How to Take BINOSTO® (alendronate sodium) effervescent tablet for oral solution 70 mg

Like all medicine, BINOSTO needs to be taken exactly as your doctor tells you. It is taken 1 time each week. Choose the day of the week that best fits your schedule, then take BINOSTO on the same day every week.

BINOSTO works only if you take it on an empty stomach.

Take BINOSTO after you get up for the day and 30 minutes before taking your first food, drink, or other medicine.

Take BINOSTO while you are sitting or standing.

Do not swallow, chew or suck on a BINOSTO tablet.

Do not dissolve BINOSTO in:

  • mineral or flavored water
  • coffee
  • tea
  • soda
  • juice

You must dissolve your BINOSTO effervescent tablet in 4 oz of plain water at room temperature before you take it.

To prepare your BINOSTO liquid medicine:

Step 1. Place the BINOSTO tablet in about a half glass (4 ounces) of plain water. The water should not be cold or hot, and should be at room temperature.

Step 2. Wait at least 5 minutes after the bubbling (effervescence) stops for the BINOSTO tablet to completely dissolve in the water.

Step 3. Stir the liquid medicine for about 10 seconds.

Step 4. Drink all of the BINOSTO liquid medicine in the glass.

After you take BINOSTO, wait at least 30 minutes before you:

  • lie down. You may sit, stand or walk, and do normal activities like reading.
  • take your first food or drink, except for plain water.
  • take other medicines, including antacids, calcium, and other supplements and vitamins.

Do not lie down until after you eat your first food of the day.

  • If you miss a dose of BINOSTO, do not take it later in the day. Take your missed dose on the next morning after you remember and then return to your normal schedule. Do not take 2 doses on the same day.
  • If you think you took more than your prescribed dose of BINOSTO, drink a full glass of milk and call your doctor right away. Do not try to vomit. Do not lie down.

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