Alendronic acid+colecalciferol - oral

Patient Medicine Information
Why do I need this medicine?
This medicine contains Alendronic Acid and Colecalciferol.

Alendronic Acid strengthens thin and weak bones in postmenopausal women who have or are at risk of osteoporosis. It helps to stop the loss of bone, increase bone mass and reduce the chances of getting a fracture.

Colecalciferol is a vitamin D supplement. It helps improve absorption of calcium in your body. Both vitamin D and calcium are important to build strong bones and teeth.

Taken together, Alendronic Acid+Colecalciferol help to make your bones stronger.
How do I take this medicine?
Take Alendronic Acid+Colecalciferol exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.

Take this medicine first thing in the morning, upon rising for the day. Take it with a full glass of plain water on an empty stomach, at least 30 minutes before the first food, milk products or drinks. Do not take this medicine with any milk or any other drink or food besides plain water. Swallow whole, do not suck, chew or crush it.

To prevent irritating the throat, take it in a sitting or standing position. Do not take at bedtime or while lying down and do not lie down for at least half an hour after swallowing it.

It is important to follow these instructions carefully. Alendronate Acid+Colecalciferol may cause severe irritation to the gullet (food pipe) and stomach if not taken exactly as instructed. Taking this medicine in the manner described here will help to minimise any gastric irritation that it may cause. Ask your doctor or pharmacist if you have any questions.

Take this medicine once a week only. Choose one day of the week to take this and keep taking it at the same day each week.

This medicine must be taken regularly for it to be effective. Continue taking this medicine even when you feel better. Do not stop taking it unless instructed by the doctor.
What should I do if I have forgotten to take this medicine?
Take the missed dose the next morning and return to your normal weekly dosing schedule.

DO NOT double a dose under any circumstances.

If you often forget to take your medicine, let your doctor and pharmacist know.
When should I not use this medicine?
Alert your doctor if you:

- cannot sit or stand upright for at least 30 minutes
- have low levels of calcium in your blood
- have diseases of the gullet (food pipe)
as Alendronic Acid+Colecalciferol may not be suitable for you.
What should I take note of while taking this medicine?
Inform your doctor if you:

- have kidney disease or kidney stones
- have difficulty in swallowing, gastric problems such as gastritis (inflammation of the lining of the stomach), heartburn (food or acid from your stomach backs up into your mouth, leaving a sour or bitter taste), stomach ulcers
- have bowel inflammation

Let your doctor know if you are pregnant or breastfeeding.

If you are undergoing treatment for cancer or going for an operation, including minor operations and dental work, always inform your doctor or dentist that you are taking Alendronic Acid+Colecalciferol.

This medicine may cause your jaw bones to weaken. You may experience dental problems such as jaw swelling and pain, loose or shaky teeth. It is important to maintain good oral hygiene while being treated with this medicine. Your doctor may recommend that you have a dental check-up before starting you on this medicine. Inform your doctor and dentist if you:

- develop a tooth infection
- develop pain, numbness or discomfort in your teeth or gums
- have a tooth extraction

You will need to have regular blood and urine tests to check your calcium levels and kidney function. Your doctor will advise you about how often you need to have these tests.

Ensure that you take enough calcium supplements while being treated with this medicine. Your doctor will advise you about how much of these supplements to take.
What side effects could I experience?
Alendronic Acid+Colecalciferol may cause any of the following side effects: flu-like symptoms, feeling of weakness, heartburn (reflux), indigestion, nausea, vomiting, bloating, flatulence (wind), constipation or diarrhoea, headache, dizziness, stomach pain, back pain, as well as pain of the muscle, bone or joints.

Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.
Can I take this with other medicines?
Inform your doctor and pharmacist if you are taking NSAIDs (medicine for pain and inflammation) e.g. aspirin, ibuprofen, naproxen, diclofenac.

You should wait for at least 30 minutes after taking Alendronic Acid+Colecalciferol before taking any other medicines or supplements e.g. antacids, calcium supplements.

Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicine, supplements and medicines that you buy without a prescription.
What special dietary instructions should I follow?
Avoid alcohol.
How should I store this medicine?
Store in a cool, dry place away from the reach of children.

Medicines must not be used past the expiry date.
This information is independently developed by MIMS based on alendronic acid+colecalciferol - oral and is provided for your reference only. It is not a replacement for and should only be used in conjunction with full consultation with a licensed healthcare professional, the information provided by your pharmacist and/or the manufacturer of the medication. It may not contain all the available information you require and cannot substitute professional medical care, nor does it take into account all individual circumstances. Although great effort has been made to ensure content accuracy, we shall not be held responsible or liable for any claims or damages arising from the use or misuse of the information contained herein, its contents or omissions, or otherwise. Copyright © 2021 MIMS. All rights reserved. Powered by
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