More Information About - Bonemas D 70/2800 IU Tab. -
Description
Generic Name
Alendronic Acid + Vitamin D3
Precaution
Upper GI disorders (discontinue if symptoms worsen); history of ulcers, active GI bleeding. Correct vitamin D and calcium deficiency before starting therapy. To be taken half an hr before breakfast and remain upright for at least 30 minutes after admin. Not recommended for use in patients with CrCl <35 ml/min.
Indication
Osteopetrosis, postmenopausal osteoporosis, Paget's disease of bone
Contra Indication
Hypocalcaemia; oesophageal abnormalities and factors which delay oesophageal emptying; severe renal impairment; hypersensitivity; inability to stand or sit upright for <30 min. Pregnancy, lactation.
Dose
N/A
Side Effect
The most common side-effect is digestive reactions. These reactions include irritation, inflammation, or ulcers of the esophagus, which may sometimes bleed. This may occur especially if patients do not drink a full glass of water or if they lie down in less than 30 minutes or before their first food of the day.
Less common side-effects are nausea, vomiting, a full or bloated feeling in the stomach, constipation, diarrhea, black or bloody stools, gas, headache, a changed sense of taste, and bone, muscle, or joint pain.
Pregnancy Category
Name :
Not Classified
Description
FDA has not yet classified the drug into a specified pregnancy category.
Mode of Action
Alendronic acid reduces bone resorption by inhibiting the action of osteoclasts.
Interaction
Concomitant iron, calcium supplements and antacids hinder alendronate absorption. Concomitant aspirin or NSAIDs may increase the incidence of adverse GI effects.
Pregnancy Category Note
Alendronic Acid
Pregnancy
Available data on use in pregnant women insufficient to inform a drug-associated risk of adverse maternal or fetal outcomes; discontinue when pregnancy recognized.
Lactation
Not known whether drug present in human breast mild, affects milk production or has effects on infants
Consider developmental and health benefits of breastfeeding along with mother?s clinical need for therapy and any potential effects on breastfed child from drug or underlying maternal condition
Vitamin D3
Pregnancy
There are no adequate and well-controlled studies in pregnant women
Should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus
Animal studies
Calcifediol has been shown to be teratogenic in rabbits when given in doses 8-16 times the human dose of 60 mcg/day, based on body surface area
Lactation
Limited data suggest calcifediol is poorly excreted in human milk; caution if administered to a breastfeeding female
Adult Dose
Treatment of osteoporosis in postmenopausal women: One tablet once weekly.
Treatment to increase bonemass in men with osteoporosis: One tablet once weekly.
Hepatic Impairment No dosage adjustment needed.
Child Dose
N/A
Renal Dose
Dosing in elderly and renal insufficiency: No dosage adjustment is necessary for the elderly or for patients with mild-to-moderate renal insufficiency (creatinine clearance 35 to 60 mL/min).
CrCl (ml/min)
<35 Not recommended.
Administration
N/A
Disclaimer
The information provided herein are for informational purposes only and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please note that this information should not be treated as a replacement for physical medical consultation or advice. Great effort has been placed to provide accurate and comprehensive data. However, Medicart along with its authors and editors make no representations or warranties and specifically disclaim all liability for any medical information provided on the site. The absence of any information and/or warning to any drug shall not be considered and assumed as an implied assurance of the Company.