used in the treatment of osteoporosis
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Prototye Med
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alendronate (Fosamax)
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Other Meds
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risedronate (Actonel)
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Ibandronate (Boniva)
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Prevention and treatment of postmenopausal osteoporosis, glucocorticoid related osteoporosis, age-related osteoporosis in men
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Esophagitis
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Gastrointestinal disturbances (nausea and vomiting, abdominal pain)
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Muscle and joint pain
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Eye pain and vision changes
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Give drug with 6–8 oz. of water.
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For 30 minutes after taking drug, have clients:
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Remain in upright position.
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Avoid eating or drinking anything other than water.
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Avoid giving calcium supplement or antacid.
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Give analgesic for muscle and joint pain.
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Monitor clients for changes in vision.
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Give drug 30 minutes before breakfast with a full glass of water.
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Have client sit or stand for 30 minutes after administration
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Avoid giving calcium-containing drugs/supplements within 30 minutes of administration
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Instruct clients to take drug with full glass of water.
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Instruct clients to do the following for 30 minutes after taking drug:
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Sit or stand up.
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Avoid eating or drinking anything other than water.
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Avoid taking calcium supplement or antacid.
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Advise clients to take analgesic for muscle and joint pain and report pain that persists.
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Instruct clients to report changes in swallowing or vision to provider
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Esophageal strictures/disorders or difficulty swallowing
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Clients unable to sit up for 30 minutes after administration
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Renal insufficiency
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Hypocalcemia
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Upper gastrointestinal disorders
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Infection
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Liver disease
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Heart failure
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Calcium supplements and dairy products decrease absorption when given within 30 minutes of each other
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