Actonel and Calcium

Name: Actonel and Calcium

Uses of Actonel and Calcium

  • It is used to put off or treat soft, brittle bones (osteoporosis).

What do I need to tell my doctor BEFORE I take Actonel and Calcium?

  • If you have an allergy to Actonel and Calcium (risedronate and calcium) or any part of this medicine.
  • If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
  • If you have high calcium levels.
  • If you have any of these health problems: A swallowing tube (esophagus) that is not normal, high calcium levels, low calcium levels, very bad kidney disease, or trouble swallowing.
  • If you are not able to stand or sit up for 30 minutes.

What are some things I need to know or do while I take Actonel and Calcium?

  • Tell all of your health care providers that you take Actonel and Calcium. This includes your doctors, nurses, pharmacists, and dentists.
  • Very bad swallowing tube (esophagus) problems like irritation, swelling, ulcers, and bleeding have happened with this medicine. Talk with the doctor.
  • Worsening of asthma has happened in people taking drugs like this one. Talk with the doctor.
  • This medicine may raise the chance of a broken leg. Talk with the doctor.
  • Have a bone density test as you have been told by your doctor. Talk with your doctor.
  • Have blood work checked as you have been told by the doctor. Talk with the doctor.
  • This medicine may affect certain lab tests. Tell all of your health care providers and lab workers that you take Actonel and Calcium.
  • This medicine works best when used with vitamin D and weight-bearing workouts like walking or PT (physical therapy).
  • Follow the diet and workout plan that your doctor told you about.
  • Have a dental exam before starting this medicine.
  • Take good care of your teeth. See a dentist often.
  • Talk with your doctor before you drink alcohol.
  • If you smoke, talk with your doctor.
  • A very bad skin reaction (Stevens-Johnson syndrome/toxic epidermal necrolysis) may happen. It can cause very bad health problems that may not go away, and sometimes death. Get medical help right away if you have signs like red, swollen, blistered, or peeling skin (with or without fever); red or irritated eyes; or sores in your mouth, throat, nose, or eyes.
  • This medicine is not approved for use in children. Talk with the doctor.
  • This medicine is not approved for use in pregnant women. Talk with your doctor.
  • Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using Actonel and Calcium while you are pregnant.
  • Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.

How is this medicine (Actonel and Calcium) best taken?

All products:

  • Follow how to take this medicine as you have been told by your doctor. Do not use more than you were told to use.
  • Keep taking Actonel and Calcium as you have been told by your doctor or other health care provider, even if you feel well.
  • To gain the most benefit, do not miss doses.
  • Do not take the risedronate and calcium on the same day. Talk with your doctor if you are not sure how to take this medicine.
  • This medicine prevents many other drugs from getting into the body. If you take other drugs, check with your doctor or pharmacist to see if you need to take them at some other time than Actonel and Calcium.

Risedronate:

  • Take with a full glass of water.
  • Take with plain water only. Avoid taking with mineral water, milk, or other drinks.
  • Swallow tablet whole. Do not chew, break, or crush.
  • Take on an empty stomach before breakfast.
  • Take at least 30 minutes before the first food, drink, or drugs of the day.
  • Do not lie down for at least 30 minutes after taking this medicine and until you eat your first food of the day.

Calcium:

  • Take the calcium with food.

What do I do if I miss a dose?

  • Do not take it later in the day.
  • Take the missed dose on the next morning after you think about it and then go back to your normal time.
  • Do not take 2 doses on the same day.

What are some side effects that I need to call my doctor about right away?

  • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • Signs of low calcium levels like muscle cramps or spasms, numbness and tingling, or seizures.
  • Black, tarry, or bloody stools.
  • Chest pain.
  • Coughing up blood.
  • Throwing up blood or throw up that looks like coffee grounds.
  • Very bad belly pain.
  • Heartburn.
  • Trouble swallowing.
  • Very bad pain when swallowing.
  • Sore throat.
  • Very bad bone, joint, or muscle pain.
  • Any new or strange groin, hip, or thigh pain.
  • Change in eyesight, eye pain, or very bad eye irritation.
  • Back pain, belly pain, or blood in the urine. May be signs of a kidney stone.
  • This medicine may cause jawbone problems. The chance may be higher the longer you take Actonel and Calcium. The chance may be higher if you have cancer, dental problems, dentures that do not fit well, anemia, blood clotting problems, or an infection. The chance may also be higher if you are having dental work, getting chemo or radiation, or taking other drugs that may cause jawbone problems like some steroid drugs. There are many drugs that can do this. Ask your doctor or pharmacist if you are not sure. Call your doctor right away if you have jaw swelling or pain.

Calcium carbonate / risedronate Breastfeeding Warnings

There are no data on the excretion of calcium carbonate-risedronate into human milk. The manufacturer recommends that due to the potential for serious adverse reactions in nursing infants, a decision should be made to discontinue nursing or discontinue the drug, taking into account the importance of the drug to the mother.

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