What should I watch for?
Visit your doctor or health care professional for regular checks on your progress. Your doctor may order blood tests and other tests to see how you are doing.
You should make sure you get enough calcium and vitamin D while you are taking this medicine, unless your doctor tells you not to. Discuss the foods you eat and the vitamins you take with your health care professional.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.
Talk to your doctor about your risk of cancer. You may be more at risk for certain types of cancers if you take this medicine.
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.
Also, because of the way these medicines act on the body, there is a chance that they might cause other unwanted effects that may not occur until months or years after the medicine is used. These delayed effects may include certain types of cancer, such as bone cancer. Discuss these possible effects with your doctor.
Check with your doctor immediately if any of the following side effects occur:
loss of appetite
Arm, back, or jaw pain
chest pain or discomfort
chest tightness or heaviness
difficult or labored breathing
fast or irregular heartbeat
fever or chills
shortness of breath
tightness in the chest
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
body aches or pain
difficulty having a bowel movement (stool)
difficulty with moving
lack or loss of strength
muscle pain or stiffness
pain in the joints
pounding in the ears
tender, swollen glands in the neck
trouble with swallowing
Abdominal or stomach cramps
feeling of constant movement of self or surroundings
feeling sad or empty
lack of appetite
loss of interest or pleasure
sensation of spinning
swollen mouth and tongue
urge to have bowel movement
Pain at the place of injection during or following the injection
tingling feeling in the hands and feet
urge for bowel movement
Incidence not known
Bruising at the injection site
minor bleeding at the injection site
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.