Fosamax

-Aluminum hydroxide
-Antacids
-Aspirin
-Calcium supplements
-Iron supplements
-Medications for inflammation like ibuprofen, naproxen, and others
-Magnesium supplements
-Vitamins with minerals

They need to know if you have any of these conditions:
-Bleeding disorder
-Cancer
-Dental disease
-Difficulty swallowing
-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, other medications, foods, dyes or preservatives
-Pregnant or trying to get pregnant
-Breast-feeding

Visit your care team for regular checks on your progress. It may be some time before you see the benefit from this medication.
Some people who take this medication have severe bone, joint, or muscle pain. This medication may also increase your risk for jaw problems or a broken thigh bone. Tell your care team right away if you have severe pain in your jaw, bones, joints, or muscles. Tell you care team 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 medication. You should not have major dental surgery while on this medication. See your dentist to have a dental exam and fix any dental problems before starting this medication. Take good care of your teeth while on this medication. 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 medication. Discuss the foods you eat and the vitamins you take with your care team.
You may need blood work done while you are taking this medication.

Keep out of the reach of children and pets.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medication after the expiration date.