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Tuesday, October 05, 2010 shorty asks

Q: can you take the generic fosomax with milk?

For the first time I will be taking the generic of Fosomax in the AM. First thing in the morning I cannot drink water, as it nauseates me. Can I take it with milk?
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Pam Flores, Health Guide
10/ 7/10 11:53am

Hi Shorty, here's some information from the manufacturer of Fosamax on how to take this medication properly.  If you can't drink water, I would talk to your Pharmacist or Dr. to see what you should do. 

 

The instructions say to take Fosamax with 8 oz. of water, and you aren't suppose to take calcium at the same time since it could impede the absorption.  Calcium and other vitamins/minerals should be spaced out from the med.  Since milk has calcium in it, you may not absorb the medication properly.

 

Here's a quote from Drugs.com on Fosamax and Calcium interaction:


ADJUST DOSING INTERVAL: Products containing aluminum, calcium, magnesium and other polyvalent cations such as antacids or vitamin with mineral supplements are likely to interfere with the gastrointestinal absorption of oral bisphosphonates. For example, the bioavailability of tiludronate has been shown to decrease 80% during simultaneous administration with calcium, and 60% when aluminum- or magnesium-containing antacids were administered one hour before tiludronate.

 

MANAGEMENT: Oral medications containing antacids (e.g., didanosine buffered tablets or pediatric oral solution), aluminum, calcium, magnesium and other polyvalent cations should be administered at least 30 minutes after the bisphosphonate dose (Drugs.com 2010).

 

 

Good luck...

 

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By shorty— Last Modified: 12/26/10, First Published: 10/05/10