Generic Name and Formulations:
Risedronate (as sodium) 5mg, 30mg, 35mg, 75mg, 150mg; tabs.
Company:
Warner Chilcott Laboratories
Prevention and treatment of postmenopausal osteoporosis and glucocorticoid-induced osteoporosis (men & women). Treatment to increase bone mass in men with osteoporosis. Treatment of Paget's disease of bone.
Swallow whole; take in the AM with a full glass (6–8 oz) plain (not mineral) water at least 30 minutes before other food or drink; take in upright position; do not lie down for at least 30 minutes afterwards. Postmenopausal: 5mg once daily or 35mg once weekly or one 75mg tablet taken on 2 consecutive days per month or one 150mg tablet once monthly. Glucocorticoid-induced: 5mg once daily. Osteoporosis in men: 35mg once weekly. Paget's: 30mg once daily for 2 months; may retreat after a 2-month post-treatment evaluation period.
Not recommended.
Bisphosphonate.
Esophagus abnormalities which delay esophageal emptying (eg, stricture, achalasia). Inability to stand or sit upright for at least 30 minutes. Hypocalcemia.
Active upper GI disease; discontinue and reevaluate if signs/symptoms of esophageal reaction occur. Severe renal impairment (CrCl <30mL/min): not recommended. Correct preexisting hypocalcemia, other mineral or bone disturbances before starting. History of bisphosphonate exposure: evaluate for atypical fractures if thigh/groin pain develops; consider withholding therapy until risk/benefit assessment. Obtain and correct sex steroid hormonal status before initiating therapy in glucocorticoid-induced osteoporosis. Ensure adequate Vit. D and calcium intake. Reevaluate periodically. Pregnancy (Cat.C). Nursing mothers: not recommended.
Calcium, aluminum, magnesium, other divalent cations reduce absorption (separate dosing). Caution with other GI irritants. May interfere with bone-imaging agents.
GI upset, abdominal pain, musculoskeletal pain (may be severe), others; atypical femur fractures; rarely: dysphagia, esophagitis, gastric ulcer, jaw osteonecrosis; hypersensitivity.
Tabs 5mg, 30mg—30; 35mg—4, 12; 75mg—2; 150mg—1, 3