Name Risedronate Sodium
Classes Metabolic Agent
Biphosphonate
Bone Resorption Inhibitor
Diseases Metabolic Disorder
Osteoporosis (Brittle Bone)

Risedronate Sodium

Risedronate Sodium belongs to a class of drugs called the bisphosphonates. Risedronate inhibits osteoclast cells of the bone that are responsible for bone resorption.

 

Risedronate is indicated for:

  • Treatment and prevention of postmenopausal osteoporosis 
  • Treatment to increase bone mass in men with osteoporosis 
  • Treatment and prevention of glucocorticoid-induced osteoporosis 
  • Treatment of Paget’s disease 

 

Risedronate sodium must be taken with plain water (6 to 8 oz) at least 30 minutes before the first food or drink of the day; do not lie down for 30 minutes 

  • Treatment of Osteoporosis in Postmenopausal Women: 5 mg daily, 35 mg once a week, 75 mg taken on two consecutive days each month, or 150 mg once a month.
  • Prevention of Osteoporosis in Postmenopausal Women: 5 mg daily, or 35 mg once a week.
  • Men with Osteoporosis: 35 mg once a week. 
  • Treatment and Prevention of Glucocorticoid-Induced Osteoporosis: 5 mg daily.
  • Paget’s Disease: 30 mg daily for 2 months.

 

Most common adverse reactions reported in patients treated with ACTONEL are:

  • back pain
  • arthralgia
  • abdominal pain
  • dyspepsia
  • generalized rash
  • eye inflammation 

 

 

  • Upper gastrointestinal irritation may occur. Dosing instructions should be followed. Discontinue use if new or worsening symptoms occur. 
  • Hypocalcemia may worsen and must be corrected prior to use.
  • Osteonecrosis of the jaw has been reported rarely.
  • Severe bone, joint, or muscle pain may occur. Consider discontinuing use if severe symptoms develop.
  • Before initiating treatment in patients with glucocorticoid-induced osteoporosis, sex steroid hormonal status of both men and women should be ascertained and appropriate replacement considered. 
  • Bisphosphonates may interfere with bone-imaging agents.

 

Contraindication

Contraindicated in patients with known hypersensitivity to any component of this product.

 

Risedronate sodium is contraindicated in patients with-

  • Inability to stand or sit upright for at least 30 minutes
  • Hypocalcemia