Bone Health

Bisphosphonates and calcitonin: what this category holds

Three medicines make up this category. Risedronate, at 150MG, is an oral bisphosphonate taken once a month to slow bone loss in osteoporosis. Zoledronic acid is an intravenous bisphosphonate; the 4MG strength stocked here is the one used for bone complications of cancer and for high blood calcium, and it is given in a clinic. Calcitonin is supplied as a nasal spray.

Taking risedronate correctly

Oral bisphosphonates are poorly absorbed, and the routine around taking them is what makes them work. Risedronate is swallowed whole with a full glass of plain water on an empty stomach, and you stay upright and wait at least 30 minutes before eating, drinking anything else or taking other medicines. Calcium, iron and antacids taken at the same time block its absorption.

Calcium, vitamin D and dental care

Bisphosphonates work best when calcium and vitamin D intake is adequate, and this is often checked before starting. A dental check before a course is sensible, since jaw problems are a rare but recognised complication, and new thigh or groin pain on long-term treatment is worth reporting.

How long treatment lasts

Treatment is usually reviewed after several years rather than continued indefinitely, and bone density scans guide that decision. Every listing shows the molecule, strength, form and pack size, with the guaranteed minimum expiry date. All stock ships from India through licensed distributors.