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What happens if I miss a dose (Actonel with Calcium)?

If you forget to take a risedronate tablet: If you forget to take this medicine first thing in the morning, do not take it later in the day. Wait until the following morning to take the medicine and skip the missed dose. Do not take two (2) tablets in one day.

If you forget to take a calcium carbonate tablet: Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose (Actonel with Calcium)?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Drink a full glass of milk and call your local poison control center or emergency room right away. Do not make yourself vomit and do not lie down.

Overdose symptoms 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.

What should I avoid while taking calcium carbonate and risedronate (Actonel with Calcium)?

Do not take any other medicines including vitamins, calcium, or antacids for at least 30 minutes after taking a risedronate tablet.

Do not take an iron supplement at the same time you take a calcium tablet. Take these minerals at separate times of the day.

What other drugs will affect calcium carbonate and risedronate (Actonel with Calcium)?

Tell your doctor about all other medicines you use, especially:

• levothyroxine (Synthroid);
• diuretics (water pills);
• steroids (prednisone and others);
• an antibiotic such as ciprofloxacin (Cipro), doxycycline (Doryx, Oracea, Periostat, Vibramycin), levofloxacin (Levaquin), minocycline (Minocin), moxifloxacin (Avelox), ofloxacin (Floxin), tetracycline (Ala-Tet, Brodspec, Panmycin, Sumycin, Tetracap), and others; or
• aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) such as celecoxib (Celebrex), diclofenac (Voltaren), diflunisal (Dolobid), ibuprofen (Motrin, Advil), indomethacin, ketoprofen (Orudis), ketorolac (Toradol), naproxen (Aleve, Naprosyn), piroxicam (Feldene), and others.

This list is not complete and other drugs may interact with calcium carbonate and risedronate. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

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