Antacids Comb.
Adverse Effect: Decreased alendronate absorption Clinical Management: Patients using alendronate should wait at least one half-hour after taking alendronate before consuming antacids containing calcium, aluminum, or magnesium.
Aspirin
Adverse Effect: GI distress Clinical Management: Monitor patients for gastrointestinal distress. If gastrointestinal effects (nausea, abdominal pain, dyspepsia, constipation, diarrhea, acid regurgitation) become unacceptable, aspirin doses may need to be reduced or discontinued.
Mesalazine - Antisecr.
Adverse Effect: GI distress Clinical Management: Monitor patients for gastrointestinal distress. If gastrointestinal effects (nausea, abdominal pain, dyspepsia, constipation, diarrhea, acid regurgitation) become unacceptable, mesalamine doses may need to be reduced or discontinued.
Ranitidine
Adverse Effect: Increased alendronate bioavailability |