Tiludronic Acid helps to prevent calcium from leaking out of your bones. It helps to strengthen your bones and reduce the chances of getting fractures and bone pain.
Tiludronic Acid is used to treat Paget's disease (a painful bone condition which can cause abnormal bone growth and deformity). It helps regulate the growth of bone in patients with this disease.
Take Tiludronic Acid exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.
Take Tiludronic Acid first thing in the morning, upon arising for the day. Take it with a full glass of plain water on an empty stomach, at least 2 hours before or 2 hours after food or milk products. Swallow it whole. Do not suck, chew or crush the tablet.
Take it in a sitting or standing position. Do not take it while lying down and do not lie down for at least 30 minutes after swallowing it.
It is important to follow these instructions carefully. Tiludronic Acid may cause severe irritation to the gullet (food pipe) and stomach if not taken exactly as instructed. Taking this medicine in the manner described here will help to minimise any gastric irritation that it may cause. Ask your doctor or pharmacist if you have any questions.
Tiludronic Acid must be taken regularly for it to be effective. You may need to take Tiludronic Acid for some time before the full benefits can be felt. Continue taking Tiludronic Acid even when you feel better. Do not stop taking it unless instructed by the doctor.
Take the missed dose as soon as you remember.
If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.
DO NOT double a dose under any circumstances.
If you often forget to take your medicine, let your doctor and pharmacist know.
Alert your doctor if you cannot sit or stand upright for at least 30 minutes as Tiludronic Acid may not be suitable for you.
Inform your doctor if you have:
- have kidney disease
- have difficulty swallowing, gastric problems such as gastritis (inflammation of the lining of the stomach)
Let your doctor know if you are pregnant or breastfeeding.
If you are going for an operation, including minor operations and dental work, always inform your doctor or dentist that you are taking Tiludronic Acid.
This medicine may cause your jaw bones to weaken. You may experience dental problems such as jaw swelling and pain, loose or shaky teeth. It is important to maintain good oral hygiene while being treated with Tiludronic Acid. Your doctor may recommend that you have a dental check-up before starting you on this medicine. Inform your doctor and dentist if you:
- develop a tooth infection
- develop pain, numbness or discomfort in your teeth or gums
- have a tooth extraction
You will need to have regular blood and urine tests to check your calcium levels and kidney function. Your doctor will advise you about how often you need to have these tests.
Ensure that you take enough calcium and vitamin D supplements while you are being treated with Tiludronic Acid. Your doctor will advise you about how much of these supplements to take.
This medicine may cause any of the following side effects: flu-like symptoms, indigestion, nausea, headache, back pain, stomach pain, diarrhoea and constipation. It may also cause rashes.
Inform your doctor if any of these side effects do not go away or severe, or if you experience other side effects.
Inform your doctor and pharmacist if you are taking NSAIDs (medicine for pain and inflammation) e.g. aspirin, indometacin.
Tiludronic Acid should not be taken with antacids, as antacids could reduce the effectiveness of this medicine. If you must take antacids, take between meals at least 2 hours after you have taken this medicine.
You should wait for at least 2 hours after taking Tiludronic Acid before taking any other medicines or supplements e.g. antacids, calcium supplements.
Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicine, supplements and medicines that you buy without a prescription.
Avoid alcohol.
Store in a cool, dry place away from the reach of children.
Medicines must not be used past the expiry date.
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