英文药名: Fosamax(Alendronate Solution)

中文药名: 福善美（阿仑膦酸钠口服溶液）

生产厂家: Merck Frosst
药品名称和成分
阿仑膦酸钠片
【英文名】Alendronate Sodium Tablets
【成份】阿仑膦酸钠
【性状】白色片
药理毒理
阿仑膦酸钠为氨基二膦酸盐骨吸收抑制剂,与骨内羟磷灰石有强亲和力。本品是通过抑制破骨细胞的活性而发挥抗骨吸收作用。其特点是抗骨吸收活性强,无骨矿化抑制作用。
适应症
适应于治疗绝经后妇女的骨质疏松症。
用法用量
口服,每日早餐前至少30分钟空腹用200ml温开水送服,一次10mg,一日1次。
如果您有任何疑问，请遵医嘱。
不良反应
服用后耐受性良好,少数病人可见胃肠道反应,如恶心、腹胀、腹痛等,偶有头痛、骨胳肌痉痛等,罕见皮疹或红斑。
禁忌
1 对本品过敏者禁用。
2 低钙血症患者禁用。
3 孕妇、哺乳期妇女禁用。
注意事项
1 早餐前至少30分钟用200ml温开水送服,用药后至少30分钟方可进食。
2 与桔子汁和咖啡同时服用会显著地减少本品的吸收。
3 在服用本品前后30分钟内不宜饮用牛奶、奶制品和含较高钙的饮料。
4 服药后即卧床有可能引起食道刺激或溃疡性食管炎。
5 胃肠道紊乱、胃炎、食道不适、十二指肠炎、溃疡病患者慎用。
6 婴幼儿、青少年不宜服用。
7 中、重度肾功能不全患者不宜服用。
8 开始使用本品治疗前,必须治愈钙代谢和矿物质代谢紊乱、维生素D缺乏及低钙血症。
9 补钙剂、抗酸剂和一些口服药剂很可能妨碍本品的吸收,因此,服用本品后应至少推迟半小时再服用其它药物。
10 男性骨质疏松症用药的安全性和有效性尚未验证,不推荐使用。
贮藏
密闭保存。

Fosamax 70 mg/75 mL oral solution

Medication name
Generic name: Alendronate 70 Mg Weekly Solution - Oral
Brand name(s): Fosamax
Uses
Alendronate is used to prevent and treat certain types of bone loss (osteoporosis) in adults. Osteoporosis causes bones to become thinner and break more easily. Your chance of developing osteoporosis increases as you age, after menopause, or if you are taking corticosteroid medications (such as prednisone) for a long time.This medication works by slowing bone loss. This effect helps maintain strong bones and reduce the risk of broken bones (fractures). Alendronate belongs to a class of drugs called bisphosphonates.
How to use
Read the Medication Guide provided by your pharmacist before you start taking alendronate and each time you get a refill. Follow the instructions very closely to make sure your body absorbs as much drug as possible and to reduce the risk of injury to your esophagus. If you have any questions, ask your doctor or pharmacist.This medication is taken once per week. Choose the day of the week that best fits your schedule and take it on that day each week.Take this medication by mouth, after getting up for the day and before taking your first food, beverage, or other medication. Drink at least 2 ounces (60 milliliters) of plain water after taking liquid alendronate. Then stay fully upright (sitting, standing, or walking) for at least 30 minutes and do not lie down until after your first food of the day. Alendronate works only if taken on an empty stomach. Wait at least 30 minutes (preferably 1 to 2 hours) after taking the medication before you eat or drink anything other than plain water.Do not take this medication at bedtime or before rising for the day. It may not be absorbed and you may have side effects.Calcium or iron supplements, vitamins, antacids, coffee, tea, soda, mineral water, calcium-enriched juices, and food can decrease the absorption of alendronate. Do not take these for at least 30 minutes (preferably 1 to 2 hours) after taking alendronate.Take this medication regularly to get the most benefit from it. Remember to take it on the same day each week. It may help to mark your calendar with a reminder. Talk to your doctor about the risks and benefits of long-term use of this medication.
Precautions
Before taking alendronate, tell your doctor or pharmacist if you are allergic to it; or to other bisphosphonates; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.Before using this medication, tell your doctor or pharmacist your medical history, especially of: disorders of the esophagus (such as esophageal stricture or achalasia), trouble swallowing, trouble standing or sitting upright for at least 30 minutes, low calcium levels, kidney problems, stomach/intestinal disorders (such as ulcers).Infrequently, people taking bisphosphonates have had serious jawbone problems (osteonecrosis). Poor dental hygiene, poorly fitting dentures, or having certain dental work (such as tooth removal, dental surgery) may increase your risk. Medical conditions (such as gum disease/infection, cancer, anemia) might also increase the risk. If you develop jaw pain, tell your doctor and dentist immediately.Before having any surgery (especially dental procedures), tell your doctor and dentist about this medication and all other products you use (including prescription drugs, nonprescription drugs, and herbal products). Your doctor or dentist may tell you to stop taking alendronate before your surgery. Follow all instructions about stopping or starting this medication.This drug is not recommended for use in children. Studies have shown that many children who took this drug had severe side effects such as vomiting, fever, and flu-like symptoms.Caution is advised if you are pregnant or planning to become pregnant in the future. Alendronate may stay in your body for many years. Its effects on an unborn baby are unknown. Discuss the risks and benefits with your doctor before starting treatment with alendronate.It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding.
Drug interactions
See also How to Use section.Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.
Side effects
Stomach pain, constipation, diarrhea, gas, or nausea may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.Tell your doctor right away if you have any serious side effects, including: jaw pain, swelling of joints/hands/ankles/feet, increased or severe bone/joint/muscle pain, new or unusual hip/thigh/groin pain, black/tarry stools, vomit that looks like coffee grounds.This medication may infrequently cause serious irritation and ulcers of the esophagus. If you notice any of the following unlikely but very serious side effects, stop taking alendronate and talk to your doctor or pharmacist right away: new or worsening heartburn, chest pain, pain or difficulty when swallowing.A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Missed dose
If you miss a dose, take it the next morning after you remember. Then resume taking your weekly dose on your originally scheduled day of the week. Do not take two doses on the same day.
Overdose
If overdose is suspected, contact a poison control center or emergency room immediately. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: severe stomach pain, painful heartburn, pain in the esophagus (chest pain), muscle weakness/cramps, mental/mood changes.
Notes
Do not share this medication with others.Lifestyle changes that help promote healthy bones include increasing weight-bearing exercise, stopping smoking, limiting alcohol, and eating well-balanced meals that contain adequate calcium and vitamin D. You may also need to take calcium and vitamin D supplements. Consult your doctor for specific advice.Laboratory and/or medical tests (X-rays, height measurement, blood mineral levels) should be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.
Storage
Store at room temperature away from light and moisture. Do not freeze or store in the bathroom. Keep all medications away from children and pets.Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.