Osteoporosis is a debilitating disease that affects millions of people. Patients who suffer from osteoporosis are at increased risk for bone fractures. In addition, osteoporosis can be painful and result in poor posture. Fosamax is a prescription medication often prescribed to slow or prevent the loss of bone density. In addition to prescription drugs, patients may also consider taking calcium supplements to improve bone health.
Osteoporosis
As bone breakdown outpaces production, bones can become frail and brittle. As a result, patients who suffer from osteoporosis are at increased risk for fractures, especially in the hip and spine. Many factors control the rate of bone turnover, including hormones such as estrogen. As estrogen decreases in older women, they are at a higher risk for developing osteoporosis. Besides loss of bone density, other symptoms of osteoporosis can include bone pain, poor posture and impaired mobility.
Fosamax
Although available as a generic, alendronate is also marketed by Merck pharmaceuticals under the brand name, Fosamax. Alendronate belongs to a class of drugs known as bisphosphonates. Alendronate inhibits the activity of osteoclasts, cells responsible for the breakdown of bone, which slows the progressive loss of bone density.
Fosamax Special Directions
To be effective, Fosamax must be taken according to specific patient instructions. Since food, vitamin, supplements and other medications can interfere with absorption, Fosamax should be taken on an empty stomach with only a glass of water. Fosamax can irritate the lining of the esophagus and can cause esophageal ulcers. As a result, Fosamax should be taken first thing in the morning. Patients are further instructed to not lie down for 30 minutes and before their first meal.
Hypocalcemia
Since bisphosphonates inhibit the breakdown of bone, less calcium from bone is deposited back into the bloodstream. As a result, calcium levels may drop too low, a condition known as hypocalcemia. Fosamax is contraindicated in the presence of hypocalcemia. As other tissues and cells are deprived of calcium, patients may develop symptoms including soft bones, nausea, fatigue and muscle weakness. In severe cases of hypocalcemia, movement disorders and seizures can develop.
Calcium Supplements
According to the National Osteoporosis Foundation, adults ages 50 and over should have an elemental calcium intake of 1,200 mg per day. To maintain appropriate calcium levels in the bloodstream and provide an adequate calcium supply for bone growth, patients may consider taking calcium supplements. A wide variety of calcium products are available over the counter. In addition, these products are often formulated to include vitamin D, which is crucial to promoting calcium absorption. Patients should contact a physician with concerns regarding osteoporosis and treatment.
