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Protect Your Bones with Alendronate

  • Prevents and treats osteoporosis
  • Daily or weekly oral tablet
  • Available in generic form or brand name (Fosamax®)
4.9
745,000+ Patients Served
What is alendronate?

Alendronate (or alendronic acid) is a medication used to prevent and treat osteoporosis and other diseases of the bone.

It belongs to a class of drugs called bisphosphonates, which help increase bone density and reduce the risk of fractures. It's often prescribed to postmenopausal women and men with osteoporosis or those at risk of developing the condition.

How does alendronate work?

Alendronate works by slowing down the breakdown of bones in the body. It helps to increase bone density and reduce the risk of fractures in people with conditions like osteoporosis. The drug binds to bone tissues, especially where bones are actively being broken down, called resorption sites.

By doing this, alendronate helps to maintain and strengthen bone structure. It's typically taken orally and needs to be taken on an empty stomach to ensure proper absorption.

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My approach to healthcare is grounded in listening, education, and empowering patients to take an active role in their wellness.

I believe virtual care expands access and allows me to support patients with the same compassion and clinical excellence as an in-person visit. My goal is always to meet patients where they are and guide them toward safe, personalized, sustainable health outcomes.

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Frequently
Asked
Questions

When is the best time to take alendronate?

For best results, it’s recommended that you take alendronate at the same time every day, on an empty stomach, with a full glass of water. Alendronate should not be taken in combination with other medications, vitamins, or supplements. To avoid risking unwanted side effects, be sure not to lie down for half an hour after taking alendronate.

Why is alendronate taken once a week?

Alendronate is often prescribed to be taken once a week because of its long-lasting effect on bone turnover. The medication works by slowing down the breakdown of bone (resorption) and increasing bone density over time.

The once-weekly dosing schedule helps maintain a consistent level of the drug in the body, providing continuous protection against bone loss and reducing the risk of fractures.

This less frequent dosing regimen can also improve adherence to the treatment plan, as it may be more convenient for patients compared to daily dosing.

How long does it take alendronate to work?

The effects of alendronate start to happen after about one month of taking the medication. But, it may take up to 12 months for the medication to take full effect in bone protection.

How long does alendronate stay in your system?

Alendronate may remain in your body for many years after stopping the medication.

These drugs are not broken down in the body but are either removed through the kidneys or stored in the bones. The drug amount in the bones increases with use. Once in the bones, there's no known way to remove the medication.

How long the drug's effects last is still unclear. After taking alendronate for five years, markers showing bone activity stay low for at least another five years after stopping the medication.

Is it safe to take other medications while on alendronate?

It's essential to consult with a healthcare provider or pharmacist before taking any other medications while on alendronate. Some medications may interact with alendronate, affecting its effectiveness or increasing the risk of side effects.

You should never take an alendronate pill at the same time as other medications, vitamins, or even food.

Certain medications, such as calcium supplements, antacids containing aluminum or magnesium, and some oral medications, can interfere with the absorption of alendronate.

It's generally recommended to wait at least 30 minutes to an hour after taking alendronate before consuming other medications or supplements to ensure proper absorption.

Additionally, some medications may increase the risk of gastrointestinal side effects, such as stomach upset or irritation, when taken with alendronate.

How much does alendronate cost?

The cost of alendronate can vary depending on several factors, including the dosage, brand, and pharmacy you visit.

The price for a generic version of alendronate typically ranges from $10 to $50 for a monthly supply without insurance. Brand-name versions like Fosamax or different formulations may be more expensive, sometimes costing over $100 for a monthly supply.

What are the most common side effects of alendronate?

The most common side effects of alendronate include:

  • Stomach upset or pain
  • Heartburn or acid reflux
  • Nausea or vomiting
  • Diarrhea or constipation
  • Bone, joint, or muscle pain
  • Headache

Less commonly, alendronate can cause more severe side effects, such as:

  • Difficulty swallowing
  • Chest pain
  • Jaw pain or numbness
  • Severe bone, joint, or muscle pain
  • Unusual thigh bone fractures
  • If you experience any of these severe side effects or have persistent or bothersome symptoms while taking alendronate, it's essential to contact your healthcare provider immediately. They can evaluate your symptoms and determine if any changes to your treatment plan are necessary.

Can LifeMD prescribe alendronate?

Yes! With LifeMD, you can connect with a licensed healthcare provider from the comfort of your home within an hour. If appropriate, your provider may prescribe alendronate and send it directly to your local pharmacy.

For even more flexibility, a LifeMD+ membership gives you 24/7 access to care, same-day prescription refills, exclusive wellness perks, and easy access to lab testing — all designed to make managing your health simple and stress-free.

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