Paget Disease (cont.)
IN THIS ARTICLE
The following oral medications may be prescribed by your doctor to control bone or joint pain related to Paget disease:
For people who do not tolerate oral bisphosphonates, injectable calcitonin (a subcutaneous injection administered at home) is a reasonable alternative to inhibit bone loss. Pamidronate, an intravenous form of bisphosphonate, is an expensive alternative that is appropriate when oral therapy is not possible.
The following are specific instructions for taking bisphosphonates and are important to assure proper absorption by the body. Beverages other than plain water (including mineral water), food, and some medications are likely to reduce the absorption of bisphosphonates. Take first thing upon wakening in the morning before other medications and food. Do not take within 30 minutes of consuming food. Take antacids, calcium, vitamin, and mineral supplements, at least two hours after bisphosphonates. Additionally, sit upright or stand for 30 minutes to avoid erosion to your esophagus (throat).
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