Alendronate (alendronic acid or Fosamax)
What is alendronate?
Alendronate is one of the bisphosphonate drug treatments which are widely used to reduce the risk of broken bones in people with osteoporosis. Most people take it as a weekly tablet but it is also available as a weekly oral solution, effervescent tablet, or as a daily tablet.
Why do I need a drug treatment for osteoporosis and how do the bisphosphonates work?
Drug treatments are prescribed if you have osteoporosis and are at a high risk of broken bones. These treatments help strengthen your bones and reduce your risk of having fractures. They do not help the pain that occurs when bones break. Bone is constantly being broken down (resorption) and rebuilt (formation) by specialist bone cells. This is called bone remodelling. When this becomes out of balance and more bone is broken down than is rebuilt, osteoporosis occurs. Bisphosphonates such as alendronate, known as antiresorptive drugs, inhibit the cells that wear down bone (osteoclasts) and as a consequence improve bone strength.
Which products contain alendronate?
Fosamax once weekly
How can I get the most out of my drug treatment?
1. Be informed
Find out about your drug treatment so that you can be involved in decisions being made and you will know what to expect. Talk to your doctor and/ or contact the Helpline at the National Osteoporosis Society if you have any questions or concerns.
2. Make sure the drug is properly absorbed
Regardless of whether you are taking the tablet or oral solution you will be instructed to take alendronate at least 30 minutes before the first food or drink (other than plain tap water) of the day. It is also important that you avoid any other medication during this time. This instruction is important because alendronate will only be absorbed if taken on an empty stomach. If you are taking a calcium supplement it is important to leave at least 3-4 hours after taking your alendronate as calcium will prevent its absorption.
3. Make sure alendronate is the treatment for you
If you have one of the following, alendronate may not be appropriate for you
- If you cannot swallow tablets whole due to a physical problem or abnormality in your gullet. The oral solution or injectable treatment may be more appropriate for you.
- If you suffer with Barrett’s oesophagus.
- If you have severe kidney problems.
- If you are pregnant or breast feeding (although only licensed for post-menopausal use, occasionally alendronate may be prescribed by specialists for younger women)
4. Continue to take your tablets regularly for the correct length of time
Alendronate is generally prescribed long term so you need to be happy with the treatment. Although it is important that you take the medication as instructed, missing the odd week will probably not have an impact on your bone health in the long run but you should avoid this if you can. If you continually forget or struggle to take your medication it would be sensible to speak to your doctor about other treatment options that you may find easier to take.
Ask your doctor about how long you need to take your osteoporosis treatment. The current advice from the UK drug regulatory organisation (MHRA) is for a formal treatment review after about five years, primarily because of the potential (but rare) risk of atypical fractures (see our factsheet on atypical (unusual) thigh bone fracture for more information about this). At this review your doctor will make sure that the drugs are still needed, that they aren’t causing side-effects and also that the benefits of continuing to take the drug continue to outweigh any potential harm. You may be advised to continue to take the drug, have a “pause” in your treatment or be advised to stop taking it altogether. Because of its structure alendronate will continue to have an effect on bone and provide some benefit even after it is stopped. Your doctor will be able to advise you on what is best for you based on your individual circumstances.
5. Lead a healthy lifestyle to keep your bones strong
Factors that can help to maintain healthy bones are a well-balanced diet with adequate calcium rich foods, safe exposure to sunlight to obtain vitamin D, regular weight bearing exercise, avoiding smoking and keeping alcohol consumption within the recommended limits.
If you have been diagnosed with osteoporosis and are taking a drug treatment, you may need to boost your calcium intake up to around 1000mg a day. Your doctor can prescribe supplements of calcium and/or vitamin D if you need them.
6. Understand the risk of side effects and what can be done to reduce them
As with any drug, there are potential side effects with alendronate. It is important to remember that:
- Most people will not experience side effects or if they do, they are short lived.
- Not all the symptoms you may read about online or see listed on your patient information leaflet are necessarily caused by the drug. Symptoms that have been reported by patients taking part in the research trials may be included as possible side effects even if they were seen in as many people who took the placebo (dummy treatment) as those taking alendronate. So common conditions such as dizziness, vertigo, joint swelling, itching and hair loss will often be reported in this way and people may think they are due to their treatment. We can only be sure that such symptoms are likely to be caused by alendronate if they were seen in more patients treated with alendronate than with placebo. The symptoms below are those that can be thought of as “true side effects.”
If you are taking medications for other conditions it is important to establish that it is not these that are causing your side effects. Talk to your doctor who may be able to suggest ways of investigating this further.
The full list of possible side effects can be found in the leaflet that accompanies your tablets. If you experience these or any other symptoms which you think may be due to this medicine, speak with your doctor or pharmacist about other treatment options.
As more research findings become available more symptoms may be found to be “true side effects” so information could change in the future.
What side effects can alendronate cause?
The Medicines and Healthcare products Regulatory Agency (MHRA) is the organisation in the UK that makes sure drugs and medical devices work and are acceptably safe.