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|Didronel

Didronel

Didronel is used for:

Treating adults with Paget disease, and preventing and treating abnormal bone growth following hip replacement surgery or spinal cord injury. It may also be used for other conditions as determined by your doctor.

Didronel is a bisphosphonate. It works by slowing the resorption of bone and allowing new bone to be formed.

Do NOT use Didronel if:

• you are allergic to any ingredient in Didronel
• you have low blood calcium levels or softening of the bones (osteomalacia)
• you have esophagus problems, including difficulty swallowing or a narrow or blocked esophagus
• you are unable to stand or sit upright for at least 30 minutes

Contact your doctor or health care provider right away if any of these apply to you.

Before using Didronel :

Some medical conditions may interact with Didronel . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have pain or burning upon swallowing, stomach or bowel problems, heartburn, chest pain, or kidney problems

Some MEDICINES MAY INTERACT with Didronel . Tell your health care provider if you are taking any other medicines, especially any of the following:

• Anticoagulants (eg, warfarin) because the risk of side effects such as bleeding may be increased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Didronel may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Didronel :

Use Didronel as directed by your doctor. Check the label on the medicine for exact dosing instructions. Check the label on the medicine for exact dosing instructions.

• Take Didronel with 6 to 8 ounces of plain water the first thing in the morning, at least 30 minutes before eating, drinking, or taking any other medicine. Didronel works best if taken 60 minutes before eating, drinking, or taking any other medicine. Taking Didronel with orange juice, coffee, or mineral water may decrease its effectiveness.
• Swallow whole. Do not break, crush, suck, or chew the tablet before swallowing.
• Do not lie down for at least 30 minutes after taking Didronel and until after you have had your first meal or snack of the day.
• Do not take Didronel at bedtime or before getting out of bed.
• Calcium or iron supplements, vitamins, or antacids containing calcium, magnesium, or aluminum may interfere with the absorption of Didronel . These medicines must be taken at least 30 minutes after taking alendronate.
• If you miss a dose of Didronel , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Didronel .

Important safety information:

• Do not drink alcohol, smoke, or use other tobacco products while taking Didronel .
• 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.
• Consider weight-bearing exercises to increase the calcium density of bones.
• LAB TESTS, including calcium levels, may be performed to monitor your progress or to check for side effects. Be sure to keep all doctor and lab appointments.
• Didronel is not recommended for use in CHILDREN. Safety and effectiveness have not been confirmed.
• PREGNANCY and BREAST-FEEDING: It is unknown if Didronel can cause harm to the fetus. If you become pregnant while taking Didronel , discuss with your doctor the benefits and risks of using Didronel during pregnancy. It is unknown if Didronel is excreted in breast milk. If you are or will be breast-feeding while you are using Didronel , check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Didronel :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Bloating; bone, muscle, or joint pain; constipation; diarrhea; headache; indigestion; gas; nausea; stomach pain; vomiting.

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); black or bloody stools; chest pain; difficulty swallowing; pain upon swallowing; new, worsening, or severe heartburn.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Do not lie down. Symptoms may include heartburn; pain upon swallowing; stomach upset or pain; ulcers.

Store Didronel at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Didronel out of the reach of children and away from pets.

General information:

• If you have any questions about Didronel , please talk with your doctor, pharmacist, or other health care provider.
• Didronel is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Didronel . If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.