Osteoporosis Medication Management Schedule

A Comprehensive Guide for Patients

Orthopedics

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Last updated: Mar 24, 2025

Daily Medications

Calcium Supplements

  • Morning dose: 600mg with breakfast
  • Evening dose: 600mg with dinner
  • Take 2 hours apart from iron supplements or thyroid medications

Vitamin D

  • Daily dose: 800-1000 IU
  • Best absorbed with fatty foods

Weekly Medications

Bisphosphonates (if prescribed)

  • Alendronate (Fosamax): Once weekly
  • Time: First thing in the morning
  • Instructions:
    • Take on empty stomach
    • With full glass of water
    • Remain upright for 30 minutes
    • No other food/drink for 30 minutes

Monthly Medications

Ibandronate (Boniva) if prescribed

  • Timing: Once monthly
  • Same instructions as weekly bisphosphonates

Important Reminders

  1. Never skip doses
  2. Set up a routine
  3. Use pill organizers
  4. Keep track of injection dates

Monitoring Schedule

  • Bone Density (DXA) Scan: Every 1-2 years
  • Blood Calcium Levels: Every 6-12 months
  • Vitamin D Levels: Annually

Contact Your Doctor If:

  • You experience difficulty swallowing
  • Develop chest pain
  • Have severe bone/joint/muscle pain
  • Notice jaw pain or swelling

Keep this schedule in a visible location and update as needed with your healthcare provider's guidance.

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