Alendronate (Na)
Alendronate (Na) Information

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Alendronate (Na)

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About Alendronate (Na)

Alendronate (Na) is aminobisphosphonate and inhibitor of osteoclast-mediated bone resorption. Chemically Alendronate (Na) is identified as (4-Amino-1-hydroxybutylidene)-bisphosphonic acid monosodium salt trihydtare. Alendronate (Na) is prepared by chemical synthesis. Alendronate (Na) is effective to treat osteoporosis (bone thinning) by increasing bone density in post menopausal women. At the cellular level, Alendronate (Na) shows preferential localization to sites of bone resorption, specifically under osteoclasts. The osteoclasts adhere normally to the bone surface but lack the ruffled border that is indicative of active resorption. Alendronate (Na) does not interfer with osteclast recruitment or attachment, but it does inhibit osteoclast activity. While incorporated in bone matrix, Alendronate (Na) is not pharmacologically active. Thus Alendronate (Na) must be continuously administered to suppress osteoclasts on newly formed resorption surface. Alendronate (Na) is administered orally.

Indications

Alendronate (Na) is primarily indicated in conditions like Osteoporosis in men, Osteoporosis prophylaxis, Pagets disease, Prevention and treatment of corticosteroid-induced osteoporosis, Treatment of osteoporosis in post menopausal women, and can also be given in adjunctive therapy as an alternative drug of choice in Hypercalcaemia associated with malignancy, Non-tumour induced hypercalcemia, Osteolytic tumoral bone disease.

Contraindication

Alendronate (Na) is contraindicated in conditions like Hypocalcaemia,Ulcers,Gastritis,Dysphagia,Vitamin D deficiency.

Side Effects

The severe or irreversible adverse effects of Alendronate (Na), which give rise to further complications include Peptic ulceration, Esophageal ulceration, Esophagus erosion.The symptomatic adverse reactions produced by Alendronate (Na) are more or less tolerable and if they become severe, they can be treated symptomatically, these include Headache, Nausea, Vomiting, Diarrhea, Constipation, Abdominal pain, Rashes, Gastritis, Heart burn, Dysphagia.

Warnings

Alendronate should be used with caution in patients with history of ulcers or any other gastrointestinal problems or difficulty in swallowing. Hypocalcemia must be corrected before initiating therapy with Alendorante, othere distrubances of mineral metabolism (such as vitamine D deficiency) should also be effectively treated. This medication should not be used by patients with more severe renal indufficiency with a creatinine clearance

High Risk Groups

Drug should not be given to Pregnant Mothers, and patients suffering from Kidney dysfunction.If prescribing authority justifies the benefits of the drug against the possible damages he/she should reevaluate them and consult the reference material and previous studies.

Dosage

Alendronate (Na) Dosage for Adults

Dose 10 mg
Single Dose 10 (10)
Frequency 24 hourly
Route PO
Note: Must be taken atleast 1/2hr before the first food, beverage or medication of the day with plain water only. Patients should receive supplemental calcium and vitamin D, if dietary intake is inadequate.

Alendronate (Na) Dosage for Neonatal

Dose
Single Dose
Frequency
Route
Note: Not recommended in this age group

Alendronate (Na) Dosage for Paedriatic

Dose
Single Dose
Frequency
Route
Note: Not recommended in this age group

Brands


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