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SALUTAS PHARMA GMBH (TW)
ATC Code
M05BA04
Source
TFDA
USDailyMed:Alendronate sodium
AU:B3
M05BA04(WHO)
CA:℞-onlyUK:POM(Prescription only)US:℞-only
sodium [4-amino-1-hydroxy-1-(hydroxy-oxido-phosphoryl)- butyl]phosphonic acid trihydrate
66376-36-1YSodium salt:121268-17-5Y
2088
3141
DB00630Y
2004Y
X1J18R4W8PSodium salt:2UY4M2U3RAY
D07119NSodium salt:D00939N
CHEBI:2567Y
ChEMBL870Y
DTXSID5022568
Interactive image
O=P(O)(O)C(O)(CCCN)P(=O)(O)O
InChI=1S/C4H13NO7P2/c5-3-1-2-4(6,13(7,8)9)14(10,11)12/h6H,1-3,5H2,(H2,7,8,9)(H2,10,11,12)YKey:OGSPWJRAVKPPFI-UHFFFAOYSA-NY
Alendronic acidor Alendronate, sold under the brand nameFosamaxamong others, is abisphosphonatemedicationused to treatosteoporosisandPaget's disease of bone, which works by decreasing the activity ofosteoclasts, the cells that break down bone.It is taken by mouth as the neutral sodium salt, alendronate sodium, but is absorbed as the active free drug alendronic acid.Use is often recommended together withvitamin D,calcium supplementation, and lifestyle changes.
Common side effects (1 to 10% of patients) include constipation, abdominal pain, nausea, andacid reflux;though the rate of all side effects were found by the Fracture Intervention Trial, which followed 2,027 women with osteoporosis for three years, to be nearly identical to that of the placebo. The study further found that the risk of a serious upper gastrointestinal adverse event was 60% lower (p<0.01) for the drug versus the placebo.[full citation needed]Use is not recommended duringpregnancyor in those withpoor kidney function.
Alendronic acid was first described in 1978 and approved for medical use in the United States in 1995 as alendronate sodium (Fosamax).It is available as ageneric medication. In 2023, it was the 113th most commonly prescribed medication in the United States, with more than 5million prescriptions.