Alendronate Newbie

Posted by aacatsaregreat @aacatsaregreat, Aug 1, 2024

Hello everyone! I was so glad to discover this forum. I have a few questions about alendronate which I hope won't be too repetitive of what I've been able to read on the forum thus far.

I'm 65 years old. I began taking alendronate (70 mg, once a week) on June 18, 2024. I took my 7th dose this week. I was wary of taking it to begin with, as my now 94 year old mother was prescribed it some years back, suffered a number of side effects, and quit after just a couple weeks. So far I've not been troubled by any major side effects. I was quite sore the day after taking the first dose (lower back, hips, lower ribs) but I'm not totally convinced it was from the alendronate as I was doing some major work around the house which would have made me achy anyway. I haven't been sore at all since. Other than that I've only noticed some tiredness during the late afternoon of the day I take it and have suffered a few dizzy spells.

My doctor prescribed an initial 12 weeks of the med, plus one refill (I assume just one refill based on how it might affect me). I have a follow-up appointment with the doctor soon, and I guess I'm curious as to what happens now, as we didn't really discuss beyond the 12 weeks. Will there be follow-up tests, blood tests, how long before another bone density scan, etc? I'm hoping some of you can fill me in on some of the details, as you've gone through the process before.

I was shocked when I was shown my scan results, I never even thought about having osteoporosis! I exercise almost daily, eat balanced meals, have never smoked and drink maybe two glasses of wine a year if that. I hope to learn a lot in this forum!

Thanks in advance for any comments or words of wisdom.

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

@mmoanritkian

The day after was very bad, yesterday much improved. Thanks for your encouragement. My worry is: will I feel crappy after taking my second ever dose on Monday. Does it make you achy while it’s still in your system?

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I am very careful with fosamax and drink 8 or more ounces of water after taking it and make sure to remain upright. It really doesn't make me feel bad or achy at all, but that's me. I read all kinds of cautions about the drug and know some have bad reactions to it. I thank my luck star that I haven't had a bad reaction to it.

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@lalaj

I am very careful with fosamax and drink 8 or more ounces of water after taking it and make sure to remain upright. It really doesn't make me feel bad or achy at all, but that's me. I read all kinds of cautions about the drug and know some have bad reactions to it. I thank my luck star that I haven't had a bad reaction to it.

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My endocrinologist told me to drink only 8 ox of water when i take my pill. That was after I had my blood work done and my numbers were not good. I reduced my water to 8oz and 3 months later was retested with optimal results.

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@mmoanritkian

@jenatsky
If we don’t grow new bone at 65 plus, why the heck take anything? I’ve had a reaction to Alendronate a day after taking it the first time. It basically sucked. It was like the flu without a fever.
But I’m not going with the prolia as originally suggested.
I’m trying to weight everything now and am pretty confused and frustrated.

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@mmoanritkian

I've been taking Alendronate (70 mg weekly) for one year now. As I mentioned in my original post, I did have side effects the day after my first dose. I was quite sore, but that was it. The soreness lasted just the one day and has not re-occurred.

It's very important that you follow the directions very carefully for taking the medication in order to eliminate some possible side effects. I take it first thing in the morning, before eating anything, on my chosen day. I drink a few sips of water, swallow the pill with about half a bottle (8 ounces) of water, then slowly drink the remaining water. I remain standing and moving about for at least 30 minutes after taking the pill -- I usually wander outside in the garden or do chores that allow me to remain upright. I have breakfast about 45 minutes after taking the med. I've never had any problems with stomach pain or esophageal pain. I have had a few minor muscle or bone aches/pains off and on but I can't swear they're from the Alendronate.

I'll take this med as long as my doctor prescribes. Beyond that I have no inclination to try any of the other medications. I see my doctor every 3 to 4 months; I have labs done prior to each appointment to check levels of Vitamin D -- I take 2000 units (50 mcg) daily along with whatever amount is in my daily vitamin -- and calcium. I'll have another scan done next year to find out how I'm progressing.

Good luck to you on your journey. Give the Alendronate a chance. Have you taken subsequent doses? Has there been a difference in your side effects?

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@maggieb892

My endocrinologist told me to drink only 8 ox of water when i take my pill. That was after I had my blood work done and my numbers were not good. I reduced my water to 8oz and 3 months later was retested with optimal results.

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Thanks! That's very interesting. and I will do that from now on.

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@aacatsaregreat

@mmoanritkian

I've been taking Alendronate (70 mg weekly) for one year now. As I mentioned in my original post, I did have side effects the day after my first dose. I was quite sore, but that was it. The soreness lasted just the one day and has not re-occurred.

It's very important that you follow the directions very carefully for taking the medication in order to eliminate some possible side effects. I take it first thing in the morning, before eating anything, on my chosen day. I drink a few sips of water, swallow the pill with about half a bottle (8 ounces) of water, then slowly drink the remaining water. I remain standing and moving about for at least 30 minutes after taking the pill -- I usually wander outside in the garden or do chores that allow me to remain upright. I have breakfast about 45 minutes after taking the med. I've never had any problems with stomach pain or esophageal pain. I have had a few minor muscle or bone aches/pains off and on but I can't swear they're from the Alendronate.

I'll take this med as long as my doctor prescribes. Beyond that I have no inclination to try any of the other medications. I see my doctor every 3 to 4 months; I have labs done prior to each appointment to check levels of Vitamin D -- I take 2000 units (50 mcg) daily along with whatever amount is in my daily vitamin -- and calcium. I'll have another scan done next year to find out how I'm progressing.

Good luck to you on your journey. Give the Alendronate a chance. Have you taken subsequent doses? Has there been a difference in your side effects?

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Hello.
Haha this is what my brain wants to hear! I’m fairly anxious about my second dose of this on Tuesday. Hopefully I’ll fall into your group, that experienced initial side effects. I do have GERD, so yah, it was thought with the esophagus activity!
I do understand “the rules” as my drill sergeant, ah… I mean Doc, made me swear I’d follow the instructions to a T. That’s ok because I’m like that. I’ll follow instructions when it comes to medical care.
Yes I figure I’ll give it 4 doses to see what’s up.
I’m going to my dentist on tues and he’ll check out my teeth and gum stability bc I do know that those osteoporosis drugs help strengthen bones but big bones first. So the jaw is the weak link. Kinda troubling since I’ve had zero dental issues ever.
In any case, I’ll keep you all posted as it would be fabulous to have this medication work out for me.
Cheers!

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@mmoanritkian

Hello.
Haha this is what my brain wants to hear! I’m fairly anxious about my second dose of this on Tuesday. Hopefully I’ll fall into your group, that experienced initial side effects. I do have GERD, so yah, it was thought with the esophagus activity!
I do understand “the rules” as my drill sergeant, ah… I mean Doc, made me swear I’d follow the instructions to a T. That’s ok because I’m like that. I’ll follow instructions when it comes to medical care.
Yes I figure I’ll give it 4 doses to see what’s up.
I’m going to my dentist on tues and he’ll check out my teeth and gum stability bc I do know that those osteoporosis drugs help strengthen bones but big bones first. So the jaw is the weak link. Kinda troubling since I’ve had zero dental issues ever.
In any case, I’ll keep you all posted as it would be fabulous to have this medication work out for me.
Cheers!

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Have you taken your second dose yet? Side effects?

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