An effective drug, Fosamax is used for preventing and treating osteoporosis. It is also used for treating Paget’s disease.
A bisphosphonate, Fosamax tablet is also given for brittle bone disease in postmenopausal women.

The drug is taken early in the morning half an hour before the first drink, food or medicine. Fosamax has to be taken with a full glass of water. It should only be swallowed whole and not crushed, broken or chewed as the drug has to enter the body slowly.

When taking the drug, you should not consume alcohol and smoke as it can only increase the risk of side effects. You may have to take calcium and Vitamin D and supplements if you are not getting it from your food.

If a dosage is missed, skip it and continue with your regular dosage. The whole course of the medication should have to be taken for better results. The drug should not be stopped in the middle of a course even if you feel better.

The drug is normally not advised for people who have low calcium levels in blood. The doctor may also not prescribe Fosamax if you have any allergies to the drug. Before the doctor prescribes Fosamax, you have to discuss with your doctor about all your medical history so that he will be able to take an appropriate decision on the medication.

Intake of Vitamin D, Calcium supplements may not reduce the risk of bone fracture

A recent research revealed that calcium supplements and vitamin D might not be such effective to prevent the bone fracture in older adults as it is believed to be. In fact, there is no big difference between the users and non-users of these supplements at their old age that the review also suggests.

Data of 33 trials with a large sample of fifty one thousand people at the age of 50 and above living in the community only and not in any health care centre or institution has previously been collected now examined by the researchers. It is found by the researchers that the people who have got no treatment with supplements like vitamin D and calcium alone or in combination causes no difference with the treated people of the same age group. Even the people who took any placebo or dummy pill or undergone any other treatment are likely to fracture their bones than peers who did not get any such treatment. An Orthopedic surgion from china has the the opinion that community-dwelling older adults must stop calcium and vitamin D supplements intake and emphasized on improving lifestyle, adjusting the diet also doing exercise.

It is believed that Vitamin D assists the body to absorb calcium to maintain bone health. It is quite common that many elderly adults are advised to take calcium and vitamin D supplements therefore. For most of the elderly adults it is 600 international units or IU of vitamin D is the recommended daily dose and 800 IU is prescribed for the persons at the age of 70 or above for daily intake. The recommended daily intake of vitamin D for most adults is 600 IU (international units), or 800 IU after age 70.

But researcher is of the opinion that it is the time to stop taking one or both of these supplements by the community-dwelling older adults. It is also suggested that over the counter purchase of vitamin supplements should be stop now.

In these perspective it is suggested that improving lifestyle, enough exposure to sun and physical exercise and balanced diet can play the vital role to supplement Vitamin D inside the system than to take these supplements in any form. A high dose of daily vitamin D doses of 1,000 IU or more can involve many side effects thus increasing the risks of fractures, falls , certain cancers ,kidney stones, and premature death if it is taken in combination with Calcium. Experts are suggesting to spend time outside more than normal and maintaining a healthy weight by doing exercises designed to improve balance and coordination can be more effective than taking the supplements.

Dr. Kurt Kennel a famous nutritionist and metabolism expert at the Mayo Clinic in Rochester, Minnesota confirms that people tend to have vitamin D deficiencies are not worthy to be included in the trials. Once again in the same study it has been noticed by Dr. Kurt Kennel that older man and menopausal women suffering from osteoporosis cannot be equated with calcium or vitamin D or both supplementation to reduce the risk of osteoporotic fractures.

In this study a lack of association between Vitamin D and calcium and risk of fracture was revealed in both male and female.

Although it is already proved that osteoporosis or a loss of bone density naturally appears with age it accelerates after menopause in female.

Regardless of supplement dosage or any earlier record of fractures if elderly persons in need of more vitamin D or calcium they should improve their diet first with natural supplements. Peoples taking these supplements are advised not to discontinue but to reduce it after consultation slowly.