Product Details

Do not take Alendronic Acid Tablets if you:
 are allergic to alendronic acid, the active ingredient, or any of the other ingredients of this medicine (listed in
section6)
 have certain disorders of the oesophagus (sometimes called the gullet and is the tube that connects your mouth with
your stomach) such as narrowing or difficulty swallowing
 cannot stand or sit upright for at least 30 minutes
 your doctor has told you that you have low blood calcium
If you think any of these apply to you, do not take the tablets. Talk to your doctor first and follow the advice given.
Warnings and precautions
Talk to your doctor or pharmacist before taking Alendronic acid tablets
It is important to tell your doctor before taking Alendronic Acid Tablets if
 yousuffer from kidney problems
 you have any swallowing or digestive problems
 your doctor has told you that you have Barrett’s oesophagus (a condition associated with changes in the cells that
line the lower oesophagus)
 you have been told you have low blood calcium
 you have poor dental health, gum disease, a planned extraction or you don’t receive routine dental care
 you have cancer
 you are undergoing chemotherapy or radiotherapy
 you are taking angiogenesis inhibitors (such as bevacizumab, or thalidomide)
 you are taking corticosteroids (such as prednisone or dexamethasone)
 you are or have been a smoker (as this may increase the risk of dental problems).
You may be advised to have a dental check-up before starting treatment with Alendronic acid.
It is important to maintain good oral hygiene when being treated with Alendronic acid tablets. You should have
routine dental check-ups throughout your treatment and you should contact your doctor or dentist if
you experience any problems with your mouth or teeth such as loose teeth, pain or swelling.
Irritation, inflammation or ulceration of the gullet (oesophagus – the tube that connects your mouth with your stomach)
often with symptoms of chest pain, heartburn, or difficulty or pain upon swallowing may occur, especially if patients do not
drink a full glass of water and/or if they lie down less than 30 minutes after taking alendronic acid tablets. These side
effects may worsen if patients continue to take alendronic acid tablets after developing these symptoms.
Children and adolescents
Alendronic acid tablets should not be given to children and adolescents less than 18 years of age.
Other medicines and Alendronic acid Tablets
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.
It is likely that calcium supplements, antacids, and some oral medicines will interfere with the absorption of Alendronic
acid tablets if taken at the same time. Therefore, it is important that you follow the advice given in section 3 How to take
Alendronic acid Tablets.
Certain medicines for rheumatism or long-term pain called NSAIDs (e.g. acetylsalicyclic acid (aspirin) or ibuprofen) might
cause digestive problems. Therefore, caution should be used when these medicines are taken at the same time as
Alendronic acid Tablets.
Alendronic Acid Tablets with food and drink
It is likely that food and drinks (including mineral water) will make Alendronic acid Tablets less effective if taken at the
same time. Therefore it is important that you follow the advice given in Section 3 How to take Alendronic acid Tablets.
Pregnancy, breast-feeding and fertility
Alendronic acid tablet is only intended for use in postmenopausal women. You should not take alendronic acid tablets if
you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or
pharmacist for advice before taking this medicine
Driving and using machines
There have been side effects (including blurred vision, dizziness and severe bone, muscle or joint pain) reported with
alendronic acid tablets that may affect your ability to drive or operate machinery. Individual responses to alendronic acid
tablets may vary (See section4.)
Alendronic Acid Tablets contains lactose
If you have been told by your doctor that you have intolerance to some sugars, contact your doctor before taking this
medicine