ALENDRONATE Tablets 35mg "Nichiiko" [Generic BONALON, FOSAMAC]

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Please read "Drug Information" before purchase.

Product Overview

Alendronate Tablets 35mg is a Japanese-manufactured generic equivalent of the well-known osteoporosis medications Bonalon^® and Fosamax^®. Each tablet contains 35 mg of alendronate sodium, a bisphosphonate that helps strengthen bones by inhibiting bone resorption (bone loss). This once-weekly treatment increases bone density and reduces the risk of fractures in individuals with osteoporosis.

Made in Japan to exacting quality standards, this generic offers the same efficacy as the brand-name version. It’s an ideal option for those seeking high-quality osteoporosis treatment with the convenience of personal import and the trust of Japanese manufacturing.

Dosage Guidelines

For optimal results and to minimize side effects, it’s important to take Alendronate 35mg correctly. Follow these guidelines for safe and effective use:

• Weekly Dose: Take one 35 mg tablet once a week (on the same day each week).
• Timing: Take it first thing in the morning, right after getting up, on an empty stomach (before having any food or drink).
• Water Only: Swallow the tablet with a full glass (~180 mL) of plain water. Do not take it with any other beverage (no coffee, tea, juice, milk, or even mineral water).
• Posture: After taking the tablet, stay upright (sitting or standing) for at least 30 minutes. Avoid lying down during this time.
• Avoid Food/Drink: Do not eat or drink anything (besides plain water) and avoid taking any other medications or supplements for at least 30 minutes after taking alendronate.
• Swallow Whole: Do not chew, crush, or suck on the tablet. Swallow it whole to prevent mouth or throat irritation.

Following these guidelines helps ensure the medication is absorbed properly and reduces the risk of esophageal irritation. If you have any concerns about how to take this medication, consult your healthcare provider for personalized advice.

Possible Side Effects

Alendronate is generally well-tolerated, but as with any medication, side effects can occur. Most people experience no or only mild side effects, but it’s important to be aware of possible reactions.

• Common Side Effects: Mild gastrointestinal symptoms such as nausea, stomach upset or pain, heartburn, indigestion, gas, or diarrhea. Headache, dizziness, or mild joint/muscle pain may also occur.
• Less Common Side Effects: Some patients may experience bone, muscle, or joint aches, or flu-like symptoms (slight fever, fatigue) especially after the first dose. These symptoms typically subside as your body adjusts.
• Rare but Serious Side Effects: In rare cases, alendronate can cause irritation or ulcers of the esophagus. Stop taking the medication and seek medical attention if you develop severe chest pain, new or worsening heartburn, or pain/difficulty swallowing. Very rarely, long-term use has been associated with jaw bone problems (osteonecrosis of the jaw) or unusual thigh bone fractures. If you require dental extractions or major dental work, inform your dentist that you are taking this medication.
• Allergic Reactions: Severe allergic reactions are uncommon, but if you notice symptoms such as rash, hives, swelling of the face/lips/tongue, or difficulty breathing, seek immediate medical attention.

If you experience any persistent or worrisome side effects, stop taking the medication and consult a healthcare professional. Always use this medication under medical guidance, especially if you have other health conditions or are on long-term therapy.

FAQ

Q: What if I miss a dose?
A: If you forget to take your weekly dose, take one tablet the next morning as soon as you remember (as long as you haven’t eaten yet that day). If you only realize after you’ve already eaten that day, skip the missed dose entirely and take your next tablet on the following scheduled day. Do not take two tablets on the same day to make up for a missed dose. After that, continue your regular once-weekly schedule. If you’re ever unsure, consult your doctor for guidance.

Q: Is this generic equivalent to the brand-name Fosamax (Bonalon)?
A: Yes. This Japanese generic contains the same active ingredient (alendronate sodium 35mg) and is therapeutically equivalent to the brand-name osteoporosis medications Fosamax^® (internationally) and Bonalon^® (in Japan). It delivers the same bone-strengthening benefits and fracture risk reduction as the brand. In Japan, generic drugs must pass rigorous bioequivalence tests to ensure they work just as effectively as the original brand. We source our stock directly from reputable Japanese manufacturers, so you can be confident you’re receiving an authentic medication with the same quality and efficacy as the name-brand version.