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  3. BIFOSA 35MG TABLET

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BIFOSA 35MG TABLET, Pack of 4 TABLETS
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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Bayyarapu Mahesh Kumar , M Pharmacy

BIFOSA 35MG TABLET is indicated for the prevention and treatment of osteoporosis. It contains Alendronate sodium, which prevents bone breakdown by slowing bone loss. In some cases, it may cause side effects such as stomach pain, constipation, nausea, gas, and diarrhoea. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.

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Composition :

ALENDRONATE SODIUM-35MG

Manufacturer/Marketer :

Troikaa Pharmaceuticals Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About BIFOSA 35MG TABLET

BIFOSA 35MG TABLET is used to prevent and treat osteoporosis in adults, helping to strengthen bones. This medicine also helps to reduce the risk of spine and hip fractures.

BIFOSA 35MG TABLET contains 'Alendronate sodium', which prevents bone breakdown by slowing bone loss. This helps keep bones strong, increases bone thickness, and reduces the risk of broken bones (fractures).

BIFOSA 35MG TABLET may cause side effects like stomach pain, constipation, nausea, gas, and diarrhoea. Most of these side effects of BIFOSA 35MG TABLET do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor. 

Do not take BIFOSA 35MG TABLET if you are allergic to any of its components. Keep your doctor informed about your medications and health conditions to prevent any potential interactions.

Uses of BIFOSA 35MG TABLET

BIFOSA 35MG TABLET used to treat osteoporosis. The detailed uses of BIFOSA 35MG TABLET are as follows:

  • Management of Osteoporosis: BIFOSA 35MG TABLET treats osteoporosis in postmenopausal women, increasing bone density and reducing fracture risk.
  • Bone Health: It helps in maintaining bone density and enhancing bone health.

Have a query?

Directions for Use

  • BIFOSA 35MG TABLET should be taken at least 30 minutes before your first meal of the day.
  • It is recommended to take BIFOSA 35MG TABLET once a week on the same day each time or as advised by your doctor.
  • Swallow BIFOSA 35MG TABLET as a whole with a glass of water. Do not crush, break, or chew it. 
  • Avoid taking it with juice, milk, coffee, or tea. 
  • Do not lie down for at least 30 minutes after taking BIFOSA 35MG TABLET.
  • Avoid taking BIFOSA 35MG TABLET before getting up for the day or at bedtime.

Medicinal Benefits

  • BIFOSA 35MG TABLET is used to treat and prevent osteoporosis in individuals with weak or brittle bones, especially in postmenopausal women.
  • It helps reduce the chances of fractures, particularly in the spine and hip, by increasing bone strength.
  • BIFOSA 35MG TABLET helps rebuild and increase bone mass, making the bones thicker and stronger over time.
  • It is beneficial for individuals who develop osteoporosis as a side effect of long-term corticosteroid (glucocorticoid) use.
  • BIFOSA 35MG TABLET is effective in increasing bone mass in both men and women with osteoporosis.
  • It is also indicated for treating Paget's disease, a condition that disrupts the normal cycle of bone breakdown and rebuilding.

How BIFOSA 35MG TABLET Works

BIFOSA 35MG TABLET contains Alendronate sodium, which prevents bone breakdown by slowing bone loss. This helps in keeping the bones strong and increases the thickness of bone, and reduces the risk of broken bones (fractures). It also helps rebuild bones, which reduces the risk of spine and hip fractures.

Storage

• Store in a cool and dry place away from sunlight. • Keep out of sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.
Side effects of Bifosa 35mg Tablet
  • Muscle cramps can be treated with regular exercise or yoga, which includes mild stretching, which helps strengthen the lower body.
  • Warm baths and gentle massage of the affected parts can help relieve cramps.
  • Avoid strenuous activity and take frequent breaks, as rest is critical.
  • Intake of nutritious food can help strengthen body and mind. A trained nutritionist can help design a balanced diet for strengthening muscles.
  • Speak to your doctor if the pain lasts an extended period. Medical help can be practical in finding a cure for cramps.
  • Eat protein-rich foods like fish, poultry, eggs, and legumes.
  • Include foods with minerals and vitamins essential for hair health.
  • Join a support group to connect with others experiencing hair loss.
  • Openly discuss your feelings about hair loss.
  • Consider covering up with wigs, hats, or scarves.
  • Be patient and avoid seeking miracle cures.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Here are the few steps for dealing with itching caused by drug use:
  • Report the itching to your doctor immediately; they may need to change your medication or dosage.
  • Use a cool, damp cloth on the itchy area to help soothe and calm the skin, reducing itching and inflammation.
  • Keep your skin hydrated and healthy with gentle, fragrance-free moisturizers.
  • Try not to scratch, as this can worsen the itching and irritate your skin.
  • If your doctor prescribes, you can take oral medications or apply topical creams or ointments to help relieve itching.
  • Track your itching symptoms and follow your doctor's guidance to adjust your treatment plan if needed. If the itching persists, consult your doctor for further advice.
Here are the step-by-step strategies to manage the side effects of "indigestion" caused by medication usage:
  • Take medications with food (if recommended): It can help prevent stomach distress and indigestion.
  • Eat smaller, more frequent meals: Divide daily food intake into smaller, more frequent meals to ease digestion.
  • Avoid trigger foods: Identify and avoid foods that trigger indigestion, such as spicy, fatty, or acidic foods.
  • Stay upright after eating: Sit or stand upright for at least 1-2 hours after eating to prevent stomach acid from flowing into the oesophagus.
  • Avoid carbonated drinks: Avoid drinking carbonated beverages, such as soda or beer, which can worsen indigestion.
  • Manage stress: To alleviate indigestion, engage in stress-reducing activities like deep breathing exercises or meditation.
  • Consult a doctor if needed: If indigestion worsens or persists, consult a healthcare professional to adjust the medication regimen or explore alternative treatments.

What if I have taken an overdose of BIFOSA 35MG TABLET

Do not take more than the prescribed dose of BIFOSA 35MG TABLET as it may cause an overdose. Symptoms of overdose may include low calcium, low levels of phosphate, and upper gastrointestinal adverse events, such as upset stomach, heartburn, esophagitis, gastritis, or ulcer. If you suspect you have taken an overdose or experience any of these symptoms, please consult a doctor immediately.

Drug Warnings

  • Do not take BIFOSA 35MG TABLET if you are allergic to any of its components, if you have problems with the oesophagus, cannot stand or sit upright for at least 30 minutes or have low blood calcium levels.
  • Inform your doctor if you have/had kidney or liver problems, digestive problems, malabsorption syndrome, dental problems, cancer, or if you are a smoker.
  • BIFOSA 35MG TABLET is not recommended for use in children.
  • Consult your doctor if you are pregnant or breastfeeding.
  • Let your doctor know if you are taking any other medicines, including supplements.

Drug-Drug Interactions

verifiedApollotooltip
Alendronic acidDeferasirox
Severe
Alendronic acidEtelcalcetide
Severe

Drug-Drug Interactions

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Alendronic acidDeferasirox
Severe
How does the drug interact with Bifosa 35mg Tablet:
Co-administration of Bifosa 35mg Tablet (oral form) with Deferasirox may increase the risk of developing gastrointestinal ulcers.

How to manage the interaction:
Although there is a possible interaction between Bifosa 35mg Tablet and Deferasirox, you can take these medicines together if advised by your doctor. However, if you develop severe stomach pain, bloating, sudden dizziness or lightheadedness, vomiting (especially with blood), nausea, loss of appetite, and/or black, tarry stools, contact your doctor immediately. Do not discontinue the medication without consulting a doctor.
Alendronic acidEtelcalcetide
Severe
How does the drug interact with Bifosa 35mg Tablet:
Co-administration of Bifosa 35mg Tablet and Etelcalcetide may increase the risk of hypocalcemia (low levels of calcium).

How to manage the interaction:
Although taking Bifosa 35mg Tablet and Etelcalcetide together can evidently cause an interaction, it can be taken if a doctor has suggested it. It's important to keep an eye on your calcium levels. Make sure to regularly check a blood calcium level and let a doctor know if you experience any symptoms like numbness, muscle spasms, or irregular heartbeat. They can help you if anything feels off. Do not stop using any medications without talking to a doctor.
Alendronic acidNaproxen
Severe
How does the drug interact with Bifosa 35mg Tablet:
Co-administration of Naproxen with Bifosa 35mg Tablet may increase the risk or severity of side effects.

How to manage the interaction:
Taking Naproxen with Bifosa 35mg Tablet together can possibly result in an interaction, it can be taken if a doctor has advised it. However, if you develop severe stomach pain, bloating, sudden dizziness, lightheadedness, vomiting (especially with blood), nausea, loss of appetite, and/or black, tarry stools, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

verifiedApollotooltip
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Include dairy products like milk, yoghurt, cheese or milk-based custard in your diet.
  • Eat a serving of broccoli, cabbage, bok choy, spinach, and other green leafy vegetables daily.
  • Include the best dietary sources of vitamin D, such as fish liver oils and vitamin D–fortified milk.
  • Snack on calcium-rich nuts like Brazil nuts or almonds. 
  • Sprinkle sesame seeds over your food, vegetables and salads. Sesame seeds are high in calcium.
  • Avoid or reduce the intake of caffeine, soft drinks and alcohol that inhibit calcium absorption.
  • Replace the meat with tofu or tempeh for extra calcium in your food.

Habit Forming

No

Therapeutic Class

BONE ENHANCERS
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Alcohol

Caution

It is not known if alcohol interacts with BIFOSA 35MG TABLET. However, avoid alcohol consumption as it may increase the risk of osteoporosis and injuries that can cause fractures.

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Pregnancy

Unsafe

BIFOSA 35MG TABLET is not recommended for use during pregnancy. Please consult your doctor if you have any concerns.

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Breast Feeding

Unsafe

BIFOSA 35MG TABLET is not recommended for use during breastfeeding. Please consult your doctor if you have any concerns.

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Driving

Caution

BIFOSA 35MG TABLET may cause dizziness and bone/joint pain. Drive only if you are mentally alert and physically stable.

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Liver

Caution

Please consult your doctor if you have liver problems.

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Kidney

Caution

BIFOSA 35MG TABLET is not recommended for people with severe renal disease. Please consult your doctor if you have kidney problems.

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Children

Unsafe

BIFOSA 35MG TABLET should not be given to children or adolescents whose age is less than 18 years.

FAQs

BIFOSA 35MG TABLET is indicated for preventing and treating osteoporosis in adults. This medicine also reduces the risk of spine and hip fractures.

BIFOSA 35MG TABLET contains Alendronate sodium, which increases bone thickness and reduces the risk of broken bones (fractures). It also helps rebuild bones, which reduces the risk of spine and hip fractures.

A person who is allergic to any component present in BIFOSA 35MG TABLET, has a problem with the oesophagus, or has low calcium levels in the blood should not take this medicine.

BIFOSA 35MG TABLET may increase the risk of jaw bone problems (osteonecrosis), especially in persons with pre-existing dental problems or people treated with steroids, cancer, blood cell disorders, chemotherapy, or radiation.

A person should take extra care of their dental hygiene while using BIFOSA 35MG TABLET, and if they are going for any dental work (especially surgery), they should tell the dentist ahead of time that they are taking this medicine.

Persons whose age is more than 35 years have low estrogen levels. Females reaching menopause, too much consumption of alcohol, tobacco, or caffeine, use of glucocorticoids and lack of calcium and vitamin D in foods are some of the factors that can increase the risk of osteoporosis.

If a person notices serious problems in the stomach or oesophagus, they should stop taking this medicine and report to the doctor immediately.

BIFOSA 35MG TABLET is part of a complete program that includes diet modifications, regular exercise, bone mineral density testing, and calcium and vitamin supplement intake. Follow all the guidelines given by the doctor very closely.

A person should limit or quit smoking as it can reduce bone mineral density and increase the risk of fractures.

BIFOSA 35MG TABLET may cause side effects like stomach pain, constipation, nausea, gas, and diarrhoea. Most of these side effects of BIFOSA 35MG TABLET do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

Lying down after taking BIFOSA 35MG TABLET may irritate the oesophagus and stomach. Therefore, do not lie down for at least 30 minutes after you take BIFOSA 35MG TABLET. Sit or stand upright for at least 30 minutes after taking BIFOSA 35MG TABLET.

Yes, BIFOSA 35MG TABLET may cause hair loss as a side effect. If you experience hair loss during treatment with BIFOSA 35MG TABLET, please consult the doctor.

BIFOSA 35MG TABLET should be used in pregnant women only if prescribed by the doctor. Please consult the doctor if you are pregnant or planning for pregnancy.

BIFOSA 35MG TABLET may cause hair loss and tiredness. However, it does not cause cancer or an increase in blood pressure. Please consult the doctor if you experience any unusual symptoms while on treatment with BIFOSA 35MG TABLET.

Country of origin

India

Manufacturer/Marketer address

Troikaa Pharmaceuticals Ltd., Registered Office: , 'Commerce House - 1', Satya Marg, Bodakdev, Ahmedabad-380 054. Gujarat, India.
Other Info - BIF0009

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Author Details

Santoshini Reddy GDoctor badge

Written By

Santoshini Reddy G

M Pharmacy

Bayyarapu Mahesh KumarDoctor badge

Reviewed By

Bayyarapu Mahesh Kumar

M Pharmacy

Last Updated

Jul 23, 2025 | 2:16 PM IST

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Reference

  1. https://www.medicines.org.uk/emc/files/pil.1281.pdf
  2. https://www.drugs.com/ppa/alendronate.html

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