Your doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to.
It is best to take this medicine on an empty stomach. Take this medicine at least 2 hours before or 2 hours after eating.
If this medicine upsets your stomach, ask your doctor if you can take two smaller doses instead of one larger dose. Do not change without talking to your doctor, though.
Carefully follow your doctor's instructions about any special diet. It is especially important that you get enough calcium and vitamin D in your diet.
For treating Paget's disease, you may need to take this medicine for up to 6 months. Then after 90 days of not taking the medicine, your doctor may want you to start another course of treatment.
If you have Paget's disease, this medicine may work slowly, so you may not feel better until you have been using it for awhile. Do not stop taking it without talking to your doctor first. Your body may continue to respond to this medicine for several months after you stop using it.
If a dose is missed:
If you miss a dose or forget to use your medicine, use it as soon as you can. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use extra medicine to make up for a missed dose.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.
Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any leftover medicine after you have finished your treatment. You will also need to throw away old medicine after the expiration date has passed.
Keep all medicine away from children and never share your medicine with anyone.
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
Make sure your doctor knows if you are also using a blood thinner such as warfarin (Coumadin®), antacids such as Tums®, or vitamin supplements. The minerals calcium, iron, magnesium, and aluminum that are found in some antacids and supplements can keep this medicine from working properly.
Do not drink milk or eat dairy products or other foods that are high in calcium within 2 hours before or after taking this medicine.