Compare Actonel vs. Evista

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Actonel (risedronate)

Prescription only

Evista (Raloxifene)

Prescription only
Prevents bone loss and fracture.

Actonel (risedronate) is a first-choice treatment for osteoporosis, but taking it can be a hassle.

2.9/ 5 average rating with 83 reviewsforActonel
Prevents bone loss and lowers your risk of breast cancer.

Evista (Raloxifene) is effective at reducing bone loss and lowering the risk of breast cancer in postmenopausal women, but does carry the risk of blood clots.

Upsides
  • Actonel (risedronate) is one of the first choice medicines used for the treatment and prevention of osteoporosis.
  • Available in a cheaper, generic form.
  • Can take tablet form once or twice a month, once a week, or once a day.
  • Evista (Raloxifene) doesn’t affect the breast or uterus the same way that estrogen does, so the risk of cancer is much lower.
  • Taking Evista (Raloxifene) with calcium and vitamin D improves spine and hip bone health and lowers the risk of fractures.
  • Lowers total cholesterol and low-density lipoprotein (LDL) cholesterol (the bad cholesterol).
Downsides
  • Need to take Actonel (risedronate) on an empty stomach first thing in the morning with a full glass of water.
  • Requires the person taking this medicine to remain upright for at least 30 minutes after taking it, which can be a problem for those who have trouble sitting or standing.
  • Can only take Evista (Raloxifene) once you’re in menopause. You can't take it if you're pregnant or breastfeeding.
  • Evista (Raloxifene) isn’t as effective as tamoxifen at lowering the risk of invasive breast cancer.
  • Shouldn’t take it with any other forms of estrogen (pills, patches, or injection).
  • It doesn’t increase bone strength as much as estrogen does and isn’t effective for treating hot flashes.
Used for
Dosage forms
  • Pill
  • Delayed-release pill
  • Pill
Price
Want to save even more money?
Sign up now for a 30-day trial and save up to 95% at CVS, Kroger, Albertsons, and other pharmacies.
Reviews
83 reviews so far
36%
saidit'sworth it
19%
saiditworked well
25%
saidit'sa big hassle

Have you used Actonel (risedronate)?

Leave a review
Not enough review data.Leave a review
Side effects
33possible side effects
  • Infection
    31%
  • Back pain
    28%
  • Joint pain
    24%
  • Accidental injury
    17%
  • Generalized pain
    14%
  • Constipation
    13%
  • Stomach pain
    12%
  • Traumatic bone fracture
    12%
  • Flu-like symptoms
    11%
  • High blood pressure
    11%
  • Diarrhea
    11%
  • Indigestion
    11%
  • Nausea
    11%
  • Headache
    10%
  • Bronchitis
    10%
  • Urinary tract infection
    10%
  • Sinus infection
    9%
  • Swelling in the arms or legs
    8%
  • Joint problems
    7%
  • Muscle pain
    7%
  • Dizziness
    7%
  • Depression
    7%
  • Rash
    7%
  • Cataracts
    7%
  • Stuffy or runny nose
    6%
  • Sore throat
    6%
  • Increased cough
    6%
  • Weakness
    5%
  • Neck pain
    5%
  • Chest pain
    5%
  • Bone pain
    5%
  • Sleep difficulty
    5%
  • Allergic reaction
    4%
See more detailed side effects
6possible side effects
  • Any side effect
    25%
  • Peripheral edema
    14%
  • Muscle spasms/leg cramps
    12%
  • Hot Flashes
    8%
  • Cholelithiasis
    3%
  • Venous thromboembolic events
    2%
See more detailed side effects
Risks and risk factors
  • Irritation and ulcers in the stomach and esophagus
    • History of ulcers, or other stomach or esophageal problems
    • History of difficulty swallowing
    • Unable to sit upright or stand for 30 minutes after taking the medicine
  • Pain in the bones and/or muscles
  • Problems in the jawbone
    • Oral or dental surgery
    • Cancer
    • Poor oral hygiene
  • Leg bone fractures
  • Low calcium in the blood
    • History of low calcium in the blood
See more detailed risks and warnings
  • Increased risk of stroke
    • History of stroke
    • Heart and blood vessel problems
    • History of mini stroke (TIA)
    • Atrial fibrillation
    • Smoking
    • High blood pressure
  • Increased risk of blood clots
  • Elevated triglycerides (fats in blood)
    • History of high triglycerides
  • Worsening kidney or liver function
See more detailed risks and warnings