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  3. BIFOSA 35MG TABLET

BIFOSA 35MG TABLET, Pack of 4 TABLETS
Written By ,
Reviewed By Bayyarapu Mahesh Kumar , M Pharmacy
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Composition :

ALENDRONATE SODIUM-35MG

Manufacturer/Marketer :

Troikaa Pharmaceuticals Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About BIFOSA 35MG TABLET

BIFOSA 35MG TABLET is indicated for prevention and treatment of osteoporosis in adults and helps to strengthen bones. This medicine also helps to reduce the risk of spine and hip fractures. Osteoporosis is a medical condition in which bone becomes thin or weak. 

BIFOSA 35MG TABLET contains 'Alendronate sodium' that comes in the category of drugs known as 'bisphosphonates” that prevents bone breakdown by slowing bone loss. This helps in keeping the bones strong and increases the thickness of bone, and reduces the risk of broken bones (fractures). It also helps in rebuilding bones which reduces the risk of spine and hip fractures.

Your doctor will advise you how often you take BIFOSA 35MG TABLET based on your medical condition. It has been reported that some persons experience undesirable effects of name that include stomach pain, constipation, nausea, gas, and diarrhoea. Most of these side effects of BIFOSA 35MG TABLET do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor. 

The use of BIFOSA 35MG TABLET is restricted in persons who are allergic to any constituent of medication or have problems with oesophagus or low levels of calcium in the blood. This medicine should not be taken by a person who cannot sit upright stand for at least half an hour after taking this medicine. This medication can increase the risk of jaw bone problems (osteonecrosis), which is high in persons with pre-existing dental problems or people treated with steroids, cancer, blood cell disorders, or radiation. So, consult with the doctor about the risks associated with BIFOSA 35MG TABLET. This medicine is only a part of a complete program of treatment that includes bone mineral density testing, diet changes, exercise, and taking calcium and vitamin supplements, so follow all the directions given by the doctor.

Uses of BIFOSA 35MG TABLET

Osteoporosis.

Directions for Use

Tablet: Swallow it as a whole with water; do not crush, break or chew it.Liquid: Shake the bottle well before use. Take the prescribed dose by mouth using the measuring cup/dosing syringe/dropper provided by the pack.

Medicinal Benefits

BIFOSA 35MG TABLET comes into the category of bisphosphonates that is prescribed to prevent and treat osteoporosis in persons with weak bones. It prevents the loss of bones that happens after menopause and helps to rebuild bones. BIFOSA 35MG TABLET contains Alendronate sodium which helps to maintain strong bones and reduces the chances of broken bones (fractures). It also increases the thickness of bone and rebuilds bones which reduces the risk of spine and hip fractures. BIFOSA 35MG TABLET is also indicated for the treatment of increasing bone mass in people with osteoporosis, glucocorticoid-induced osteoporosis and Paget's disease of bone.

Storage

Store in a cool and dry place away from sunlight
Side effects of Bifosa 35mg Tablet
  • Muscle cramps can be treated with regular exercise or yoga, which includes mild stretching, which helps strengthen the lower body.
  • Warm baths and gentle massage of the affected parts can help relieve cramps.
  • Avoid strenuous activity and take frequent breaks, as rest is critical.
  • Intake of nutritious food can help strengthen body and mind. A trained nutritionist can help design a balanced diet for strengthening muscles.
  • Speak to your doctor if the pain lasts an extended period. Medical help can be practical in finding a cure for cramps.
  • Eat protein-rich foods like fish, poultry, eggs, and legumes.
  • Include foods with minerals and vitamins essential for hair health.
  • Join a support group to connect with others experiencing hair loss.
  • Openly discuss your feelings about hair loss.
  • Consider covering up with wigs, hats, or scarves.
  • Be patient and avoid seeking miracle cures.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Here are the few steps for dealing with itching caused by drug use:
  • Report the itching to your doctor immediately; they may need to change your medication or dosage.
  • Use a cool, damp cloth on the itchy area to help soothe and calm the skin, reducing itching and inflammation.
  • Keep your skin hydrated and healthy with gentle, fragrance-free moisturizers.
  • Try not to scratch, as this can worsen the itching and irritate your skin.
  • If your doctor prescribes, you can take oral medications or apply topical creams or ointments to help relieve itching.
  • Track your itching symptoms and follow your doctor's guidance to adjust your treatment plan if needed. If the itching persists, consult your doctor for further advice.
Here are the step-by-step strategies to manage the side effects of "indigestion" caused by medication usage:
  • Take medications with food (if recommended): It can help prevent stomach distress and indigestion.
  • Eat smaller, more frequent meals: Divide daily food intake into smaller, more frequent meals to ease digestion.
  • Avoid trigger foods: Identify and avoid foods that trigger indigestion, such as spicy, fatty, or acidic foods.
  • Stay upright after eating: Sit or stand upright for at least 1-2 hours after eating to prevent stomach acid from flowing into the oesophagus.
  • Avoid carbonated drinks: Avoid drinking carbonated beverages, such as soda or beer, which can worsen indigestion.
  • Manage stress: To alleviate indigestion, engage in stress-reducing activities like deep breathing exercises or meditation.
  • Consult a doctor if needed: If indigestion worsens or persists, consult a healthcare professional to adjust the medication regimen or explore alternative treatments.

Drug Warnings

BIFOSA 35MG TABLET can increase the risk of jaw bone problems (osteonecrosis), especially in people who are being treated with steroids, chemotherapy, radiation, cancer, blood cell disorders, and pre-existing dental problems. Let your doctor know if you ever had problems with the oesophagus, low blood calcium levels, trouble swallowing, problems with your stomach or digestion, hypocalcaemia, a dental problem (you may need a dental exam before you begin taking alendronate), kidney disease; or any condition that makes it hard for your body to absorb nutrients from food (malabsorption) before taking this medicine. Pregnant and breastfeeding women should consult with their doctor before taking BIFOSA 35MG TABLET.

Drug-Drug Interactions

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Alendronic acidDeferasirox
Severe
Alendronic acidNaproxen
Severe

Drug-Drug Interactions

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Alendronic acidDeferasirox
Severe
How does the drug interact with Bifosa 35mg Tablet:
Co-administration of Bifosa 35mg Tablet (oral form) with Deferasirox may increase the risk of developing gastrointestinal ulcers.

How to manage the interaction:
Although there is a possible interaction between Bifosa 35mg Tablet and Deferasirox, you can take these medicines together if advised by your doctor. However, if you develop severe stomach pain, bloating, sudden dizziness or lightheadedness, vomiting (especially with blood), nausea, loss of appetite, and/or black, tarry stools, contact your doctor immediately. Do not discontinue the medication without consulting a doctor.
Alendronic acidNaproxen
Severe
How does the drug interact with Bifosa 35mg Tablet:
Co-administration of Naproxen with Bifosa 35mg Tablet may increase the risk or severity of side effects.

How to manage the interaction:
Taking Naproxen with Bifosa 35mg Tablet together can possibly result in an interaction, it can be taken if a doctor has advised it. However, if you develop severe stomach pain, bloating, sudden dizziness, lightheadedness, vomiting (especially with blood), nausea, loss of appetite, and/or black, tarry stools, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
Alendronic acidEtelcalcetide
Severe
How does the drug interact with Bifosa 35mg Tablet:
Co-administration of Bifosa 35mg Tablet and Etelcalcetide may increase the risk of hypocalcemia (low levels of calcium).

How to manage the interaction:
Although taking Bifosa 35mg Tablet and Etelcalcetide together can evidently cause an interaction, it can be taken if a doctor has suggested it. It's important to keep an eye on your calcium levels. Make sure to regularly check a blood calcium level and let a doctor know if you experience any symptoms like numbness, muscle spasms, or irregular heartbeat. They can help you if anything feels off. Do not stop using any medications without talking to a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Include dairy products like milk, yoghurt, cheese or milk-based custard in your diet.
  • Eat daily a serving of broccoli, cabbage, bok choy, spinach and other green leafy vegetables.
  • Include the best dietary sources of vitamin D, such as fish liver oils and vitamin D–fortified milk.
  • Snack on calcium-rich nuts like Brazil nuts or almonds. 
  • Sprinkle sesame seeds over your food, vegetables and salads. Sesame seeds are high in calcium.
  • Avoid or reduce the intake of caffeine, soft drinks and alcohol that inhibit calcium absorption.
  • Replace the meat with tofu or tempeh for extra calcium in your food.

Habit Forming

No

Therapeutic Class

BONE ENHANCERS

Drug-Diseases Interactions

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ALENDRONATE SODIUM-35MGOther diseases of jaws
Severe
ALENDRONATE SODIUM-35MGDisorders of mineral metabolism
Severe

Drug-Diseases Interactions

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ALENDRONATE SODIUM-35MGOther diseases of jaws
Severe
How does the disease interact with Bifosa 35mg Tablet:
Osteonecrosis of the jaw (ONJ), which can occur spontaneously, is generally associated with tooth extraction and/or local infection with delayed healing,and has been reported in patients taking bisphosphonates.

How to manage the interaction:
Bifosa 35mg Tablet is to be discontinued in patients undergoing invasive dental procedures. If patients develop osteonecrosis of the jaw while taking this medicine, care should be taken by an oral surgeon.
ALENDRONATE SODIUM-35MGDisorders of mineral metabolism
Severe
How does the disease interact with Bifosa 35mg Tablet:
The use of bisphosphonates is contraindicated for the treatment of osteoporosis in patients with hypocalcemia.

How to manage the interaction:
This medicine is contraindicated for the treatment of osteoporosis in patients with hypocalcemia (low levels of calcium in blood).
ALENDRONATE SODIUM-35MGGastritis and duodenitis
Severe
How does the disease interact with Bifosa 35mg Tablet:
Bisphosphonates may cause local irritation of the upper gastrointestinal mucosa. Esophagitis and esophageal ulcers and erosions, occasionally with bleeding, as well as gastric and duodenal ulcers, have been reported.

How to manage the interaction:
Bifosa 35mg Tablet may cause local irritation of the upper gastrointestinal mucosa (the innermost lining of the intestinal tract). Hence, it should be used with caution in patients with active upper gastrointestinal disorders.
ALENDRONATE SODIUM-35MGAsthma
Moderate
How does the disease interact with Bifosa 35mg Tablet:
There have been reports of bronchoconstriction in aspirin-sensitive patients receiving bisphosphonates. Use of these agents in asthmatic and in aspirin-sensitive patients should be used with caution.

How to manage the interaction:
Bifosa 35mg Tablet should be used with caution in asthmatic and in aspirin-sensitive patients.
ALENDRONATE SODIUM-35MGComplications and ill-defined descriptions of heart disease
Moderate
How does the disease interact with Bifosa 35mg Tablet:
Use caution in patients on sodium restriction, such as patients with a history of heart failure, hypertension, or other cardiovascular diseases.

How to manage the interaction:
Bifosa 35mg Tablet should be used with caution in patients who are on sodium restriction, such as patients with a history of heart failure, hypertension (high blood pressure), or other heart diseases.
ALENDRONATE SODIUM-35MGOther disorders of kidney and ureter, not elsewhere classified
Moderate
How does the disease interact with Bifosa 35mg Tablet:
Alendronate is not recommended for use in patients with renal dysfunction

How to manage the interaction:
Alendronate is not recommended for kidney failure patients.

FAQs

BIFOSA 35MG TABLET contains "Alendronate sodium" that comes in the category of drugs known as "bisphosphonates” that prevents bone breakdown by slowing the bone loss. This helps in keeping the bones strong and increases the thickness of bone and reduces the risk of broken bones (fractures). It also helps in rebuilding bones which reduces the risk of spine and hip fractures.

A person who is allergic to any component present in BIFOSA 35MG TABLET or has a problem with the esophagus or low levels of calcium in the blood should not take this medicine.

It has been seen that BIFOSA 35MG TABLET increases the risk of jaw bone problems (osteonecrosis) especially in persons with pre-existing dental problems, or people treated with steroids, cancer, blood cell disorders, chemotherapy, or radiation.

A person should take extra care of their dental hygiene while using BIFOSA 35MG TABLET, and if they are going for any dental work (especially surgery), they should tell the dentist ahead of time that they are taking this medicine.

Persons whose age is more than 35 years have low estrogen levels, female reaching menopause, too much consumption of alcohol, tobacco, or caffeine, use of glucocorticoid and lack of calcium and vitamin D in the foods are some of the factors that can increase the risk of osteoporosis.

If a person notices serious problems in the stomach or esophagus then they should stop taking this medicine and report to the doctor at once.

BIFOSA 35MG TABLET is a part of a complete program that includes modifications in diet, regular exercise, bone mineral density testing, and intake of calcium and vitamin supplements. Follow all the guidelines given by the doctor very closely.

A person should limit or quit smoking as it can reduce the bone mineral density, and increases the risks of fractures.

Drug-Drug Interactions Checker List

  • ASPIRIN
  • CALCIUM
  • NAPROXEN
  • DICLOFENAC

Special Advise

  • ​​​​​Certain diagnostic tests like bone density scans should be done regularly to check bone mineral density (BMD) while using BIFOSA 35MG TABLET.
  • Intake of BIFOSA 35MG TABLET can cause false test result of bone imaging, so if you are taking BIFOSA 35MG TABLET, let your doctor know before any bone test. 

Disease/Condition Glossary

Osteoporosis: It is a medical condition that causes thinning and weakening of the bones. The chance of developing osteoporosis increases with age, after menopause, or by taking corticosteroid medications (such as prednisone) for a long period of time. If proper treatment is not provided, then it can even result in broken bones. In starting days, osteoporosis does not show any symptoms. In Osteoporosis, bones can break at any time, even during daily activities like lifting or even from minor activities. Fractures usually occur at the hip, spine, or wrist, which can even lead to stooped posture (‘dowager’s hump’) and loss of movement.

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