Fosamax and Men
Studies have shown that the drug can help increase bone mineral density in men with osteoporosis and can help prevent loss of height due to the disease. Studies have not shown that the drug prevents broken bones in men. However, this is most likely due to the small number of men in Fosamax studies (since studies need many people in order to show any changes in the frequency of broken bones).
Fosamax and Steroids
Osteoporosis is one of the side effects of long-term use of steroids, such as prednisone. Studies have shown that Fosamax can treat osteoporosis in people who take steroids. In these studies, people taking the drug had increased bone mineral density, compared to people not taking it.
Fosamax and Paget's Disease
One way to assess the severity of Paget's disease is by measuring the level of alkaline phosphate in the blood. In studies, Fosamax was shown to decrease alkaline phosphate levels, which indicates that it helps to improve Paget's disease. Studies compared Fosamax with Didronel® (etidronate), a similar medication used to treat Paget's disease. Up to 85 percent of people taking Fosamax achieved normal alkaline phosphate levels or significantly reduced levels, compared to just 30 percent of those taking Didronel.
When and How to Take FosamaxGeneral considerations for when and how to take Fosamax include the following:
- The medication comes in tablet form. Depending on the dose, it is taken by mouth either daily or weekly. A liquid form of the medication is also available to be taken weekly for people who have difficulty swallowing tablets.
- It must be taken first thing in the morning at least 30 minutes before you eat or drink anything (other than water). You must wait at least 30 minutes after taking the medication before eating or drinking anything other than water or taking any medications. Food, beverages, and medications can interact with Fosamax and prevent it from being absorbed into the body.
- Take it with a full glass of plain water only (not coffee, juice, soda, or even mineral water). With liquid Fosamax, you should follow the dose with at least a quarter of a cup of plain water.
- Swallow the tablets whole with a full glass of water while sitting or standing upright. You must not lie down until you have waited at least 30 minutes after the dose and after you have eaten something. The tablets should not be chewed, broken, or sucked on. These precautions are necessary to prevent it from irritating your esophagus.
- You need to make sure that you get enough calcium and vitamin D while taking it, as the medication cannot build bone without these things.
- For the medication to work properly, it must be taken as prescribed. It will not work if you stop taking it.