What should I watch for?
Visit your doctor or health care professional for regular checkups. It may be some time before you see the benefit from this medicine. Do not stop taking your medicine unless your doctor tells you to. 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.
If you are taking an antacid, a mineral supplement like calcium or iron, or a vitamin with minerals, wait to take them at least 30 minutes after you take this medicine. Do not take them at same time.
This medicine can make you more sensitive to the sun. If you get a rash while taking this medicine, sunlight may cause the rash to get worse. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.
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.
Common and Rare Side Effects
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
Chest pain, discomfort, or burning
difficulty with swallowing
muscle or bone pain
pain with swallowing
Abdominal or stomach cramps
blistering, peeling, or loosening of the skin
bloating or swelling of the face, arms, hands, lower legs, or feet
difficulty with breathing
large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
mood or mental changes
muscle cramps in the hands, arms, feet, legs, or face
numbness and tingling around the mouth, fingertips, or feet
rapid weight gain
red skin lesions, often with a purple center
red, irritated eyes
shortness of breath
sores, ulcers, or white spots in the mouth or on the lips
swelling of the neck
unusual tiredness or weakness
unusual weight gain or loss
Incidence not known
Burning upper abdominal or stomach pain
difficulty with moving
heavy jaw feeling
loosening of a tooth
loss of appetite
muscle aching or cramping
muscle pains or stiffness
pain or burning in the throat
pain, swelling, or numbness in the mouth or jaw
severe bone, joint, or muscle pain
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Acid or sour stomach
excess air or gas in the stomach or intestines
pressure in the stomach
stomach discomfort, upset, or pain
swelling of the abdominal or stomach area
Blurred vision or other change in vision
flushing or redness of the skin
redness of the eye
sensitivity of the eye to light
severe eye pain
unusually warm skin
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.