NOTICE: This Consumer Medicine Information (CMI) is intended for persons
living in Australia. This page contains answers to some common
questions about . It does
not contain all the information that is known about
. It does not take the
place of talking to your doctor or pharmacist. All medicines have risks
and benefits. Your doctor has weighed the risk of you using this medicine
against the benefits he/she expects it will have for you. If you have
any concerns about using this medicine, ask your doctor or pharmacist.
Bookmark or print this page, you may need to read it again.
What this medicine is used for
The name of your medicine is Alendronate Plus D3 Sandoz. It contains the active ingredients alendronate sodium and colecalciferol.
required for calcium absorption and healthy bones.
cycle. Until our late 20s, while bones are still developing, we gain bone by building more than we lose. From then until about
age 35 the process is usually in balance, so that the amount of bone lost is about equal to the amount that is replaced. After
about age 35 this balance is disturbed, with bone loss occurring at a slightly faster rate than it can be replaced. In women,
after menopause, hormonal changes cause bone loss at an even faster rate. When bone loss is excessive, bones can become thinner
and weaker, and therefore are more likely to break.
which causes bones to become more porous, gradually making them weaker, more brittle and likely to break.
hormone, oestrogen, or are removed (which may occur, for example, at the time of a hysterectomy). At this time, bone is removed
faster than it is formed, so bone loss occurs and bones become weaker. The earlier a woman reaches the menopause, the greater
the risk of osteoporosis.
Although fractures usually cause pain, fractures of the bones of the spine may go unnoticed until they cause height loss.
Fractures may occur during normal, everyday activity, such as lifting, or from minor injury that would not ordinarily fracture
normal bone. Fractures usually occur at the hip, spine, or wrist and can lead not only to pain, but also to considerable deformity
and disability, such as stooped posture from curvature of the spine, and loss of mobility.
What should I know about vitamin D?
to summer sunlight, which makes vitamin D in our skin. Clothing or sun block can prevent enough sunlight from getting through.
In addition, as people age, their skin becomes less able to make vitamin D. Very few foods are natural sources of vitamin
are eating a diet rich in calcium or taking a calcium supplement, your body cannot absorb calcium properly unless you have
enough vitamin D. Too little vitamin D may lead to bone loss and osteoporosis. Severe vitamin D deficiency may cause muscle
weakness which can lead to falls and a higher risk of fracture.
How it works
normal bone. Alendronate not only helps prevent the loss of bone but actually helps to rebuild bone and make bone less likely
months or more.
Use in children
Before you take this medicine
You should know that in some people, Alendronate Plus D3 Sandoz can irritate or burn the food pipe (also called oesophagus).
When you must not take it
Before you start to take it
You plan to become pregnant or breast-feed
You have any medical conditions, especially the following:
You have any allergies to any other medicines or any other substances, such as foods, preservatives or dyes
You have dental or jaw-bone problems or are planning to have a course of dental surgery.
You currently smoke or have been a smoker in the past.
Taking other medicines
food shop, including herbal medicines.
with absorption. Check with your doctor or pharmacist if you are not sure whether you are taking any of these medicines.
Your doctor or pharmacist has more information on medicines to be careful with or avoid while taking Alendronate Plus D3 Sandoz.
How to take this medicine
in this leaflet.
How much to take
When and how to take it
drinks, including fruit juices, coffee and tea, will reduce the effect of this medicine by interfering with the absorption
into the body.
plain tap water during this time.
It is important to stay upright (sitting, standing or walking around) for at least 30 minutes after swallowing your tablet.
your food pipe (oesophagus).
into the body.
How long to take it for
bone, if you take it every week.
If you forget to take it
Do not take two tablets on the same day. Return to taking one tablet once a week, as originally scheduled on your chosen day.
If you take too much (overdose)
Information Centre (Tel: 13 11 26 in Australia) for advice. Alternatively go to the Accident and Emergency department at your
While you are taking this medicine
Things you must do
call your doctor.
Things you must not do
Things to be careful of
Individual responses to this medicine may vary (see Side Effects).
Things that would be helpful for your osteoporosis
and for more information.
Talk to your doctor before you begin any exercise program.
a calcium supplement. Your doctor will advise you.
may ask you to stop smoking or at least cut down.
you may increase your risk of developing osteoporosis.
Possible side effects
any questions or concerns.
medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment
if you get some of the side effects
flu-like symptoms typically at the start of treatment, such as aching muscles, generally feeling unwell and rarely fever.
extraction or other work that involves drilling into the jaw-bone.
Rarely, these side effects may be serious.
Rarely, stomach or duodenal ulcers (some severe) have occurred, but it is not known whether these were caused by this medicine.
tell your doctor immediately or go to the Accident and Emergency department at your nearest hospital.
Storage and disposal
can dispose of the remaining medicine safely.