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Actonel with Calcium
Generic Name: calcium carbonate and risedronate (KAL see um KAR bo nate and RYE e droe nate)
Brand Names: Actonel with Calcium
What is Actonel with Calcium?
Actonel with Calcium (risedronate and calcium) is packaged as two separate medicines: 4 Actonel tablets and 24 calcium tablets. Actonel (risedronate) is in the group of medicines called bisphosphonates. It alters the cycle of bone formation and breakdown in the body. Risedronate slows bone loss while increasing bone mass, which may prevent bone fractures. Calcium is a mineral that is needed for many functions of the body, especially bone formation and maintenance. Actonel is used to treat or prevent postmenopausal and steroid-induced osteoporosis. It is also used to treat Paget's disease of bone. Calcium carbonate is used to prevent and to treat calcium deficiencies. Actonel with Calcium may also be used for other purposes not listed in this medication guide.
Before taking Actonel with Calcium
Do not take an Actonel tablet if you cannot sit upright or stand for at least 30 minutes. Actonel can cause serious problems in the stomach or esophagus (the tube that connects your mouth and stomach). You will need to stay upright for at least 30 minutes after taking this medication. If you have any of these other conditions, you may need a dose adjustment or special tests to safely use this medication: low or high levels of calcium in your blood; kidney disease; trouble swallowing; or an ulcer in your stomach or esophagus. Some people using medicines similar to Actonel have developed bone loss in the jaw, also called osteonecrosis of the jaw. Symptoms of this condition may include jaw pain, swelling, numbness, loose teeth, gum infection, or slow healing after injury or surgery involving the gums. You may be more likely to develop osteonecrosis of the jaw if you have cancer or have been treated with chemotherapy, radiation, or steroids. Other conditions associated with osteonecrosis of the jaw include blood clotting disorders, anemia (low red blood cells), and dental surgery or pre-existing dental problems. FDA pregnancy category C. It is not known whether Actonel with Calcium is harmful to an unborn baby. Before taking this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether this medication passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
How should I take Actonel with Calcium?
Take Actonel with Calcium exactly as it was prescribed for you. Do not use the medication in larger amounts or for longer than recommended by your doctor. Actonel with Calcium is packaged as two separate medicines: 4 risedronate tablets and 24 calcium tablets. Take a risedronate tablet one day per week, first thing in the morning, at least 30 minutes before you eat or drink anything or take any other medicine. Take a calcium tablet with food every day for the 6 days in between your risedronate doses. Only the calcium tablet should be taken with food. Actonel must be taken on an empty stomach. Take the Actonel tablet first thing in the morning, at least 30 minutes before you eat or drink anything or take any other medicine. Take the Actonel tablet on the same day each week and always first thing in the morning. Take the Actonel tablet with a full glass (6 to 8 ounces) of water. Use only plain water (not mineral water) when taking an Actonel tablet. Do not crush, chew, or suck the Actonel tablet. Swallow the pill whole. After taking a Actonel tablet, carefully follow these instructions: Do not lie down or recline for at least 30 minutes. Do not eat or drink anything other than plain water. Do not take any other medicines including vitamins, calcium, or antacids for at least 30 minutes. It may be best to take your other medicines at a different time of the day. Talk with your doctor about the best dosing schedule for your other medicines. To be sure this medication is helping your condition, your bone mineral density will need to be tested on a regular basis. Do not miss any scheduled visits to your doctor. Actonel with Calcium is only part of a complete program of treatment that may also include diet changes, exercise, and taking vitamin supplements. Follow your diet, medication, and exercise routines very closely. Take only the amount of calcium that your doctor recommends. Do not use other calcium supplements unless your doctor has told you to. Store Actonel with Calcium tablets at room temperature away from moisture and heat.
Actonel with Calcium side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using Actonel with Calcium and call your doctor at once if you have any of these serious side effects: chest pain; difficulty or pain when swallowing; pain or burning under the ribs or in the back; new or worsening heartburn; severe joint, bone, or muscle pain; or jaw pain, numbness, or swelling. Less serious Actonel with Calcium side effects may include: mild heartburn, nausea, or stomach upset; diarrhea, gas, or constipation; muscle, joint, or back pain; pain or burning with urination; mild skin rash; or headache or depressed mood. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
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