🍽️ Any Food or Beverage Except Plain Water⚠️ High Risk
Alendronate has nearly zero absorption if taken with anything other than plain water. Food, coffee, juice, or supplements taken within 30 minutes reduces absorption by 60% or more.
How it works
Bisphosphonates are poorly absorbed orally even under ideal conditions. Any food or beverage forms chelates that prevent the already limited absorption.
What to do: Take alendronate first thing in the morning with a full glass of plain water. Wait at least 30 minutes before eating, drinking, or taking other medications. Remain upright for 30 minutes after taking.
Source: FDA Fosamax Prescribing Information; National Osteoporosis Foundation Guidelines
Disclaimer: Educational purposes only. Based on FDA drug labeling and NIH MedlinePlus. Consult your pharmacist or physician before changing your diet while on medication.
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