We know that as we age, our mothers and grandmothers' bones gradually weaken. Sometimes, even a small fall can break an arm or a leg. The main reason for this is a condition called 'Osteoporosis'. So, a special medicine that doctors prescribe to treat this is Risedronate. You may have received this under the brand name Atelvia. This medicine helps a lot in strengthening bones. Let's talk about this clearly and simply today.
What really happens with this medicine?
Simply put, this medicine called Risedronate works by slowing down the rate at which calcium is lost from your bones. Our bones are constantly being replaced and old cells are being broken down. In osteoporosis, the rate at which new bones are broken down is greater than the rate at which new ones are formed. Then the bones become weak, porous, and easily broken.
This medicine works like a protector for the bones. It stops the bones from melting, increases their density, and strengthens them. This greatly reduces the risk of fractures, even in the event of a sudden fall.
The most important things to tell your doctor before taking medication
It is very important to inform your doctor about your complete health history before starting this medication. Be sure to tell him/her if you have any of the conditions listed below.
| Do you have these conditions? | Reasons to be concerned |
|---|---|
| Low calcium levels in the blood | This medication can further lower calcium levels, so it must be corrected first. |
| Kidney disease | Since the drug is eliminated from the body through the kidneys, kidney function must be taken into account. |
| Difficulty swallowing or intestinal/stomach diseases | There is a risk of problems with swallowing the medicine or stomach. |
| Dental disease | There is a small risk of jaw bone problems when taking this medication. It is important to address dental problems early. |
| If you have difficulty sitting/standing upright for 30 minutes | Since it is essential to remain upright after taking the medication, if that is not possible, another option should be considered. |
| If you are pregnant, trying to get pregnant, or are a breastfeeding mother | Since the safety of the medication has not been established in these cases, it is essential to seek medical advice. |
| Other diseases (cancer, bleeding disorders) or medications (e.g. steroids) | It is important to inform your doctor about your other medical conditions and medications you are taking. |
How exactly do I use this medicine?
To get the most out of this medication and minimize side effects, it is very important to take it exactly as directed .
- One pill per week: This medication is not meant to be taken daily. You are prescribed to take it on the same day of the week (for example, every Monday).
- After breakfast: This is the most important thing. Unlike other osteoporosis medications, this delayed-release pill called Atelvia should be taken right after breakfast . Do not take it on an empty stomach.
- Drink only with water: The pill should be swallowed with a glass of plain water only. It is strictly forbidden to drink it with things like milk, tea, coffee, fruit drinks, etc. because these things reduce the absorption of the medicine into the body.
- Swallow the tablet whole: Do not chew, crush, or break the tablet. It should be swallowed whole.
- Stay upright for 30 minutes: Do not lie down for at least 30 minutes after taking the medicine. Do not lie down or recline in a chair. Sit upright, stand, or walk around the house. This is to prevent the medicine from getting stuck in your throat or esophagus and causing damage.
- Do not take other things: Do not take any other medicine, vitamins, calcium pills, iron pills, or antacids (medicine for stomach ulcers) for 30 minutes after taking the medicine.
Important: Do not stop taking this medication unless your doctor tells you to. It may take several months to see results, so it is important to continue using it.
What to do if you miss a dose of medication?
Imagine you forgot to take this on a weekday. Don't worry. Take the pill the next morning as soon as you remember. Then go back to your usual day of the week (e.g. Monday). But never take two pills in one day .
Are there any side effects?
Like any medicine, this can cause side effects in some people. But not everyone gets them. Let's see what they are.
| Side effect | Description and what to do |
|---|---|
| Side effects that should be reported to your doctor immediately | |
| Severe bone, joint, or muscle pain | If you experience unbearable, severe pain, tell us immediately. |
| Jaw pain, swelling | Be especially aware of any pain or swelling that occurs after a tooth is extracted. |
| Difficulty or pain in swallowing, chest pain | This could be a sign of a problem with the esophagus. |
| Allergic reactions | Symptoms such as skin rash, itching, swelling of the face/lips/tongue. |
| Tell your doctor if it persists or is bothersome. | |
| Stomach ache, nausea, diarrhea | These usually subside within a few days, but let us know if they persist. |
| Headache, dizziness | These may occur as the body adjusts to the medication. |
What if I take too much medicine?
If you think you have taken too much of this medicine by mistake, call the National Poisons Information Centre at the Colombo National Hospital immediately. Or go to the Emergency Treatment Unit (ETU) of the nearest hospital. At that time, drinking a glass of water or milk can reduce the damage to the stomach. But do not try to induce vomiting.
Take-Home Message
- Risedronate (Atelvia) is a medication that must be taken once a week, after breakfast , with water only.
- Do not lie down for 30 minutes after taking the medicine. Sit or stand upright.
- Before taking this medicine, tell your doctor about all your medical conditions and other medications you are taking.
- Take special care of your dental health. It is a good idea to have a dental checkup before starting the medication.
- If you experience severe bone pain, jaw pain, or difficulty swallowing, notify your doctor immediately.
- Do not stop taking the medication or change the dosage without your doctor's advice.
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