SN instructed patient / caregiver that Actonel is used to treat and prevent bone loss ( osteoporosis ). SN instructed patient of the side effects of Actonel: nausea, diarrhea, constipation and headache. SN instructed patient / caregiver to report to physician of adverse effects: flu - like symptoms ( e.g., fatigue, fever, aches ), weakness, chest or stomach pain, pain when swallowing, leg or ankle swelling, joint pain, bone pain.
Actonel slows bone loss while increasing bones mass, which may prevent bone fractures.
Actonel can cause serious problems in the stomach or esophagus (the tube that connects your mouth and stomach). You will need to stay upright for at least 30 minutes after taking this medication.
Take the Actonel tablet first thing in the morning, at least 30 minutes before you eat or drink anything or take any other medicine. Take each dose with a full glass (6 to 8 ounces) of water. Use only plain water (not mineral water) when taking a Actonel tablet. For at least the first 30 minutes after taking an Actonel tablet, do not lie down or recline; do not eat or drink anything other than plain water; and do not take any other medicines including vitamins, calcium, or antacids.
Symptoms of a Actonel overdose may include nausea, heartburn, stomach pain, diarrhea, muscle cramps, numbness or tingling, tight muscles in your face, seizure (convulsions), irritability, and unusual thoughts or behavior.
When using Actonel get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Serious side effects of Actonel are chest pain, difficulty or pain when swallowing, pain or burning under the ribs or in the back, new or worsening heartburn, severe joint, bone, or muscle pain, or jaw pain, numbness, or swelling. Stop taking the medication and call the doctor immediately if any of these side effects occur.
Continue using Actonel and talk with your doctor if you have any of these less serious side effects: mild heartburn or stomach upset, diarrhea, gas, or constipation, mild joint or back pain, or headache.