-antacids
-aspirin and aspirin like drugs
-calcium supplements, especially calcium with vitamin D
-cholestyramine or colestipol
-cimetidine, ranitidine, or other medicines used to decrease stomach acid
-corticosteroids
-iron supplements
-magnesium supplements
-mineral oil
-NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen
-orlistat
-phenobarbital
-phenytoin
-phosphorous supplements
-primidone
-steroid medicines like prednisone or cortisone
-thiazide diuretics
-vitamins with minerals, especially with vitamin D

They need to know if you have any of these conditions:

-bleeding disorder
-cancer
-dental disease
-difficulty swallowing
-high levels of vitamin D in the blood
-infection (fever, chills, cough, sore throat, pain or trouble passing urine)
-kidney disease
-low levels of calcium or other minerals in the blood
-low red blood cell counts
-receiving steroids like dexamethasone or prednisone
-stomach or intestine problems
-trouble sitting or standing for 30 minutes
-an unusual or allergic reaction to alendronate, cholecalciferol, other drugs, foods, dyes or preservatives
-pregnant or trying to get pregnant
-breast-feeding

Visit your health care provider for regular checks on your progress. It may be some time before you see the benefit from this drug.
Some people who take this drug have severe bone, joint, or muscle pain. This drug may also increase your risk for jaw problems or a broken thigh bone. Tell your health care provider right away if you have severe pain in your jaw, bones, joints, or muscles. Tell you health care provider if you have any pain that does not go away or that gets worse.
Tell your dentist and dental surgeon that you are taking this drug. You should not have major dental surgery while on this drug. See your dentist to have a dental exam and fix any dental problems before starting this drug. Take good care of your teeth while on this drug. Make sure you see your dentist for regular follow-up appointments.
You should make sure you get enough calcium and vitamin D while you are taking this drug. Discuss the foods you eat and the vitamins you take with your health care provider.
You may need blood work done while you are taking this drug.

Keep out of the reach of children and pets.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from light and moisture. Keep this drug in the original packaging until you are ready to take it. Throw away any unused drug after the expiration date.