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Manufacturer/Marketer :

Alkem Laboratories Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Gemfos Tablet

Gemfos Tablet belongs to a group of non-hormonal medicines called bisphosphonates, used to treat bone diseases such as osteoporosis (weak and brittle bones) and Paget's disease of bone (soft and weak bones).

Gemfos Tablet contains Risedronate sodium, which works by preventing bone breakdown and increasing bone density. Thereby, it makes the bones strong and less likely to break.

Gemfos Tablet may cause side effects like nausea, indigestion, stomach pain/discomfort, headache, diarrhoea and constipation. Most of these side effects do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, consult your doctor.

Do not take Gemfos Tablet if you are allergic to any of its components. Consult your doctor if you are pregnant or breastfeeding. Keep your doctor informed about your health condition and medications to prevent any interactions.

Uses of Gemfos Tablet

Gemfos Tablet is used in the treatment and prevention of osteoporosis (weak and brittle bones). The detailed uses of Gemfos Tablet are as follows:

  • Treats and Prevents Postmenopausal Osteoporosis: Gemfos Tablet helps increase bone mineral density and reduce the risk of fractures in women with osteoporosis after menopause (cessation of periods).
  • Treats Osteoporosis in Men: Gemfos Tablet is also prescribed to improve bone strength and reduce fracture risk in men with osteoporosis.
  • Manage Glucocorticoid-Induced Osteoporosis: Gemfos Tablet helps prevent and treat bone loss caused by long-term use of corticosteroid medications (such as prednisone).
  • Manages Paget's Disease of Bone: Gemfos Tablet also helps control abnormal bone growth in individuals with Paget's disease, relieving bone pain and reducing deformities.

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Directions for Use

  • Gemfos Tablet should be taken on an empty stomach at least 30 minutes before breakfast, or as advised by the doctor.
  • Follow your doctor's instructions regarding the dosage and duration.
  • Swallow Gemfos Tablet as a whole with a glass of water.
  • Do not chew, crush, or break it.
  • Stay sitting or standing for at least 30 minutes after taking Gemfos Tablet. Do not lie down during this time.

Medicinal Benefits

  • Gemfos Tablet helps maintain and increase bone density by slowing down bone breakdown.
  • It strengthens bones and reduces the risk of fractures in patients with osteoporosis.
  • It is useful in the prevention and treatment of postmenopausal osteoporosis.
  • Gemfos Tablet helps increase bone mass in men with osteoporosis.
  • Prevents and treats glucocorticoid-induced osteoporosis (bone loss caused by long-term steroid use).
  • Gemfos Tablet also treats Paget’s disease of bone by reducing abnormal bone turnover.
  • It helps relieve bone pain and reduces bone deformities associated with Paget’s disease.
  • It improves overall bone strength and skeletal health.

How Gemfos Tablet Works

Gemfos Tablet contains Risedronate sodium, which works by preventing bone breakdown and increasing bone density. Thereby, it makes the bones strong and less likely to break.

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 Gemfos Tablet
Managing back pain as a side effect of medication requires a combination of self-care techniques, lifestyle modifications, and medical interventions. Here are the steps:
  • Talk to your doctor about your back pain and potential medication substitutes or dose changes.
  • Try yoga or Pilates and other mild stretching exercises to increase flexibility and strengthen your back muscles.
  • To lessen the tension on your back, sit and stand upright and maintain proper posture.
  • To alleviate discomfort and minimize inflammation, apply heat or cold packs to the afflicted area.
  • Under your doctor's supervision, think about taking over-the-counter painkillers like acetaminophen or ibuprofen.
  • Make ergonomic adjustments to your workspace and daily activities to reduce strain on your back.
  • To handle tension that could make back pain worse, try stress-reduction methods like deep breathing or meditation.
  • Use pillows and a supportive mattress to keep your spine in the right posture as you sleep.
  • Back discomfort can worsen by bending, twisting, and heavy lifting.
  • Speak with a physical therapist to create a customized training regimen to increase back strength and flexibility.
Here are the steps to manage Joint Pain caused by medication usage:
  • Please inform your doctor about joint pain symptoms, as they may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Your doctor may prescribe common pain relievers if necessary to treat joint discomfort.
  • Maintaining a healthy lifestyle is key to relieving joint discomfort. Regular exercise, such as low-impact sports like walking, cycling, or swimming, should be combined with a well-balanced diet. Aim for 7-8 hours of sleep per night to assist your body in repairing and rebuilding tissue.
  • Applying heat or cold packs to the affected joint can help reduce pain and inflammation.
  • Please track when joint pain occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
  • If your joint pain is severe or prolonged, consult a doctor to rule out any underlying disorders that may require treatment.
  • 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.
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 Gemfos Tablet

Do not take more than the prescribed dose of Gemfos Tablet as it may cause an overdose. The symptoms of overdose include muscle spasms/cramps/twitches, seizures (fits) and numbness or tingling around the mouth or in the hands or feet. If you suspect you have taken an overdose or notice signs of overdose, please consult a doctor immediately.

Drug Warnings

  • Do not take Gemfos Tablet if you are allergic to any of its components, if you are unable to sit or stand for at least 30 minutes or have severe kidney problems.
  • Inform your doctor if you have abnormal bone/mineral metabolism, problems with the oesophagus, or are undergoing any dental procedure.
  • Consult your doctor if you are pregnant or breastfeeding.
  • Gemfos Tablet is not recommended for children as safety has not been established.
  • Gemfos Tablet can cause serious problems in the stomach or oesophagus. Stop using this medicine and call your doctor at once if you have chest pain, new or worsening heartburn, or pain when swallowing.
  • Talk to your doctor if you experience jaw problems, eye inflammation, or pain in the joints, bones or muscles.
  • Let your doctor know if you are taking any other medicines.

Drug-Drug Interactions

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Risedronic acidCimetidine
Severe

Drug-Drug Interactions

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Risedronic acidCimetidine
Severe
How does the drug interact with Gemfos Tablet:
Taking Gemfos Tablet with Cimetidine can increase the blood levels of Gemfos Tablet.

How to manage the interaction:
Although there is a possible interaction between Gemfos Tablet and Cimetidine, you can take these medicines together if prescribed by a doctor. In case you experience any unusual side effects, consult a doctor. Do not discontinue any medications without first consulting your doctor.
How does the drug interact with Gemfos Tablet:
Taking Gemfos Tablet (oral form) with Deferasirox can increase the risk of bleeding and ulcers in the stomach.

How to manage the interaction:
Taking Gemfos Tablet with Deferasirox together can possibly result in an interaction, but it can be taken if your doctor has advised it. However, consult your doctor if you experience abdominal pain, bloating, sudden dizziness or lightheadedness, nausea, vomiting (especially with blood), loss of hunger, or black, tarry stools. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Gemfos Tablet:
Taking Gemfos Tablet with ibuprofen can increase the risk of developing kidney problems, gastrointestinal bleeding, and ulcers.

How to manage the interaction:
Co-administration of Gemfos Tablet and Ibuprofen can lead to an interaction but it can be taken if your doctor has advised it. However, consult your doctor if you experience abdominal pain, bloating, sudden dizziness or lightheadedness, nausea, vomiting (especially with blood), loss of appetite, and/or black, tarry stools. Do not discotinue any medications without consulting a doctor.
Risedronic acidNizatidine
Severe
How does the drug interact with Gemfos Tablet:
Taking Gemfos Tablet with nizatidine can increase the blood levels of Gemfos Tablet.

How to manage the interaction:
There may be a possibility of interaction between Gemfos Tablet and Nizatidine, but it can be taken if prescribed by a doctor. In case you experience any unusual side effects, consult a doctor. Do not stop using any medications without talking to a doctor.
Risedronic acidEtelcalcetide
Severe
How does the drug interact with Gemfos Tablet:
Taking Etelcalcetide with Gemfos Tablet may decrease calcium levels in the blood.

How to manage the interaction:
Co-administration of Gemfos Tablet with Etelcalcetide can possibly result in an interaction, but it can be taken if a doctor has advised it. However, consult your doctor immediately if you experience symptoms such as numbness or tingling around the mouth, muscle pain, fits, mental changes (irritability, depression, psychosis), increased pressure on the brain, and irregular heartbeat. Do not stop using any medications without first talking to a doctor.
How does the drug interact with Gemfos Tablet:
Taking Famotidine with Gemfos Tablet can increase the blood levels of Gemfos Tablet.

How to manage the interaction:
There may be a possibility of interaction between Gemfos Tablet and Famotidine, but it can be taken if prescribed by a doctor. In case you experience any unusual side effects, consult a doctor. Do not stop using any medications without talking to a doctor.

Drug-Food Interactions

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RISEDRONATE SODIUM-35MGVitamin B complex foods, Vitamin B12 rich foods
Moderate

Drug-Food Interactions

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RISEDRONATE SODIUM-35MGVitamin B complex foods, Vitamin B12 rich foods
Moderate
Common Foods to Avoid:
Avocado, Beetroot, Cereals, Cheese, Chicken, Black Beans, Eggs, Clams, Chickpea, Whole Grains, Shellfish, Spinach, Salmon, Red Meat, Oysters, Potatoes, Kidney Beans, Mackerel, Milk, Kale, Tuna, Yogurt, Liver, Low-Fat Milk, Trout, Fortified Breakfast Cereal, Fish, Beef

How to manage the interaction:
Products containing magnesium, aluminum, calcium, iron, and/or other minerals may decrease the blood levels of Gemfos Tablet. If you are on multivitamins, and prescribed with Gemfos Tablet, inform the doctor.

Diet & Lifestyle Advise

  • A person should consume calcium and vitamin D in their diet as it helps make stronger bones and avoid everyday osteoporosis dangers.
  • A post-menopausal woman should limit salt intake, as it can pose a high risk of losing more bone minerals than other women of the same age.
  • Do regular exercise like weight-bearing exercises, which are important for maintaining bone health.

Habit Forming

No

Therapeutic Class

BONE ENHANCERS

Gemfos Tablet Substitute

Substitutes safety advice
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Alcohol

Unsafe

A person should limit the consumption of alcohol as it can increase the risk of stomach side effects from Gemfos Tablet.

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Pregnancy

Caution

Gemfos Tablet should be used during pregnancy only if prescribed by the doctor. Please consult the doctor if you are pregnant, planning for pregnancy or think you may be pregnant.

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Breast Feeding

Unsafe

Gemfos Tablet may pass in breast milk and harm the nursing baby, so do not take Gemfos Tablet while breastfeeding.

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Driving

Safe if prescribed

Gemfos Tablet does not influence a person's ability to drive.

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Liver

Consult your doctor

Please consult your doctor if you have liver impairment or any concerns regarding this.

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Kidney

Caution

Gemfos Tablet is not recommended for patients with severe kidney impairment. Consult your doctor if you have kidney disorders.

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Children

Unsafe

Gemfos Tablet should not be given to children or adolescents whose age is less than 18 years.

FAQs

Gemfos Tablet is used to treat postmenopausal osteoporosis, glucocorticoid-induced osteoporosis, osteoporosis in men and Paget's disease of bone.

Gemfos Tablet contains Risedronate sodium, which works by preventing bone breakdown and increasing bone density. Thereby, it makes the bones strong and less likely to break.

People who are allergic to any of its components, are unable to sit or stand for at least 30 minutes, or have low calcium levels should not take Gemfos Tablet.

Gemfos Tablet may increase the risk of jawbone problems (osteonecrosis), especially in persons with pre-existing dental problems, or people treated with steroids, cancer, blood cell disorders, chemotherapy, or radiation.

It is advised not to breastfeed while taking Gemfos Tablet as this medicine can pass into breastmilk. Consult with your doctor about any risk.

A person should take extra care of their dental hygiene while taking Gemfos 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 aged above 35 years, have low estrogen levels, females reaching menopause, consume too much alcohol, tobacco, or caffeine, and lack calcium and vitamin D, are at an increased risk of osteoporosis.

Gemfos Tablet is a part of a complete program that includes modifications in diet, regular exercise, bone mineral density testing, and intake of calcium and vitamin supplements. Follow the doctor's guidelines very closely.

Foods, medicines and vitamin supplements may affect the absorption of Gemfos Tablet. Therefore, to maintain the effectiveness of Gemfos Tablet, it should be taken with plain water only.

Gemfos Tablet may cause diarrhoea as a side effect. Drink enough fluids and eat non-spicy food if you experience diarrhoea. Consult the doctor if the diarrhoea persists or worsens.

Take Gemfos Tablet without food on an empty stomach with one glass of water at least half an hour before breakfast, and remain in a sitting or standing position for about 30 minutes. Do not crush, chew, or break it.

Lying down after taking Gemfos Tablet may cause the medication to return to the oesophagus. Therefore, do not lie down for at least 30 minutes after you take Gemfos Tablet. Sit or stand upright for at least 30 minutes after taking Gemfos Tablet.

Gemfos Tablet may cause hair loss in some people. Consult the doctor if you notice hair loss or thinning of hair during treatment with Gemfos Tablet.

Gemfos Tablet should be used during pregnancy only if prescribed by the doctor. Please consult the doctor if you are pregnant, planning for pregnancy or think you may be pregnant.

Keep your teeth clean and have a dental check-up every 6 months, as Gemfos Tablet may affect your jawbone.

Gemfos Tablet may cause side effects like nausea, indigestion, stomach pain/discomfort, headache, diarrhoea and constipation. Most of these side effects do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, consult your doctor.

Country of origin

India

Manufacturer/Marketer address

Alkem Laboratories Limited, Devashish Building, Alkem House, Senapati Bapat Road, Lower Parel, Mumbai - 400 013.
Other Info - GEM0009

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