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Fosavance tablets 4 pack

Fosavance tablets 4 pack


Availability: In stock

Manufacturer: Merck Sharp & Dohme

To purchase this prescription item, you must have a prescription signed by a doctor that is registered in the EU.

Please be advised that prescription-only medicine cannot be paid for using PayPal.

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Questions? Email us or call 0800 587 9974

Full instructions, dosage information and potential known side effects are all available in the leaflet that comes with the prescription product. If you require any advice or assistance with placing your order, please don’t hesitate to contact our team.



How do I take/use this medicine?

Take Alendronate+Colecalciferol exactly as directed by your doctor. Do not take more or less than instructed by your doctor.

This medicine must be taken regularly for it to work well. You may need to take this for some time before the full benefits can be felt. Continue taking this even when you feel better. Do not stop taking it unless instructed by your doctor.

Take this medicine once a week only. Choose one day of the week to take this and keep to the same day each week.

Take this medicine first thing in the morning, when you get out of bed. Take it with a full glass of plain water on an empty stomach, at least 30 minutes before the first drink or food of the day. Do not take this medicine with any milk or any other drink or food besides plain water. Do not take it at the same time as any other medication.

Take this medicine in an upright position - either sitting or standing. Do not swallow it while lying down. Do not lie down for at least 30 minutes after taking it and until after the first meal of the day. Do not eat or drink anything except plain water during this 30 minutes.

Do not take this medicine at bedtime or before getting up for the day.

Swallow it whole. Do not suck, chew or crush it.

It is important to follow these instructions carefully. Alendronate+Colecalciferol may cause severe irritation to the gullet (food pipe) and stomach if not taken exactly as instructed. Taking this medicine in the manner described here will help to minimise any gastric irritation that it may cause. Ask your doctor or pharmacist if you have any questions.

What should I take note of while using/taking this medicine?

Inform your doctor if you:

- have kidney disease or kidney stones
- have gastric problems such as gastritis, heartburn (reflux), stomach ulcers
- have bowel inflammation

If you are going for an operation, including minor operations and dental work, always inform your doctor, surgeon or dentist that you are taking Alendronate+Colecalciferol.

Alendronate+Colecalciferol may cause your jaw bones to weaken. You may experience dental problems such as jaw pain, loose or shaky teeth. Avoid dental surgery while being treated with this medicine. It is important to maintain good oral hygiene while being treated with this medicine. Your doctor may recommend that you have a dental check-up before starting you on this medicine. Alert your doctor and dentist if you:
- develop a tooth infection
- develop pain, numbness or discomfort in your teeth or gums
- have a tooth extraction

Ensure that you take enough calcium supplements while being treated with this medicine. Your doctor will advise you about how much of these supplements to take.

You should also include the following lifestyle changes to further reduce the risk of osteoporosis:

- regular exercise
- reduce intake of alcohol
- stop smoking

When should I not use this medicine?

Alert your doctor if you are pregnant. Do not take this medicine if you are pregnant. Alendronate+Colecalciferol can cause harm to the unborn baby. Use effective birth control methods while being treated with this medicine.

Alert your doctor if you are breastfeeding. Do not breastfeed while being treated with this medicine.

Alert your doctor if you:

- cannot sit or stand upright for at least 30 minutes
- have low levels of calcium in your blood
- have difficulty swallowing
- have diseases of the gullet (food pipe)

Do not take this medicine at bedtime or before getting up for the day.

Are there any restrictions on the type of food I can take?

Avoid alcohol.

You should take Alendronate+Colecalciferol with a full glass of plain water. Do not take it with mineral water, coffee, tea or juice.
Do not take any food, milk products, beverages or medicines within 30 minutes of taking Alendronate+Colecalciferol. These will reduce the amount of medicine absorbed into your body.

Why do I need this medicine?

This medicine contains Alendronate Sodium and Colecalciferol.

Alendronate Sodium helps to strengthen thin and weak bones in postmenopausal women who have or are at risk of osteoporosis. It helps to stop the loss of bone and also helps to increase bone mass. It helps to reduce the chances of getting a fracture.

Colecalciferol is a vitamin D supplement. Your body needs vitamin D in order to improve absorption of calcium. Both vitamin D and calcium are important to build strong bones and teeth.

Taken together, Alendronate Sodium+Colecalciferol help to make your bones stronger.

What side effects could I experience?

Alendronate+Colecalciferol may cause irritation or ulcers in your gullet (food pipe). To minimise this problem, drink a full glass of plain water with the tablet. Ensure that you wait at least 30 minutes before lying down after taking your medicine.

Other common side effects of this medicine include flu-like symptoms, heartburn (reflux), indigestion, nausea, vomiting, bloating, flatulence (wind), constipation or diarrhoea, headache, stomach pain, back pain, as well as pain of the muscle, bone or joints.

Alert your doctor if any of these symptoms are severe or refuse to go away.

Other side effects are less common but may be more serious. You may need immediate medical attention. Alert your doctor immediately if you develop any of these symptoms:

- difficulty swallowing
- severe heartburn (reflux)
- severe gastric pain
- chest pain
- eye pain or loss of vision
- allergic reactions such as severe or persistent rash, swelling of the face, breathlessness

How should I store this medicine?

Store in a cool, dry place away from the reach of children.

Medicines must not be used past the expiry date.

Can I take/use this with other medicines?

Alert your doctor and pharmacist if you are taking any other medicines, especially those listed here:

- medicines which contain magnesium, calcium, phosphate or iron, such as multivitamins
- antacids
- painkillers of the NSAIDS type for example aspirin, ibuprofen, naproxen, diclofenac

You should wait for at least 30 minutes after taking Alendronate+Colecalciferol before taking any other medicines or supplements.

Always inform your doctor or pharmacist if you are taking any other medicines, including herbal tonics, supplements and medicines that you buy without a prescription.

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We currently offer FREE UK Standard delivery on all orders over £35*

Standard UK delivery: from £3.25 for Royal Mail 2nd Class Tracked service, delivered within 3-5 working days.  

European delivery: from £7.00 for courier service, delivered within 5-10 working days.

International delivery: from £8.00 for courier service, delivered within 10-15 working days.

*applies to orders weighing less than 2kg. Standard charges apply to orders over 2kg.

Note: Certain product and weight restrictions apply. 

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Returns: We will refund or exchange any unused items in their original packaging within 7 days of delivery. 

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