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compositionComposition:ALENDRONATE SODIUM-35MG
prescription
Prescription Medicine
info
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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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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Bayyarapu Mahesh Kumar , M Pharmacy
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More about the Product

Composition :

ALENDRONATE SODIUM-35MG

Manufacturer/Marketer :

Troikaa Pharmaceuticals Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About BIFOSA 35MG TABLET

BIFOSA 35MG TABLET is a prescription medication used to prevent and treat osteoporosis, a condition that makes bones thin, weak, and easy to break. It is primarily prescribed to help protect your bones from becoming fragile and to reduce the likelihood of spine and hip fractures. Doctors often recommend this medicine for postmenopausal women, men with bone loss, and individuals taking long-term steroid medications.

For this medicine to work effectively, you must take it consistently on a regular schedule, typically once a day or once a week as prescribed. You must take it first thing in the morning with plain water on an empty stomach, before eating or drinking anything else. Combining this treatment with regular weight-bearing exercises and a balanced diet rich in calcium and vitamin D will help you achieve the best results for your bone health.

While taking this medicine, some people may experience mild stomach upset, heartburn, or temporary joint pain. However, you must consult your doctor immediately if you experience serious side effects, such as difficulty or pain when swallowing, severe chest pain, or new jaw pain. Your doctor can help determine if these symptoms require you to stop taking the medicine.

Talk to your doctor before starting this medicine if you have kidney disease, swallowing difficulties, stomach ulcers, or low blood calcium levels. Do not take this if you have issues with your oesophagus that delay food from passing or if you cannot stand or sit upright for at least 30 minutes, as staying upright is critical to prevent damage to your food pipe.

BIFOSA 35MG TABLET can interact with other medicines, including over-the-counter pain relievers, calcium supplements, and antacids, which can block its absorption or increase stomach irritation. If you are pregnant, breastfeeding, or planning a pregnancy, talk to your doctor or pharmacist to determine if this medication is safe for you.

Uses of BIFOSA 35MG TABLET

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

  • Osteoporosis in postmenopausal women: BIFOSA 35MG TABLET helps rebuild bone density, making bones stronger and significantly reducing the risk of spine and hip fractures.
  • Osteoporosis in men: It increases bone mass in men with osteoporosis to help prevent bone fractures and preserve mobility.
  • Glucocorticoid-induced osteoporosis: It treats and prevents bone loss in men and women who are taking steroid medications (such as prednisone) for long periods.
  • Paget's disease of bone: It helps slow down abnormal bone breakdown and rebuilding, which reduces bone pain and prevents future deformities.

Key Benefits

BIFOSA 35MG TABLET helps strengthen and maintain healthy bones by supporting normal bone remodelling processes. By improving bone density and reducing bone loss, it helps lower the risk of fractures and supports long-term skeletal health.

  • Helps Strengthen Bones and Reduce Fracture Risk: By increasing bone strength and preserving bone density, BIFOSA 35MG TABLET helps reduce the likelihood of fractures, particularly in individuals with osteoporosis or other conditions associated with weakened bones.
  • Supports Long-Term Bone Health: Regular treatment with BIFOSA 35MG TABLET helps maintain the structural integrity of bones, supporting posture, mobility, balance, and independence in everyday activities.
  • Provides Protection in Bone-Related Conditions: BIFOSA 35MG TABLET can help counteract bone loss associated with long-term steroid use and may also support the management of conditions such as Paget's disease of bone. By helping normalise bone remodelling, it may reduce bone-related discomfort and contribute to improved bone health outcomes.
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.

Directions for Use

To ensure this medicine is absorbed properly and to protect your oesophagus (food pipe) from irritation, you must follow these step-by-step instructions carefully:

  • Take the medicine first thing in the morning, right after you get out of bed.
  • Take it with a full glass (6 to 8 ounces) of plain water only. Do not use mineral water, coffee, tea, soda, or juice.
    Swallow the tablet whole. Do not chew, crush, or suck on it.
  • Do not lie down. You must stay fully upright (sitting, standing, or walking) for at least 30 minutes after taking the medicine and until after you have eaten your first food of the day.
  • Wait at least 30 minutes after taking the medicine before you eat, drink anything other than plain water, or take any other medications.
  • Always follow your doctor's exact instructions regarding your specific schedule and treatment plan.

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.
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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.

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Heart

Safe if prescribed

BIFOSA 35MG TABLET is known to have cardioprotective uses about use of BIFOSA 35MG TABLET in heart patients. However, please consult your physician.

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Geriatrics

Safe if prescribed

BIFOSA 35MG TABLET is safe for use in elderly patients if recommended by the doctor.

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

If you suspect an overdose, seek immediate medical attention or call your local poison control centre. Do not induce vomiting, and do not lie down. Drink a full glass of milk to help bind the medicine in your stomach, and remain fully upright while waiting for medical assistance.

Diet & Lifestyle Advise

  • Boost calcium and vitamin D: Ensure your diet includes calcium-rich foods like dairy products, leafy greens, and fortified foods. Talk to your doctor about whether you need calcium and vitamin D supplements.
  • Stay active: Engage in regular, low-impact weight-bearing exercises such as walking, light hiking, or using elliptical machines to help maintain bone density safely.
  • Limit alcohol and quit smoking: Avoid smoking and limit your alcohol intake, as both habits accelerate bone loss and increase your risk of falling.
  • Create a fall-proof home: Remove loose rugs, secure electrical cords, install bright lighting, and use non-slip mats in the bathroom to minimise your risk of tripping and fracturing a bone.
health query

Have a query?

How Soon It Starts Working

The time required for BIFOSA 35MG TABLET to start to work: The time required for BIFOSA 35MG TABLET to show its action is unknown. The time for which the effects of BIFOSA 35MG TABLET last: The duration of action for BIFOSA 35MG TABLET is unknown.

What if you forget to take BIFOSA 35MG TABLET

If you take this medicine once a week and forget to take it on your scheduled day, take one tablet the next morning after you remember. Then, return to your regular weekly schedule on your chosen day. Do not take two tablets on the same day. If you take this medicine once daily and miss a dose, skip the missed dose and take your next dose the following morning. Do not take a double dose to make up for a missed one.

Storage

•Store BIFOSA 35MG TABLET tablets at room temperature, between 15°C and 30°C (59°F to 86°F). •Keep the tablets in their original packaging to protect them from moisture and light.

Drug Warnings

  • Always take this medicine with plain tap water or bottled water; mineral water contains minerals that block the medicine from entering your body.
  • Never take this medicine at bedtime or before you get out of bed in the morning, as you must remain upright for at least 30 minutes to prevent throat damage.
  • Maintain good dental hygiene, brush regularly, and visit your dentist. Inform your dentist that you take BIFOSA 35MG TABLET before undergoing any dental procedures, especially tooth extractions, to avoid rare jawbone complications.
  • Do not take any other pills, vitamins, or supplements at the same time as BIFOSA 35MG TABLET; wait at least 30 minutes before taking any other oral medications.
  • Contact your healthcare provider immediately if you develop any unusual pain in your hip, thigh, or groin.

Drug-Drug Interactions

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Drug-Drug Interactions

  • Calcium supplements, antacids, and vitamins: These can severely decrease the absorption of BIFOSA 35MG TABLET if taken within 30 minutes. Always separate these products by at least half an hour.
  • Aspirin and NSAIDs (like ibuprofen or naproxen): Taking these alongside BIFOSA 35MG TABLET can increase the risk of severe stomach irritation, indigestion, or ulcers.

Drug-Food Interactions

  • Food and beverages: Any food, coffee, tea, juice, or mineral water taken at the same time as BIFOSA 35MG TABLET will drastically reduce how much medicine your body absorbs, making the treatment ineffective.

Drug-Disease Interactions

  • Oesophageal disorders: Conditions that delay oesophagus emptying (such as narrowing or achalasia) can increase the risk of severe local irritation.
  • Severe kidney disease: This medicine is not recommended for individuals with severe kidney problems, as the kidneys clear the drug from the body.
  • Low blood calcium (hypocalcaemia): This condition must be fully treated and corrected before you start taking BIFOSA 35MG TABLET.
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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Habit Forming

No

Therapeutic Class

[BONE ENHANCERS]

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.
No. You must wait at least 30 minutes after taking the medicine before you drink coffee or tea or juice or eat any food. Drinking anything other than plain water too soon will stop the medication from being absorbed properly. Talk to your doctor or pharmacist if you have questions about your morning routine.
The optimal length of treatment varies for everyone. Your doctor will periodically evaluate your bone health, usually through bone density scans, to see if you still need the medicine after 3 to 5 years. Talk to your doctor to understand your long-term bone health plan.
No. Calcium supplements will completely block your body from absorbing BIFOSA 35MG TABLET. You must wait at least 30 minutes after taking your medication before taking any calcium, vitamins, or antacids. Talk to your pharmacist to help you schedule your daily doses.
BIFOSA 35MG TABLET does not cure osteoporosis, but it is highly effective at managing it. It helps rebuild bone mass and prevents further bone loss, which significantly lowers your risk of breaking a bone. Talk to your doctor about how to monitor your progress.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

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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