CALCIUM CARBONATE; RISEDRONATE (KAL see um KAR bon ate; ris ED roe nate) reduces calcium loss from bones. It is used to prevent and to treat osteoporosis.
Follow the directions on the prescription label. Take risedronate on the same day of the week, every week. Take calcium on the other 6 days of the week.
On the day you take the risedronate:
You must take this medicine exactly as directly or you will lower the amount of the medicine that you absorb into your body or you may cause yourself harm. Take this medicine by mouth first thing in the morning, after you are up for the day. Do not eat or drink anything before you take this medicine. Swallow the tablet with a full glass (6 to 8 ounces) of plain water. Do not take this medicine with any other drink. Do not chew or crush the tablet. After taking this medicine, do not eat breakfast, drink, or take any other medicines or vitamins for at least 30 minutes. Stand or sit up for at least 30 minutes after you take this medicine; do not lie down. Take this medicine on the same day every week. Do not take your medicine more often than directed.
On the days you take the calcium:
Take your calcium tablet with food on the 6 days of the week that you do not take risedronate. Do not take other medicines at the same time as your calcium.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
black or tarry stools
changes in vision
heartburn or stomach pain
jaw pain, especially after dental work
pain or difficulty when swallowing
redness, blistering, peeling, or loosening of the skin, including inside the mouth
unusually weak or tired
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
bone, muscle, or joint pain
changes in taste
diarrhea or constipation
eye pain or itching
nausea or vomiting
stomach gas or fullness
Do not take this medicine with any of the following medications:
This medicine may also interact with the following medications:
antacids like aluminum hydroxide or magnesium hydroxide
antibiotics like ciprofloxacin, tetracycline and others
drugs for inflammation like ibuprofen, naproxen, and others
NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen
steroid medicines like prednisone or cortisone
vitamins with minerals
If you miss a dose of risedronate, take the dose on the morning after you remember. Then take your next dose on your regular scheduled day of the week. Never take 2 tablets on the same day. Do not take double or extra doses.
If you miss a dose of calcium, take it as soon as you remember with your next meal. Do not take 2 tablets with the same meal.
Do not take calcium and risedronate tablets at the same time.
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.
They need to know if you have any of these conditions:
esophageal, stomach, or intestinal problems, like acid reflux or GERD
kidney stones or disease
low or high blood calcium
problems sitting or standing for 30 minutes
an unusual or allergic reaction to calcium, risedronate, other bisphosphonates or medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
Visit your doctor or health care professional for regular check ups. It may be some time before you see the benefit from this medicine. Your doctor may order blood tests or other tests to see how you are doing.
You should make sure that you get enough calcium and vitamin D while you are taking this medicine. Discuss the foods you eat and the vitamins you take with your health care professional.
Some people who take this medicine have severe bone, joint, and/or muscle pain. This medicine may also increase your risk for a broken thigh bone. Tell your doctor right away if you have pain in your upper leg or groin. Tell your doctor if you have any pain that does not go away or that gets worse.