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What else should I know about Bisphosphonates?

Calcium and vitamin D 

It's important to get enough calcium and vitamin D as a lack of these can lessen the effect of bisphosphonates. You may be prescribed a daily supplement of calcium and/or vitamin D.

Oral hygiene and dental treatment

During bisphosphonate therapy you should maintain good oral hygiene and have regular dental check-ups. If you're expecting to have dental work it's usually best if this can be completed before starting bisphosphonates. However, it may not be necessary to stop your bisphosphonates if you do need dental treatment later on. If in doubt, check with your doctor.

Other medicines and vaccinations

It's usually fine to take other medicines alongside bisphosphonates, but check with your doctor or pharmacist before starting any new medications.

There's no reason why you shouldn't have vaccinations while you're on bisphosphonates.

Alcohol

Alcohol is unlikely to interact with bisphosphonates. However, heavy drinking is a risk factor for osteoporosis and for having falls so it's recommended that you drink alcohol only in moderation.

Fertility, pregnancy and breastfeeding

Osteoporosis usually affects older people, so there's only limited evidence concerning the use of bisphosphonates by women who are pregnant or breastfeeding.

Bisphosphonates can cross the placenta to the unborn baby and can also pass into breast milk in small amounts. There's no clear evidence that this is harmful to the child. However, as a precaution, it's recommended that treatment with bisphosphonates is stopped at least three months before trying for a baby and while breastfeeding.

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