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Fosamax is intended for:

Treating Paget disease. Fosamax may also be used for other conditions as decided by your doctor. Fosamax is a bisphosphonate. Fosamax operates by slowing bone loss.

How to use Fosamax:

Use Fosamax as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• An extra patient leaflet is available with Fosamax . Talk to your pharmacist if you have questions about this information.
• Swallow Fosamax whole. Do not break, crush, chew, or suck on the tablet before swallowing.
• Take Fosamax by mouth on an empty stomach in the morning at least 30 minutes before your first food, drink, or other medicine of the day. Do NOT take Fosamax at bedtime or before you get out of bed in the morning.
• Take Fosamax with a full glass of plain water (8 oz/240 mL). Do not take Fosamax with mineral water, coffee, tea, or juice. Do not lie down for 30 minutes after taking Fosamax and until you eat your first food of the day.
• Be sure you understand how to take Fosamax . Contact your doctor or pharmacist if you have any questions.
• Continue to use Fosamax even if you feel well. Do not miss any doses.
• If you miss a dose of Fosamax , do not take it later in the day. Take it the morning after you remember and then go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Fosamax.

Possible side effects of Fosamax:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

• Bone, muscle, or joint pain; constipation; diarrhea; dizziness; feeling bloated or full; flu-like symptoms at the start of treatment; gas; headache; mild stomach pain; nausea; taste changes; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:

• Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); black, tarry, or bloody stools; chest pain; coughing or vomiting blood; difficult or painful swallowing; mouth sores; new, worsening, or severe heartburn; red, swollen, blistered, or peeling skin; severe bone, muscle, or joint pain; severe or persistent sore throat or stomach pain; swelling of the hands, legs, or joints; swelling or pain in your jaw.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider.

Proper storage of Fosamax :

Store Fosamax at room temperature, between 59 and 86 degrees F (15 and 30 degrees C), in a tightly closed container. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Fosamax out of the reach of children and away from pets.