Why is this medication prescribed?

Actonel with Calcium is a combination medication used to treat or prevent osteoporosis. Osteoporosis is a condition where bones become weak and brittle, making them more prone to fractures.

Here’s a bit more detail on each component:

• Risedronate (the active ingredient in Actonel) is a type of medication known as a bisphosphonate. It helps to strengthen bones by slowing down the process of bone loss, allowing the bone-building process to catch up and increase bone density.
• Calcium is a vital mineral for bone health. It helps maintain bone density and strength.

Combining risedronate with calcium ensures that you’re not only slowing bone loss but also providing your body with the essential nutrients needed to maintain bone health. This combination can be particularly effective for individuals who need both medications to manage their osteoporosis.

How should this medicine be used?

Actonel with Calcium should be used as follows:

• Timing: Typically, you should take the medication on an empty stomach, first thing in the morning. This helps ensure optimal absorption of risedronate.
• Instructions: Take the tablet with a full glass of plain water. This helps prevent irritation of the esophagus. Do not lie down for at least 30 minutes after taking the medication. This allows the medication to move from the esophagus into the stomach properly.
• Food and Other Medications: Avoid eating or drinking anything other than plain water for at least 30 minutes after taking Actonel with Calcium. Certain medications and supplements, especially those containing calcium, magnesium, or iron, can interfere with the absorption of risedronate. It’s generally advised to take them at a different time of day.
• Dosage: Follow the specific dosage instructions provided by your healthcare provider. Typically, it’s taken once a week or as directed.
• Consistency: Take it regularly as prescribed to get the full benefit of the medication.

Always follow the directions provided by your healthcare provider or on the medication packaging, and consult them if you have any questions or concerns about how to take your medication.

Other uses for this medicine

While Actonel with Calcium is primarily prescribed for osteoporosis, it may also be used for:

• Paget’s Disease: A condition where bones grow abnormally and can become weakened.
• Bone Loss Prevention: In individuals at high risk for osteoporosis or other bone loss conditions.

What special precautions should I follow?

When taking Actonel with Calcium, consider the following precautions:

• Esophageal Issues: If you have a history of esophageal problems (e.g., difficulty swallowing, esophageal ulcers), inform your healthcare provider. Risedronate can cause irritation to the esophagus.
• Kidney Function: People with impaired kidney function should use this medication cautiously and may require dose adjustments.
• Dental Health: Notify your dentist that you are taking this medication. There’s a risk of jaw problems, such as osteonecrosis, particularly if you undergo dental procedures.
• Allergies: If you have allergies to risedronate or any other ingredients in Actonel with Calcium, avoid the medication.
• Pregnancy and Breastfeeding: This medication should be used during pregnancy only if clearly needed. It’s important to discuss potential risks with your healthcare provider. It’s also important to talk to your provider if you’re breastfeeding, as risedronate can pass into breast milk.
• Calcium and Vitamin D: Ensure you’re getting the right amount of calcium and vitamin D through your diet or supplements. These nutrients are crucial for bone health and can affect how well Actonel with Calcium works.
• Other Medications: Inform your healthcare provider about all other medications, including over-the-counter drugs and supplements, to avoid interactions.

Always follow your healthcare provider’s guidance and consult them if you have any specific concerns or conditions that might affect your use of Actonel with Calcium.

What special dietary instructions should I follow?

• Timing of Meals: Take Actonel with Calcium on an empty stomach, at least 30 minutes before eating or drinking anything other than plain water. This maximizes absorption.
• Calcium and Vitamin D: Follow your provider’s recommendations on calcium and vitamin D intake. Too much or too little can affect how well the medication works.
• Avoid Certain Foods: Avoid taking other supplements or medications that contain calcium, magnesium, or iron within 30 minutes of taking Actonel with Calcium, as they can interfere with absorption.

What should I do if I forget a dose?

• Weekly Dosage: If you miss a weekly dose, take it as soon as you remember. If it’s almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take two doses at once to make up for a missed dose.
• Daily Dosage: If you miss a daily dose, take it as soon as you remember. If it’s close to the time of your next dose, skip the missed dose and continue as usual. Don’t double up on doses.

What side effects can this medication cause?

Actonel with Calcium can cause a range of side effects. Here’s a summary of both common and serious side effects:

Common Side Effects:

• Gastrointestinal Issues:
  • Nausea
  • Heartburn
  • Abdominal pain
  • Constipation or diarrhea
• Musculoskeletal Pain: Muscle or joint pain

Serious Side Effects:

• Esophageal Problems: Difficulty swallowing and severe heartburn or pain in the chest or throat
• Bone, Joint, or Muscle Pain: Severe or unusual bone, joint, or muscle pain
• Osteonecrosis of the Jaw: Pain, swelling, or sores in the mouth or jaw, or a feeling of loose teeth. This risk is higher with dental procedures.
• Allergic Reactions: Rash, itching, swelling, severe dizziness, or trouble breathing
• Kidney Issues: Symptoms such as swelling in your legs or feet, or changes in urination

• Low Blood Calcium: Symptoms might include muscle cramps or spasms, or numbness and tingling in your fingers or toes.
• High Blood Calcium: Symptoms might include excessive thirst, frequent urination, nausea, or vomiting.

If you experience any severe side effects or symptoms that concern you, contact your healthcare provider immediately. Regular check-ups can help monitor and manage any potential issues.

What should I know about storage and disposal of this medication?

Storage and Disposal:

Storage:

• Keep at Room Temperature: Store Actonel with Calcium at room temperature, away from moisture and heat.
• Original Container: Keep the medication in its original container to protect it from moisture.
• Out of Reach: Store it in a safe place, out of reach of children and pets.

Disposal:

• Do Not Flush: Do not flush medications down the toilet or sink unless instructed to do so.
• Take-Back Programs: Check for local drug take-back programs or pharmacies that offer medication disposal services.
• Household Disposal: If no take-back options are available, mix the medication with an undesirable substance (like used coffee grounds or kitty litter) in a sealed bag or container, and throw it away with your household trash. Be sure to scratch out any personal information on the prescription label to protect your privacy.

In case of emergency/overdose

• Contact Emergency Services: Call emergency services or go to the nearest emergency room if you suspect an overdose or experience severe symptoms.
• Possible Symptoms: Overdose of Actonel with Calcium may lead to symptoms such as severe gastrointestinal issues, esophageal irritation, or unusual muscle or joint pain.
• What to Do: Seek immediate medical attention if you experience any of these symptoms or suspect an overdose.

What other information should I know?

• Regular Monitoring: Regular follow-ups with your healthcare provider are important to monitor your response to the medication and to adjust dosage if needed.
• Interaction with Other Medications: Inform your healthcare provider of all other medications and supplements you are taking to avoid potential interactions.
• Lifestyle and Diet: Maintain a balanced diet rich in calcium and vitamin D, and follow any additional lifestyle recommendations from your healthcare provider to support bone health.
• Adherence: Take the medication exactly as prescribed to ensure its effectiveness and reduce the risk of side effects.
• Consult Your Provider: If you have any questions about the medication, including potential interactions, side effects, or changes in your health status, consult your healthcare provider.