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Indications

REMS

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

CV: chest pain, edema.

Derm: rash, STEVENS-JOHNSON SYNDROME, TOXIC EPIDERMAL NECROLYSIS.

EENT: amblyopia, conjunctivitis, dry eyes, eye pain/inflammation, tinnitus.

GI: abdominal pain, diarrhea, belching, colitis, constipation, dysphagia, esophageal cancer, esophageal ulcer, esophagitis, gastric ulcer, nausea.

MS: arthralgia, musculoskeletal pain, femur fractures, osteonecrosis (primarily of jaw).

Neuro: weakness.

Resp: asthma exacerbation.

Misc: flu-like syndrome.

Interactions

Drug-Drug:

Drug-Food:

Availability

(Generic available)

Route/Dosage

Prevention and Treatment of Postmenopausal Osteoporosis

Prevention and Treatment of Glucocorticoid-Induced Osteoporosis

Treatment of Osteoporosis in Men

Treatment of Paget's Disease

US Brand Names

Actonel, Atelvia

Action

Therapeutic Effects:

Classifications

Therapeutic Classification: bone resorption inhibitors

Pharmacologic Classification:

Pharmacokinetics

Absorption: Rapidly but poorly absorbed following oral administration (0.63% bioavailability).

Distribution: 60% of absorbed dose distributes to bone.

Metabolism/Excretion: 40% of absorbed dose is excreted unchanged by kidneys; unabsorbed drug is excreted in feces.

Half-life: Initial: 1.5 hr; terminal: 220 hr (reflects dissociation from bone).

Canadian Brand Names

Actonel DR

Time/Action Profile

(effects on serum alkaline phosphatase)

ROUTEONSETPEAKDURATION
POwithin days30 daysup to 16 mo

Patient/Family Teaching

Pronunciation

ris-ED-roe-nate audio

Code

NDC Code*