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Fosamax belongs to the group of medications calledbiophosphonates and is used for the treatment and prevention of postmenopausalosteoporosis and a type of osteoporosis induced by steroids, as well as thetreatment of Paget’s bone disease. Fosamax slows down the bone loss and increasesthe bone mass which is beneficial in preventing bone fractures.

Fosamax should be taken with a full glass of plain water andthe patient has to sit upright or stand up for at least half an hour afteringestion. It should be done first thing in the morning before eating ordrinking anything and after it’s been ingested one shouldn’t eat or drink anythingbut plain water and shouldn’t ingest any other medications, vitamins orcalcium. These precautions are very important because Fosamax can cause seriousproblems in the stomach and the esophagus.

Some patients have experiencedosteonecrosis in the jaw, which causes pain, swelling, and numbness in the jawas well as loose teeth, gum infections and slow healing of all conditions inthe mouth. Chemotherapy, radiation and steroids raise the risk of osteonecrosisdevelopment in the jaw.

Fosamax is not taken by itself and is just a part of atreatment program which also includes diet changes, exercises and variousmedical and nutritional supplements.

Fosamax should be taken by strictly following the exactdirections prescribed by the doctor. It is usually taken once a day or once aweek. One should always swallow the whole pill without sucking or chewing itfirst. The patient’s bone mineral density needs to be tested on a regular basisin order to take full advantage of the medication. Fosamax should be stored ina cool and dry place.

Alendronate has caused fever in some patients which receivedit intravenously. Sometimes rare instances of asthenia and peripheral edema mayoccur. Various complex esophageal conditions may be triggered during thetreatment. Synergistic influence of Alendronate and naproxen develops gastriculcers. Other minor effects in the gastrointestinal tract include pain, nausea,diarrhea, flatulence and constipation. Higher dosages usually cause moreadverse side effects such as taste perversion, but that only happened on rareoccasions.

Inhibited bone resorption sometimes causes mild reductionsin serum calcium and the levels of phosphate. Pain in the joints, muscles andbones can occur occasionally. Swollen joints are also not that uncommon.Dizziness, vertigo and headaches are among the rarest of all reported sideeffects. Eyes can be exposed to iritis, scleritis, uveitis and certain types ofconjunctivitis. Alendronate can also induce asthma attacks.

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