- Osteoporosis Slideshow Pictures
- Super Foods for Your Bones Slideshow Pictures
- Take the Osteoporosis Quiz
- What is risedronate, and how does it work (mechanism of action)?
- What brand names are available for risedronate?
- Is risedronate available as a generic drug?
- Do I need a prescription for risedronate?
- What are the uses for risedronate?
- What are the side effects of risedronate?
- What is the dosage for risedronate?
- Which drugs or supplements interact with risedronate?
- Is risedronate safe to take if I'm pregnant or breastfeeding?
- What else should I know about risedronate?
What is risedronate, and how does it work (mechanism of action)?
- Risedronate is in a class of drugs called bisphosphonates used for the treatment of Paget's disease of bone (in which the formation of bone is abnormal) and in persons with osteoporosis (in which the density and strength of bones are reduced). Other biphosphonates include the drugs alendronate (Fosamax), ibandronate (Boniva), pamidronate (Aredia), tiludronate (Skelid), and etidronate (Didronel). Bone is continually being formed and dissolved. New bone is laid down by cells called osteoblasts while old bone is removed by cells called osteoclasts. Bisphosphonates strengthen bone by inhibiting bone removal (resorption) by osteoclasts. By slowing down the rate at which bone is dissolved, risedronate increases the amount of bone. Risedronate is more potent in blocking the dissolution of bone than etidronate and alendronate.
- The FDA approved risedronate for the treatment of Paget's disease in 1998 and for the prevention and treatment of osteoporosis in 1999.
What are the uses for risedronate?
- Risedronate is used for the treatment of Paget's disease of bone (osteitis deformans), treatment and prevention of postmenopausal osteoporosis in women, and treatment of osteoporosis in men.
- It also is used to prevent and treat osteoporosis caused by steroid medications (glucocorticoid-induced osteoporosis).
What are the side effects of risedronate?
The most common side effects of risedronate include:
- Joint pain
- Abdominal pain
- High blood pressure
Other less common side effects include:
Possible serious side effects include:
- Diaphyseal femur
- Difficulty swallowing (dysphagia)
- Esophageal cancer
- Esophageal ulcer
- Femur fracture
- Stomach and duodenal ulcer
Severe irritation of the esophagus (for example, esophagitis, esophageal ulcers, esophageal erosions) can occur. This occurs more often when patients do not drink enough water with risedronate, or do not wait 30 minutes before lying down.
Rarely, patients may experience jaw problems (osteonecrosis of the jaw) associated with delayed healing and infection after tooth extraction.
What is the dosage for risedronate?
- For post menopausal osteoporosis, 5 mg of risedronate is taken once daily, 35 mg is taken weekly or 150 mg is taken monthly.
- For Osteoporosis in men is treated with 35 mg weekly.
- For Paget's disease is treated with 30 mg daily for two months, and steroid-induced osteoporosis is treated with 5 mg daily.
- Risedronate should be taken with 6 to 8 ounces of plain water.
- Because food interferes with the absorption of risedronate, it should be taken first thing in the morning before anything is eaten or liquids consumed.
- Also, no food or drink should be taken for at least 30 minutes after taking risedronate.
- To avoid pills sticking and irritating the throat or esophagus, persons should not lie down for at least 30 minutes after taking risedronate.
- Also, it should not be taken at the same time as iron supplements, vitamins with minerals, or antacids containing calcium, magnesium, or aluminum which reduce the absorption of risedronate.
Which drugs or supplements interact with risedronate?
- Food, calcium, antacids, and medications containing iron, magnesium, or aluminum reduce the absorption of risedronate, resulting in loss of effectiveness. Thus, it should be taken with plain water only.
Is risedronate safe to take if I'm pregnant or breastfeeding?
What else should I know about risedronate?
What preparations of risedronate are available?
- Tablets: 5, 30, 35, and 150 mg.
- Tablets (Delayed release): 35 mg
How should I keep risedronate stored?
Tablets should be stored at room temperature, 15 C - 30 C (59 F - 86 F).
Quick GuideWhat Is Osteoporosis? Treatment, Symptoms, Medication
Risedronate (Actonel, Actonel with Calcium, Atelvia) is a prescription medication used to treat postmenopausal osteoporosis, osteoporosis in men, and to prevent and treat osteoporosis caused by steroid medications. Common side effects include:
Multimedia: Slideshows, Images & Quizzes
Osteoporosis Quiz: What is Osteoporosis?
What are the causes, symptoms, and risk factors of osteoporosis? Quiz yourself about vitamin deficiency, maintaining bone...
Picture of Osteoporosis
Thinning of the bones with reduction in bone mass due to depletion of calcium and bone protein. See a picture of Osteoporosis and...
Picture of Osteoporosis Progression
Bone mass (bone density) is the amount of bone present in the skeletal structure. See a picture of Osteoporosis Progression and...
What Is Osteoporosis? Treatment, Symptoms, Medication
Osteoporosis is a disease characterized by low bone mass and density. Osteoporosis causes symptoms of weak, thin, fragile bones....
Osteoporosis Super-Foods for Strong Bones With Pictures
What sweetener is loaded with calcium? These bone-building super foods can help stave off osteoporosis, and many of them will...
Related Disease Conditions
Menopause is the time in a woman's life when menstrual periods permanently stop, also called the "change of life." Menopause...
Learn about osteoporosis, a condition characterized by the loss of bone density, which leads to an increased risk of bone...
Osteopenia is a bone condition characterized by bone loss that is not as severe as in osteoporosis. Bone fracture is the typical...
Paget's disease is a chronic bone disorder due to irregular breakdown and formation of bone tissue. Symptoms of Paget's disease...
Giant Cell Arteritis (GCA or Temporal Arteritis)
Giant cell arteritis, inflammation of blood vessel walls, affects 10%-15% of polymyalgia rheumatica patients. Symptoms of giant...
Disease Prevention in Women
Disease prevention in women includes screening tests that are a basic part of prevention medicine. All screening tests are...
Treatment & Diagnosis
- Osteoporosis FAQs
- How To Reduce Your Medication Costs
- Pharmacy Visit, How To Get The Most Out of Your Visit
- Indications for Drugs: Approved vs. Non-approved
- Drugs: Buying Prescription Drugs Online Safely
- Drugs: The Most Common Medication Errors
- Medication Disposal
- Dangers of Mixing Medications
- Generic Drugs, Are They as Good as Brand-Names?
Medications & Supplements
Prevention & Wellness
Health Solutions From Our Sponsors
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.