› People on Fosamax (Alendronate) have reported breakdown of the jaw bone. This is rare. This can happen if you have oral or dental surgery, or if you have poor oral hygiene. If you notice pain, swelling or an infection in your jaw, talk to your doctor right away. Also, tell your surgeon that you are taking Fosamax (Alendronate).
No food related info.
Kidneys and liver
No kidneys and liver related info.
› Forteo (Teriparatide) can cause kidney stones, especially if you have high calcium levels in your urine. If kidney stones are suspected, your doctor can measure the amount of calcium in your urine to see if you are at risk. Be careful using this medication if you have a history of kidney stones.
Upsides and benefits
› Lowers your risk of bone fractures.
› Available as a generic medication.
› Available in two forms: one that can be taken once a day or another that's taken once a week.
› Comes as a regular tablet, an oral solution, or effervescent tablets meant to be dissolved in water.
› If you're unable to use bisphosphonates or are still having fractures despite being on other medications, Forteo (Teriparatide) can be a good alternative.
› You can start using Forteo (Teriparatide) as soon as you stop using bisphosphonates.
Downsides and risks
› You need to take it the first thing in the morning with a full glass of water.
› Not good for people who can't sit or stand upright for at least 30 minutes in the morning.
› The use of bisphosphonates increases your risk of other types of fractures not related to osteoporosis (called atypical fractures).
› Can cause bad heartburn or stomach problems.
› Only available as a brand medication, so it can be expensive.
› You have to inject this every day, so it may not be a good option if you don't like needles.
› Shouldn't take this longer than 18 to 24 months since it can increase the risk of bone cancers.
Tips from our pharmacists for people taking the medication
› Take Fosamax (Alendronate) first thing in the morning with a full glass of water before eating or drinking anything else, including other medicines.
› The pill must be swallowed whole.
› Stay upright for at least 30 minutes after taking the medicine, and don't eat or drink anything except plain water during that time.
› Make sure you take enough calcium and vitamin D to allow this medicine to work.
› Can cause an upset stomach, joint pain, back pain, or heartburn.
› Stop taking the medicine and let your doctor know if swallowing becomes painful, if you have chest pain, or if any of the side effects worsen.
› If you have dental work coming up, get it done before starting this medicine since some people have experienced serious jaw problems while on Fosamax (Alendronate).
› You should be sitting or lying down when you inject Forteo (Teriparatide) since it can make you dizzy.
› You should inject Forteo (Teriparatide) under the skin in either your thigh or stomach.
› Make sure the liquid in the vial of Forteo (Teriparatide) is clear and colorless before you inject it. Don't use it if it looks cloudy, colored, or if you see particles inside.