Fossical 35mg Tablet is used to treat or prevent weakening of the bones (osteoporosis) caused by menopause or use of steroids. Using this medicine can reduce your risk of breaking bones.

Fossical 35mg Tablet is best taken without food. You should take it regularly at evenly spaced intervals as per the schedule prescribed by your doctor. Taking it at the same time every day will help you to remember to take it. Do not stop taking it until you have finished, even when you feel better. It may take several days to get the full benefit of this drug. Fossical 35mg Tablet is only part of a program of treatment that may also include changes to your diet and taking calcium and vitamin supplements.

The most common side effects include headache, musculoskeletal (bone, muscle or joint) pain, indigestion, heartburn, and diarrhea. These are usually mild and will disappear after a short time. If they do not go away, tell your doctor. Fossical 35mg Tablet can cause serious kidney problems, especially if you are dehydrated, if you take diuretic medicine (water pills), or if you already have kidney disease. It can also cause low levels of calcium in the blood and pain in the mouth or jaw. These are serious side effects and need urgent medical attention. Tell your doctor straight away.

You should not be given this medicine if you are breastfeeding. Before taking it, tell your doctor if you have kidney problems or low calcium levels. Also, let your doctor know what other drugs you are taking. Some of them may affect, or be affected by, this injection, especially medicines used to treat severe infections and medicines used to treat cancer and osteoporosis. You may need frequent medical tests to check your kidney function and mineral levels. Avoid smoking or try to quit as smoking can reduce your bone mineral density, making fractures more likely. Drinking large amounts of alcohol can also cause bone loss and should be avoided.

Uses of Fossical Tablet

Osteoporosis

Benefits of Fossical Tablet

In Osteoporosis

Osteoporosis is a common condition that weakens bones, making them fragile and more likely to break. It often occurs in women after menopause or who are taking steroids. This condition can be treated with bone-strengthening medicines. Fossical 35mg Tablet slows down the rate at which bone is broken down in your body. This maintains bone density and reduces your risk of breaking a bone. You can also help improve the strength of your bones by doing regular exercise (especially weight-bearing exercise), eating healthy foods containing calcium and Vitamin D, and reducing your consumption of alcohol and tobacco. Supplements of calcium and Vitamin D3 are also effective.

Side effects of Fossical Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Fossical

Headache
Musculoskeletal (bone, muscle or joint) pain
Heartburn
Diarrhea
Indigestion

How to use Fossical Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Fossical 35mg Tablet is to be taken empty stomach.

How Fossical Tablet works

Fossical 35mg Tablet is a bisphosphonate. It acts by suppressing the activity of osteoclasts, cells that cause the destruction of bone, thereby strengthening the bones and minimizing the risk of fractures.

Safety advice

Alcohol

CAUTION

Caution is advised when consuming alcohol with Fossical 35mg Tablet. Please consult your doctor.

Pregnancy

CONSULT YOUR DOCTOR

Fossical 35mg Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

Breast feeding

SAFE IF PRESCRIBED

Fossical 35mg Tablet is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.

Driving

SAFE

Fossical 35mg Tablet does not usually affect your ability to drive.

Kidney

CAUTION

Fossical 35mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Fossical 35mg Tablet may be needed. Please consult your doctor.
No dose adjustment is recommended in patients with mild to moderate kidney disease. However, use of Fossical 35mg Tablet is not advised in severe kidney disease patients.

Liver

SAFE IF PRESCRIBED

Fossical 35mg Tablet is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Fossical 35mg Tablet may not be needed in these patients. Please consult your doctor.

What if you forget to take Fossical Tablet?

If you miss a dose of Fossical 35mg Tablet, skip it and continue with your normal schedule. Do not double the dose.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

Fossical 35mg Tablet

₹21.68/Tablet

Risofos 35 Tablet

Cipla Ltd

₹65.25/tablet

201% costlier

Gemfos Tablet

Alkem Laboratories Ltd

₹89.75/tablet

314% costlier

Quick tips

Take it first thing in the morning on an empty stomach. Do not lie down after taking the medicine.
Wait at least 1 hour before taking any other medication or eating or drinking anything.
Take calcium and vitamin D to help build your bones when taking Fossical 35mg Tablet.
Do not take it during pregnancy or breastfeeding. Tell your doctor if you become pregnant while taking Fossical 35mg Tablet.
Inform your doctor if you experience pain in jaw. This problem may be seen after dental work.
Your doctor will monitor your response to Fossical 35mg Tablet by testing your bone mineral density (BMD). This is usually done every 1-3 years.
It is important to look after your mouth and teeth while you are taking this medicine. Have regular dental check-ups and inform your dentist about taking Fossical 35mg Tablet.

Fact Box

Chemical Class

Bisphosphonate Derivative

Habit Forming

Therapeutic Class

PAIN ANALGESICS

Action Class

Bone resorption inhibitor -Bisphosphonates

Interaction with drugs

Taking Fossical with any of the following medicines can modify the effect of either of them and cause some undesirable side effects

Amikacin

Brand(s): Mikasun, Vizocin, Gramika

Serious

Capreomycin

Brand(s): Ciprix, Capreo, Capreotec

Serious

Gentamicin

Brand(s): Begenta, Indogenta, Spagen

Serious

Kanamycin

Brand(s): Neokanyn

Serious

View all interactions

Patient concerns

Teriparatide is this injection advisable?

Dr. Akshat Goel

Orthopaedics

Yes, it's good in Osteoporosis

Details About osteoporosis treatment

Dr. Akshat Goel

Orthopaedics

Take Calcium and Vitamin-D3 supplements

User feedback

How much was the improvement?

Average

78%

Poor

22%

What were the side-effects while using Fossical 35mg Tablet?

Abdominal dis*

33%

No Side Effec*

33%

Back pain

33%

*Abdominal distension, No Side Effect

How do you take Fossical Tablet?

Empty stomach

67%

With food

33%

Please rate Fossical 35mg Tablet on price

Average

50%

Not Expensive

50%

FAQs

Q. How to take Fossical 35mg Tablet?

Fossical 35mg Tablet should be taken in the morning after getting up on an empty stomach with a full glass of water. Do not lie down and stay fully upright for at least 30 minutes after swallowing the medicine. Avoid taking any food or medication just after taking Fossical 35mg Tablet, maintain a gap of at least 30 minutes. Take this medicine only after consulting the doctor and follow the instructions advised.

Q. Why can you not lie down after taking Fossical 35mg Tablet?

It is advised not to lie down after taking Fossical 35mg Tablet as there is a possibility that the medication might come back up into the esophagus (food pipe). As a result, the esophagus may get damaged. Staying upright will help the medicine to settle down quickly in your stomach and prevent side effects like heartburn and pain.

Q. Does Fossical 35mg Tablet cause hair loss?

Yes, Fossical 35mg Tablet can cause hair loss, but this is not a common side effect. If you experience hair loss while taking this medication immediately report to your doctor and follow the advice given.

Q. Can Fossical 35mg Tablet be used in pregnant women?

Fossical 35mg Tablet should be avoided during pregnancy. There is a lack of data regarding the use of Fossical 35mg Tablet in pregnant women. You should consult your doctor if you are pregnant or planning to get pregnant before taking this medication.

Q. What other lifestyle changes should I make?

To get maximum benefit from Fossical 35mg Tablet, there are certain lifestyle changes that you must adhere to. Include some calcium or Vitamin D rich foods for bone strength. Try to spend more time in sunlight to get natural vitamin D. Quit smoking and reduce alcohol consumption as they may harm your bones. You can take up an exercise regime such as walking and low-impact aerobics as they are good for your bones. Similarly, you can try strength-training exercises where you use your own body weight which in turn improve bone health.

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Disclaimer:

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

Bikle DD. Agents That Affects Bone Mineral Homoestasis. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 766.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1219-20.
Risedronate. Camberley, Surrey: Sandoz Limited; 2010 [revised Dec. 2015]. [Accessed 02 Apr. 2019] (online) Available from:
Medscape. Risedronate. [Accessed 02 Apr. 2019] (online) Available from:
Drugs.com. Risedronate. [Accessed 02 Apr. 2019] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 02 Apr. 2019] (online) Available from:

Manufacturer

Name: Medreich Lifecare Ltd

Address: "Medreich House", 12/8, Saraswathi Ammal Street, Maruthi Seva Nagar, Bangalore, Karnataka, India – 560033

Country of origin: India

The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.