The name of your medicine is APO-Risedronate. It contains the active ingredient, risedronate sodium.
This medicine is used to:
It is also used to preserve bone mineral density in patients on long term steroid therapy
Ask your doctor if you have any questions about why this medicine has been prescribed for you.
Your doctor may have prescribed this medicine for another reason.
This medicine is available only with a doctor's prescription.
Bone is a living tissue consisting of calcium and other minerals.
Throughout life, old bone is constantly broken down and replaced with new bone. After the age of 35, bone loss may occur faster than your body can replace it. If you lose too much bone then they become weaker and are more likely to break.
Osteoporosis (brittle bone disease) is a disease that causes bones to become weaker. Weak bones break (fracture) easily.
Many patients with osteoporosis have no symptoms and may not even know that they have osteoporosis. However osteoporosis makes you more likely to break bones when you have a fall or bump. The spine, hip and wrist are the most likely bones to break, although this can happen to any bone in your body. Osteoporosis can also cause back pain, height loss and a curved back.
Osteoporosis is common in women after the menopause and is also more likely to occur in women who have reached the menopause early. Osteoporosis can also occur in women who have not yet reached menopause, and in men.
Long term steroid treatment can also lead to osteoporosis in both men and women.
Risedronate works by slowing down the process of old bone being removed. This allows the bone-forming cells time to rebuild normal bone.
Risedronate also helps to rebuild bone mass. This creates stronger bone which is less likely to fracture.
Therefore risedronate can help reverse the progression of osteoporosis.
There is no evidence that this medicine is addictive.
Do not give risedronate to children or adolescents under 18 years of age. There is not enough information to recommend the use of this medicine in children.
Do not use this medicine if:
If you are not sure whether you should start taking this medicine, talk to your doctor or pharmacist.
Before you start taking this medicine, tell your doctor if:
1. You have allergies to:
2. You have or have had any medical conditions, especially the following:
3. You are currently pregnant or you plan to become pregnant.
4. You are currently breastfeeding or you plan to breastfeed.
5. You are planning to have surgery or an anaesthetic.
6. You are currently receiving or are planning to receive dental treatment. Check with your doctor or dentist to see if a dental check-up is required before starting risedronate.
If you have not told your doctor about any of the above, tell them before you use this medicine.
This is especially important if you are receiving medicines or therapy used to treat cancer or taking corticosteroids, such as prednisone or cortisone.
Tell your doctor or pharmacist if you are taking any other medicines, including any that you buy without a prescription from your pharmacy, supermarket or health food shop.
Some medicines and risedronate may interfere with each other. These include:
These medicines may be affected by risedronate or may affect how well it works. You may need different amounts of your medicines, or you may need to take different medicines.
Your doctor and pharmacist can tell you if you are taking any of these medicines. They may also have more information on medicines to be careful with or avoid while taking risedronate.
Follow carefully all directions given to you by your doctor or pharmacist.
Their instructions may be different to the information in this leaflet.
If you do not understand the instructions, ask your doctor or pharmacist for help.
Your doctor or pharmacist will tell you how many tablets you will need to take. This depends on your condition and whether or not you are taking any other medicines.
For osteoporosis, the usual dose is either:
Do not stop taking your medicine or change your dosage without first checking with your doctor.
Take your risedronate tablet while sitting or standing upright. Do not lie down immediately after swallowing it.
It is important to stay upright, for example, sitting, standing or walking around, for at least 30 minutes after swallowing your tablet. It is also very important to stay upright until after you have eaten your first food of the day. This will help make sure the tablet reaches your stomach quickly and helps avoid irritation to your oesophagus.
Swallow your risedronate tablet whole with a glass of plain water. Do not chew or suck the tablet.
It is important to take risedronate with plain water only (120 mL), not mineral water. Mineral water and other drinks, including fruit juices, coffee and tea, will reduce the effect of risedronate.
Risedronate is most effective when your stomach is empty.
Take risedronate in the morning, 30 minutes to 1 hour before your first meal, drink or medication of the day.
Risedronate 35 mg
Take your 35 mg risedronate tablet on the same day each week. The tablet should be taken each week. Choose a day of the week that suits you the best.
Risedronate 75 mg
Take your 75 mg risedronate tablet on two consecutive days on the same dates each month. One tablet should be taken on each day, so that two tablets are taken each month. Choose dates in the month that suit you the best.
Risedronate 150 mg
Take your 150 mg risedronate tablet on the same date each month. The tablet should be taken each month. Choose a date in the month that suits you the best.
Continue taking your medicine for as long as your doctor tells you.
Make sure you have enough to last over weekends and holidays.
Risedronate 35 mg
If you have forgotten to take your 35 mg tablet, just take your tablet on the day you remember.
Return to taking one tablet once a week, as originally scheduled on your chosen day.
Do not take two 35 mg tablets in one day to make up for the dose that you missed.
Risedronate 75 mg
If you have forgotten to take one or both of your 75 mg tablets, and it is more than 7 days until your next monthly doses are due, then take the missed doses in the morning after the day you remembered (and the next morning, if you missed both doses).
If the missed dose is within 7 days of your next month's doses, you should wait until when the doses are next due and then continue taking your tablets are normal.
Risedronate 150 mg
If you have forgotten to take your 150 mg tablet, and it is more than 7 days until your next monthly dose is due, then take the missed dose in the morning after the day you remembered.
If the missed dose is within 7 days of your next month's dose, do not take your missed dose. Wait until the date you would normally take your tablet and take your missed dose then.
If you are not sure what to do, ask your doctor or pharmacist.
If you have trouble remembering to take your medicine, ask your pharmacist for some hints.
If you think that you or anyone else may have taken too much of this medicine, immediately telephone your doctor or the Poisons Information Centre (Tel: 13 11 26 in Australia) for advice. Alternatively go to the Accident and Emergency Department at your nearest hospital.
Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention.
In adults, symptoms of an overdose may include leg cramps and dizziness.
In children, symptoms of an overdose may include coordination problems, dizziness, vomiting, rash, diarrhoea, repetitive shaking, and flushing.
Be careful while driving or operating machinery until you know how risedronate affects you.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are using this medicine.
Your doctor will decide whether any change in your treatment is needed.
All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor if you notice any of the following:
These side effects are usually mild
Tell your doctor as soon as possible if you notice any of the following:
These side-effects are rare.
If any of the following happen, stop taking your medicine and either tell your doctor immediately
These side effects may be due to irritation or ulceration of the food pipe. They may worsen if you continue taking the tablets.
These side effects are rare.
Tell your doctor immediately or go to the Accident and Emergency Department at your nearest hospital if you notice any of the following:
These may be serious side effects.
Do not be alarmed by this list of possible side effects.
You may not experience any of them.
Keep your tablets in a cool dry place where the temperature will stay below 25°C.
Do not store your medicine, or any other medicine, in the bathroom or near a sink. Do not leave it on a window sill or in the car. Heat and dampness can destroy some medicines.
Keep this medicine where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your doctor or pharmacist tells you to stop taking this medicine or they have passed their expiry date, your pharmacist can dispose of the remaining medicine safely.
35 mg tablets
Orange, round, biconvex coated tablets, engraved "APO" on one side, "RIS" over "30" on the other side.
75 mg tablets
Dark pink, round, biconvex coated tablets, engraved "APO" on one side, "RIS" over "75" on the other side.
150 mg tablets
Blue, round, biconvex coated tablets, engraved "APO" on one side, "RIS" over "150" on the other side.
Each tablet contains 35 mg, 75 mg or 150 mg of risedronate sodium as the active ingredient.
It also contains the following inactive ingredients:
This medicine is gluten-free, sucrose-free, tartrazine-free and free of other azo dyes.
APO-Risedronate tablets are available in:
Blister packs of 1, 4, 8, 12 and 16 tablets
Bottles of 4, 8, 12 and 30 tablets.
Blister packs of 2, 4, 6 and 8 tablets
Bottles of 30 tablets
Blister packs of 1, 2, 3 and 4 tablets.
Not all strengths, pack types and/or pack sizes may be available
APO-Risedronate 35 mg (blister pack): AUST R 160642
APO-Risedronate 35 mg (bottle): AUST R 160644
APO-Risedronate 75 mg (blister pack): AUST R 181973
APO-Risedronate 75 mg (bottle): AUST R 181977
APO-Risedronate 150 mg (blister pack): AUST R 181970