Doctor insights on:
Alendronate Allergy In Children
Allergies occur when your immune system is triggered by envirionmental factors it should ignore--for example, pollen in the air, or dander on a cat or dog--and creates cells to fight against them. An allergic reaction typically causes itching, congestion, or drainage, and ...Read more
See below: An allergy describes a systemic response of the body's immune system to an antigen. The response can cause hives, itching, swelling, elevation of blood pressure and bronchoconstriction. An allergy to fosamax would basically be any combination of the above reactions in response to the intake of fosamax into the body. ...Read more
Fosamax (alendronate) is for osteo:
Most physicians rely on published studies with thousands of patients taking a drug that prove it works. Trying out a pill onesself is a trip back to the stone age.
We require that a proven disease has a treatment proven to work before using it. The fda requires two studies done separately with thousands of patients to allow an approval of a drug. ...Read more
Unlikely: Hi. Alendronate and other antiresorptive osteoporosis drugs have been associated with a very low but real risk of atypical femur fracture (subtrochanteric fracture in the shaft made of cortical bone). The risk is very low, and a cause and effect relationship is not absolutely established. But yes, the risk appears to be there. Remember all the fractures bisphosphonates PREVENT also, however! ...Read more
Doubtful: I know of fosamx causing other issues in the head and neck area but never heard it causing specific pathology's of the tmj. If there is TMJ discomfort and Fosamax (alendronate) is involved, it could be a domino effect and the drug didn't actually cause tmj, but TMJ symptoms came about from another pathology. ...Read more
Risk of bone problem: There is an increased risk of ONJ (osteonecrosis of the jaw) especially the lower jaw. There is no perfect treatment of this condition. From a dental standpoint, it is preferable to have any extractions done before starting therapy with any medications for osteoporosis in order to reduce this risk, or to discontinue the medication prior to an extraction. The dentist and physician should confer. ...Read more
See an oral surgeon: If you are taking fosamax (alendronate) and need to have a dental procedure, such as an extraction, talk to your doctor about reducing the dose or stopping the medication at least for a while. See an oral surgeon even for a simple extraction. ...Read more
Yes: I have not personally, but this is a problem that has been written about extensively. There is a direct causal relationship between the two. ...Read more
Is it safe to take alendronate if I have a history of acid reflux? I know not to lay down for 1/2 hour.
Yes: Alendronate can cause irritation of the esophagus and stomach and cause erosions. You can take the medications but must monitor closely for symptoms such as burning of throat or stomach or dark stools. You may also consider being on antacid medication to protect your stomach. Speak with your PCP regarding other classes of medications. Make sure you have good calcium, vit d levels and exercise. ...Read more
Taking fosamax (alendronate). I came across strontium to take w/fosamax (alendronate) for 1 year then take this grow bone system (algaecal). Have you heard of these & ok to take?
Strontium: Strontium has been shown to help bones. Would not however take any of these unless under the supervision of a doctor. ...Read more
2 years: Take it for 2 years until you have a follow up DEXA scan done to evaluate the improvement in your bone density. It is debatable on how long you can take biphosphonates (the class Fosamax (alendronate) belongs to). Some say you may take it indefinitely, while other recommend taking it for 4-5 years and then take a "holiday" for a year or two. As I mentioned, take it for 2 years and see what happens. ...Read more
Yes for most people: Fosamax (alendronate) is generally well tolerated and a proven treatment for reducing the risk for hip and spine fractures due to osteoporosis. But for some people with conditions affecting the esophagus or stomach, or with chronic kidney disease, or who need extensive dental work, there can be serious side effects. Ask your doctor if any of these situations apply to you. ...Read more
Yes: Yes, but discuss with doctor.Get a more detailed answer ›
Fosamax (alendronate) side effects: Potential for esophageal erosion or ulceration - so should be taken with a full glass if water and no lying down for 30 minutes after taking the pill. Also potential for some atypical fracture in the femur with prolonged use. Most recommend a rest from the medication if on it more than 2 continuous years. ...Read more
If you have been prescribed alendronate see if your clinic staff can tell you who the local alendronate person is so you can call and see what can be done for you.
You will not get any help from anyone without a prescription. ...Read more
Fosamax (alendronate): It is possible. Notify your doctor.Get a more detailed answer ›
A lot of side effect: Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, throat, or tongue); black, tarry, or bloody stools; chest pain; coughing or vomiting blood; difficult or painful swallowing; mouth sores; new, worsening, or persistent heartburn; red, swollen, blistered, or peeling skin; severe bone, muscle, or joint pain and others. ...Read more
No: Iv meds in the Fosamax (alendronate) category (bisphosphonates) have been implicated in causing osteonecrosis of the jaw. If you have this condition, i'd consult with your physician about the advisability of continuing on these meds if you are already taking them. If you live anywhere near a dental school or oral surgery residency program, i'd suggest being evaluated there as a first step. ...Read more
Unlikely: Unlikely, and there are much safer medications. ...Read more
Yes: Some cases of fracture femurs have being reported on patients taken bisphosphonates (fosamax (alendronate) is one of them)however other conditions such as osteoporosis and taken glucocorticoids are contributory factors. Ethiology of this fractures is unknown. You could have prodomal symptoms such as bone pain before the bone breaks. ...Read more
TMJ Exostosis: I'm not aware of any literature that suggests that bisphosphonates such as Fosamax (alendronate) can lead to exostoses of the tmj. Usually we see TMJ exostoses as a result of trauma or arthritis. You don't describe any symptoms. Have you had an MRI or a ct? Usually these are diagnostic. An exostosis that is asymptomatic requires no treatment. You should see an oral and maxillofacial surgeon in consultation. ...Read more
A qualified Yes: Patients taking Fosamax (alendronate) should continue good oral hygiene practices at home. Nearly all dental treatment can be completed without complication with patients taking fosamax (alendronate). Complications have presented when patients have oral surgery. The complications include extremely poor bone healing; even necrosis. Speak with a surgeon about all risk factors before any invasive treatment. ...Read more
Fosamax (alendronate) and other bisphosphonates may increase risks of unusual condition, osteonecrosis of the jaw. This complication develops when the jaw bone fails to heal after a tooth extraction or other bone intervention (e.g. implant placement). Any routine dental procedures like cleaning, filings are safe.
Hope it helps. ...Read more
See below: All meds may have potential side effects. Fosamax (alendronate) most common side effects such are abdominal pain, muscle or joint pain, fli-like illness, constipation, diarrhea, dizziness, headache, nausea, vomiting. Very rare of all similar type drugs are fractures of the femur and a rare condition called avascular necrosis of the jaw, which is dead bone in the jaw after significant jaw/dental surgery. ...Read more
Not much: As long as prescribe by your doctor. Drink plenty of water and got for 30-45 minute walks after each dose. ...Read more
Mostly heartburn: Alendronate is generally well tolerated. Reflux is the most common side effect. It can also cause bone pain, esophageal ulcers or narrowing. The generic alendronate may have more GI side effects because it is not coated. This concern has not been answered adequately enough in large studies. It is very important to discuss these issues with your physician. ...Read more
Yes: It is somewhat unusual but possible.Get a more detailed answer ›
Yes, OK: You can take the sanctura 7 days/wk and still use Fosamax (alendronate) in the morning on an empty stomach with a full glass of water, and stay upright for about an hour, on any chosen day of the week. These two meds do not have cross-interaction and so you should be fine. If you have other concern, consult doc. Good luck. ...Read more
No: They have no interaction.Get a more detailed answer ›
Yes: Side effects from alendronate and/or fosomax are very common. The most common side effect is gastrointestinal upset. There are other treatments for osteoporosis available if you don't tolerate alendronate and fosomax. Prolia is an injectable medicine that is typically much better tolerated. Discuss it with your doctor. ...Read more
Wanted to know where can I find information about the medication: Fosamax (alendronate) and jawbone necrobiosis?
Search the net: Search the internet and sites such as the mayo clinic or webmd. ...Read more
Does Alendronate and Prolia produce the same results? I want to choose just taking only one and my t-score is -2.7.
Essentially: There are no good "head to head" trials of the meds so I can not say for sure one does not do slightly better than the other, but the avail studies do not show this. They do work very diff though and some individuals may respond better to one than the other. However, the choice of which to use often has to do with other factors. For example GERD & Barret's Esoph may sway you one way cost another. ...Read more
I'm also taking Alendronate 70mg once a week and Levothyroxin 25mcg every day. Which one do I take first and how far apart?
Alendronate alone: Hi. Alendronate IS important to take alone. Take alendronate alone on an empty stomach with no other ANYTHING except a full glass of water. Wait 60 minutes (the say 30', but 60' works better) before any other food or meds, and in that 60 minutes, have at least another full glass of water. Then go ahead and have your thyroid and any other meds, food, coffee, whatever. To your health! ...Read more
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