Ország: Egyesült Államok
Nyelv: angol
Forrás: NLM (National Library of Medicine)
alendronate sodium (UNII: 2UY4M2U3RA) (alendronic acid - UNII:X1J18R4W8P), cholecalciferol (UNII: 1C6V77QF41) (cholecalciferol - UNII:1C6V77QF41)
Physicians Total Care, Inc.
alendronate sodium
alendronic acid 70 mg
ORAL
PRESCRIPTION DRUG
FOSAMAX® PLUS D is indicated for: For the treatment of osteoporosis, FOSAMAX PLUS D increases bone mass and reduces the incidence of fractures, including those of the hip and spine (vertebral compression fractures). FOSAMAX PLUS D alone should not be used to treat vitamin D deficiency. The safety and effectiveness of FOSAMAX PLUS D for the treatment of osteoporosis are based on clinical data of four years duration. The optimal duration of use has not been determined. All patients on bisphosphonate therapy should have the need for continued therapy re-evaluated on a periodic basis. - Abnormalities of the esophagus which delay esophageal emptying such as stricture or achalasia [see Warnings and Precautions (5.1)] - Inability to stand or sit upright for at least 30 minutes [see Dosage and Administration (2.3), Warnings and Precautions (5.1)] - Hypocalcemia [see Warnings and Precautions (5.2)] - Hypersensitivity to any component of this product. Hypersensitivity reactions including urticaria and angioedema have
No. 3870 — Tablets FOSAMAX PLUS D 70 mg/2800 IU are white to off-white, modified capsule-shaped tablets with code 710 on one side and an outline of a bone image on the other. They are supplied as follows: NDC 54868-5480-0 unit of use blister packages of 4. Storage Store at 20-25°C (68-77°F), excursions between 15-30°C (59-86°F) are allowed. [See USP Controlled Room Temperature.] Protect from moisture and light. Store tablets in the original blister package until use.
New Drug Application
Physicians Total Care, Inc. ---------- MEDICATION GUIDE FOSAMAX® PLUS D (FOSS-ah-max PLUS D) (alendronate sodium/cholecalciferol) Tablets Read the Medication Guide that comes with FOSAMAX® PLUS D before you start taking it and each time you get a refill. There may be new information. This Medication Guide does not take the place of talking with your doctor about your medical condition or treatment. Talk to your doctor if you have any questions about FOSAMAX PLUS D. What is the most important information I should know about FOSAMAX PLUS D? FOSAMAX PLUS D can cause serious side effects including: 1. Esophagus problems 2. Low calcium levels in your blood (hypocalcemia) 3. Bone, joint, or muscle pain 4. Severe jaw bone problems (osteonecrosis) 5. Unusual thigh bone fractures 1. Esophagus problems. Some people who take FOSAMAX PLUS D may develop problems in the esophagus (the tube that connects the mouth and the stomach). These problems include irritation, inflammation, or ulcers of the esophagus which may sometimes bleed. • It is important that you take FOSAMAX PLUS D exactly as prescribed to help lower your chance of getting esophagus problems. (See the section “How should I take FOSAMAX PLUS D?”) • Stop taking FOSAMAX PLUS D and call your doctor right away if you get chest pain, new or worsening heartburn, or have trouble or pain when you swallow. 2. Low calcium levels in your blood (hypocalcemia). FOSAMAX PLUS D may lower the calcium levels in your blood. If you have low blood calcium before you start taking FOSAMAX PLUS D, it may get worse during treatment. Your low blood calcium must be treated before you take FOSAMAX PLUS D. Most people with low blood calcium levels do not have symptoms, but some people may have symptoms. Call your doctor right away if you have symptoms of low blood calcium such as: • Spasms, twitches, or cramps in your muscles • Numbness or tingling in your fingers, toes, or around your mouth Your doctor may prescribe calcium and vitamin D to help prevent low calcium levels in yo Olvassa el a teljes dokumentumot
FOSAMAX PLUS D - ALENDRONATE SODIUM AND CHOLECALCIFEROL TABLET PHYSICIANS TOTAL CARE, INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE FOSAMAX PLUS D SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR FOSAMAX PLUS D. FOSAMAX PLUS D (ALENDRONATE SODIUM/CHOLECALCIFEROL) TABLETS INITIAL U.S. APPROVAL: 2005 RECENT MAJOR CHANGES Indications and Usage, Limitations of Use (1.3) 01/2011 Warnings and Precautions, Femoral Fractures (5.5) 01/2011 INDICATIONS AND USAGE FOSAMAX PLUS D is a combination of a bisphosphonate and vitamin D indicated for: Treatment of osteoporosis in postmenopausal women (1.1) Treatment to increase bone mass in men with osteoporosis (1.2) FOSAMAX PLUS D alone should not be used to treat vitamin D deficiency. (1.3) The optimal duration of use has not been determined. Patients should have the need for continued therapy re-evaluated on a periodic basis. DOSAGE AND ADMINISTRATION Must be taken with plain water (6 to 8 oz) at least 30 minutes before the first food or drink of the day; do not lie down for 30 minutes. (2.3) 70 mg alendronate/2800 IU vitamin D or 70 mg alendronate/5600 IU vitamin D tablet once weekly. (2.1, 2.2, 2.3, 2.4) DOSAGE FORMS AND STRENGTHS Tablets: 70 mg/2800 IU and 70 mg/5600 IU (3) CONTRAINDICATIONS Abnormalities of the esophagus which delay emptying such as stricture or achalasia (4, 5.1) Inability to stand/sit upright for at least 30 minutes (4, 5.1) Hypocalcemia (4, 5.2) Hypersensitivity to any component of this product (4, 6.2) WARNINGS AND PRECAUTIONS Severe irritation of upper gastrointestinal mucosa can occur. Follow dosing instructions. Use caution in patients with active upper GI disease. Discontinue if new or worsening symptoms occur. (5.1) Hypocalcemia can worsen and must be corrected prior to use. (5.2) Severe bone, joint, muscle pain may occur. Discontinue use if severe symptoms develop. (5.3) Osteonecrosis of the jaw has been reported rarely. (5.4) Atypical femur fractures have been re Olvassa el a teljes dokumentumot