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Fosamax Plus D Dosage

Generic name: alendronate and cholecalciferol
Drug class: Bisphosphonates

Medically reviewed by  A Ras MD.

Recommended Adult Dosing

Dosage forms:  TAB: 70 mg/2800 units, 70 mg/5600 units

Osteoporosis, postmenopausal

[1 tab PO qwk]
Info: give w/ water, 30min before first food/drink/med, avoid lying down x30min; do not cut/crush/chew tab; calcium and additional vitamin D supplementation recommended if inadequate dietary intake; reassess need for tx in 3-5y; may consider drug holiday if stable after tx x5y (low-mod risk pt); optimal holiday duration up to 5y; if drug holiday initiated, reassess need for tx q2-4y and consider resuming tx in pts w/ fracture or significant BMD loss

Osteoporosis, male

[1 tab PO qwk]
Info: give w/ water, 30min before first food/drink/med, avoid lying down x30min; do not cut/crush/chew tab; calcium and additional vitamin D supplementation recommended if inadequate dietary intake; periodically reassess need for tx; consider D/C after 3-5y in low-risk pts

Renal dosing

CrCl <35: avoid use
HD/PD: not defined

Hepatic dosing

[no adjustment]

SRC: NLM .

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