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Dr. Banita Sehgal
Internal Medicine Physician
My approach to healthcare is rooted in building genuine partnerships with my patients.
Taking the time to understand their needs and goals helps us collaborate effectively and find the best path forward together. What I love most about my work is being someone they can count on — familiar, accessible, and focused on their well-being.
Alendronate FAQs
For best results, it’s recommended that you take alendronate at the same time every day, on an empty stomach, with a full glass of water. Alendronate should not be taken in combination with other medications, vitamins, or supplements. To avoid risking unwanted side effects, be sure not to lie down for half an hour after taking alendronate.
Alendronate is often prescribed to be taken once a week because of its long-lasting effect on bone turnover. The medication works by slowing down the breakdown of bone (resorption) and increasing bone density over time.
The once-weekly dosing schedule helps maintain a consistent level of the drug in the body, providing continuous protection against bone loss and reducing the risk of fractures.
This less frequent dosing regimen can also improve adherence to the treatment plan, as it may be more convenient for patients compared to daily dosing.
The effects of alendronate start to happen after about one month of taking the medication. But, it may take up to 12 months for the medication to take full effect in bone protection.
Alendronate may remain in your body for many years after stopping the medication.
These drugs are not broken down in the body but are either removed through the kidneys or stored in the bones. The drug amount in the bones increases with use. Once in the bones, there's no known way to remove the medication.
How long the drug's effects last is still unclear. After taking alendronate for five years, markers showing bone activity stay low for at least another five years after stopping the medication.
It's essential to consult with a healthcare provider or pharmacist before taking any other medications while on alendronate. Some medications may interact with alendronate, affecting its effectiveness or increasing the risk of side effects.
You should never take an alendronate pill at the same time as other medications, vitamins, or even food.
Certain medications, such as calcium supplements, antacids containing aluminum or magnesium, and some oral medications, can interfere with the absorption of alendronate.
It's generally recommended to wait at least 30 minutes to an hour after taking alendronate before consuming other medications or supplements to ensure proper absorption.
Additionally, some medications may increase the risk of gastrointestinal side effects, such as stomach upset or irritation, when taken with alendronate.
The cost of alendronate can vary depending on several factors, including the dosage, brand, and pharmacy you visit.
The price for a generic version of alendronate typically ranges from $10 to $50 for a monthly supply without insurance. Brand-name versions like Fosamax or different formulations may be more expensive, sometimes costing over $100 for a monthly supply.
The most common side effects of alendronate include:
- Stomach upset or pain
- Heartburn or acid reflux
- Nausea or vomiting
- Diarrhea or constipation
- Bone, joint, or muscle pain
- Headache
Less commonly, alendronate can cause more severe side effects, such as:
- Difficulty swallowing
- Chest pain
- Jaw pain or numbness
- Severe bone, joint, or muscle pain
- Unusual thigh bone fractures
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If you experience any of these severe side effects or have persistent or bothersome symptoms while taking alendronate, it's essential to contact your healthcare provider immediately. They can evaluate your symptoms and determine if any changes to your treatment plan are necessary.
LifeMD offers patients access to licensed healthcare providers who can offer guidance on healthcare concerns. Through our virtual platform, you can schedule same-day appointments and meet with a medical professional from the comfort of your home.
Your healthcare provider may prescribe you a medication if appropriate, and order it to your local pharmacy for your convenience. Skip the waiting room with LifeMD, make an appointment today to get started.