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Indications

REMS

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

CV: atrial fibrillation.

Derm: erythema, photosensitivity, rash.

EENT: blurred vision, conjunctivitis, eye pain/inflammation.

GI: abdominal distention, abdominal pain, acid regurgitation, constipation, diarrhea, dyspepsia, dysphagia, esophageal cancer, esophageal ulcer, esophagitis, flatulence, gastritis, nausea, taste perversion, vomiting.

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

Neuro: headache.

Resp: asthma exacerbation.

Interactions

Drug-Drug:

Drug-Food:

Availability

(Generic available)

Route/Dosage

Treatment of Osteoporosis

Prevention of Osteoporosis

Paget's Disease

Treatment of Corticosteroid-Induced Osteoporosis in Men and Women

US Brand Names

Binosto, Fosamax

Action

Therapeutic Effects:

Classifications

Therapeutic Classification: bone resorption inhibitors

Pharmacologic Classification:

Pharmacokinetics

Absorption: Poorly absorbed (0.6–0.8%) after oral administration.

Distribution: Transiently distributes to soft tissue, then distributes to bone.

Metabolism/Excretion: Excreted in urine.

Half-life: 10 yr (reflects release of drug from skeleton).

Time/Action Profile

(inhibition of bone resorption)

ROUTEONSETPEAKDURATION
PO1 mo3–6 mo3 wk–7 mo

†After discontinuation of alendronate.

Patient/Family Teaching

Pronunciation

a-LEN-drone-ate

Pill Image

alendronate_sodium_195_9166.jpg

Code

NDC Code*