tiludronate - oral, Skelid (cont.)

HOW TO USE: Follow these instructions very closely to make sure you absorb as much of the drug as possible and reduce the risk of injury to your esophagus. If you have any questions, ask your doctor or pharmacist.Take this medication by mouth without food as directed by your doctor, usually once a day. The dosage is based on your medical condition and response to treatment. Take it on an empty stomach at least 2 hours before or 2 hours after a meal.Take tiludronate with a full glass of plain water (6 to 8 ounces/180 to 240 milliliters). Do not take it with any other beverage, including mineral water. After taking tiludronate, stay fully upright (sitting, standing, or walking) and do not lie down for at least 30 minutes.Do not take tiludronate at the same time as food or other medications because they may affect its absorption. Take this medication 2 hours before or 2 hours after taking any products that contain aluminum, calcium, iron, magnesium, or zinc. Some examples include certain forms of didanosine (chewable/dispersible buffered tablets or pediatric oral solution), quinapril, vitamins/minerals, dairy products (such as milk, yogurt), and calcium-enriched juice.If you take antacids that contain aluminum or magnesium, take them at least 2 hours after taking tiludronate.If you take aspirin or indomethacin, take the dose 2 hours before or 2 hours after your tiludronate dose.Take this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day as directed by your doctor, usually for 3 months.

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