so it is advisable not to get pregnant while using this medication.

Cholecalciferol (vitamin D3) from this medication is transferred into breast milk, but it is uncertain if Alendronate is also present. Consult your doctor before breastfeeding to weigh the benefits against any potential risks.

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