Alendronate and cholecalciferol

["Before taking this medicine", "You should not take this medicine if you have low levels of calcium in your blood (hypocalcemia), or a problem with the movement of muscles in your esophagus.", "Do not take this medicine tablet if you cannot sit upright or stand for at least 30 minutes Alendronate can cause serious problems in the stomach or esophagus (the tube that connects your mouth and stomach) You will need to stay upright for at least 30 minutes after taking this medication.", "To make sure alendronate and cholecalciferol is safe for you, tell your doctor if you have:", "\\\\nlow blood calcium (hypocalcemia) \\\\n\\\\n\\\\na cancer such as sarcoidosis, leukemia, lymphoma \\\\n\\\\n\\\\na vitamin D deficiency \\\\n\\\\n\\\\nkidney disease or\\\\n\\\\n\\\\nan ulcer in your stomach or esophagus.\\\\n", "In rare cases, this medicine may cause bone loss (osteonecrosis) in the jaw Symptoms include jaw pain or numbness, red or swollen gums, loose teeth, or slow healing after dental work The longer you use alendronate and cholecalciferol, the more likely you are to develop this condition.", "Osteonecrosis of the jaw may be more likely if you have cancer or received chemotherapy, radiation, or steroids Other risk factors include blood clotting disorders, anemia (low red blood cells), and a pre existing dental problem.", "Talk with your doctor about the risks and benefits of using this medication.", "It is not known whether alendronate and cholecalciferol will harm an unborn baby Tell your doctor if you are pregnant or plan to become pregnant while using this medication.", "It is not known whether alendronate and cholecalciferol passes into breast milk or if it could harm a nursing baby Tell your doctor if you are breast-feeding a baby.", "", "How should I take alendronate and cholecalciferol?", "Follow all directions on your prescription label Do not take alendronate and cholecalciferol in larger or smaller amounts or for longer than recommended.", "Alendronate and cholecalciferol tablets are taken once each week Choose the day of the week that best fits your schedule Every week, take one alendronate and cholecalciferol tablet on your chosen day.", "Take the alendronate and cholecalciferol tablet first thing in the morning, at least 30 minutes before you eat or drink anything or take any other medicine.", "Take the tablet with a full glass (6 to 8 ounces) of water Use only plain water (not mineral water) when taking this medicine.", "Do not crush, chew, or suck the tablet Swallow the pill whole.", "After taking an alendronate and cholecalciferol tablet, carefully follow these instructions:", "\\\\nDo not lie down or recline for at least 30 minutes after taking alendronate and cholecalciferol.\\\\n\\\\n\\\\nDo not eat or drink anything other than plain water.\\\\n\\\\n\\\\nDo not take any other medicines including vitamins, calcium, or antacids for at least 30 minutes after taking alendronate and cholecalciferol It may be best to take your other medicines at a different time of the day Talk with your doctor about the best dosing schedule for your other medicines.\\\\n", "To be sure this medication is helping your condition, your bone mineral density will need to be tested on a regular basis You may not need to take alendronate and cholecalciferol for longer than 3 to 5 years if you take it for osteoporosis.", "If you need to have any dental work (especially surgery), tell the dentist ahead of time that you are using alendronate and cholecalciferol You may need to stop using the medicine for a short time.", "Alendronate and cholecalciferol is only part of a complete program of treatment that may also include diet changes, exercise, and taking calcium and vitamin supplements Follow your diet, medication, and exercise routines very closely.", "Store at room temperature away from moisture and heat.", "", "", "\\\\n\\\\n"]