1. Gastrointestinal Symptoms
Fosamax (alendronate) is a bisphosphonate used to treat some cases of osteoporosis and bone cancer. Among the three types of side effects of Fosamax, gastrointestinal (GI) tract symptoms are the most prevalent. Stomach cramps, esophageal pain and heartburn can be severe, but you may be able to alleviate these symptoms with over-the-counter medications.
Treat GI discomfort as you would an ulcer or heartburn. Use a nonprescription remedy for acid reflux. Unfortunately, this remedy may exacerbate symptoms of diarrhea or intestinal gas. In this case, you can drink milk and limit spicy foods or other known GI irritants in place of medication until the flare-up subsides. Fiber supplements can alleviate diarrhea side effect symptoms.
2. General Pain and Eye Irritation
A second class of Fosamax side effects--muscle pain and eye disorders--is less common and more difficult to treat on your own. While you can relieve general muscle, bone or joint aches with aspirin, ibuprofen or acetaminophen, long-term use of these drugs is not recommended. If you have such nonspecific pain, it may be related to a condition other than osteoporosis. A doctor can get you the right prescription for painful side effects.
You should also see a physician to treat eye inflammation or vision problems. Eye redness or swelling can indicate many conditions, so let your doctor make the call on which medication is needed.
3. Rare but Serious Trauma to the Jaw
Osteonecrosis of the jaw, or the death of mandibular bone tissue, is very rare and usually associated with ongoing dental conditions. This third type of Fosamax side effect can also occur in some cancer patients or in those who have had a traumatic injury to the jaw. The distinguishing symptom of this progressive side effect is searing or cramping facial pain.
Ibuprofen or acetaminophen will relieve pain for a time, but you should avoid long-term use. In any case, osteonecrosis is a critical condition that requires professional supervision. See a doctor and/or dentist for a diagnosis and advice. Meanwhile, to minimize the risk of infection if your jawbone is fractured, maintain thorough oral hygiene and drink copious liquids.



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