How should you use this medication?
Take this medication by mouth with a full glass of water. Take it as directed on the prescription label at the same day of each week. Take the dose right after waking up. Do not eat or drink anything before taking it. Do not take it with any other drink except water. Do not chew or crush the tablet. After taking it, do not eat breakfast, drink, or take any other medications or vitamins for at least 30 minutes. Sit or stand up for at least 30 minutes after you take it. Do not lie down. Keep taking it unless your care team tells you to stop. A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time. Talk to your care team about the use of this medication in children. Special care may be needed.
What are the possible side effects of this medicine?
Side effects that you should report to your care team as soon as possible:
Allergic reactions-skin rash, itching, hives, swelling of the face, lips, tongue, or throat
Low calcium level-muscle pain or cramps, confusion, tingling, or numbness in the hands or feet
Osteonecrosis of the jaw-pain, swelling, or redness in the mouth, numbness of the jaw, poor healing after dental work, unusual discharge from the mouth, visible bones in the mouth
Pain or trouble swallowing
Severe bone, joint, or muscle pain
Stomach bleeding-bloody or black, tar-like stools, vomiting blood or brown material that looks like coffee grounds Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):
Constipation
Diarrhea
Nausea
Stomach pain
What may interact with this medicine?
Our pharmacists will check to see if this medication will cause any interactions with the information in your profile.
Aluminum hydroxide
Antacids
Aspirin
Calcium supplements
Iron supplements
Medications for inflammation like ibuprofen, naproxen, and others
Magnesium supplements
Vitamins with minerals
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