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Fossical 35mg Tablet

Risedronate (35mg)
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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.

Written By Dr. Subita Alagh, BDS,
Reviewed By Dr. Mekhala Chandra, MD, MBBS,
Last updated on 22 Feb 2026 | 06:32 PM (IST)
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General Information

The content is shown in English
Fossical 35mg Tablet image
Fossical 35mg Tablet image

Product introduction

Fossical 35mg Tablet can also be used for the treatment to increase bone mass in men with osteoporosis, for the treatment and prevention of glucocorticoid-induced osteoporosis, and for the treatment of Paget’s disease of bone. 


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 programme of treatment that may also include changes to your diet and taking calcium and vitamin supplements.


The most common side effects include back pain, muscle pain, abdominal pain and eye inflammation. 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

Benefits of Fossical Tablet

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 those 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.

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
  • Indigestion
  • Hypersensitivity
  • Eye inflammation

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 on an 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 minimising the risk of fractures.

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.

Safety advice

Alcohol

Alcohol

CONSULT YOUR DOCTOR
It is not known whether it is safe to consume alcohol with Fossical 35mg Tablet. Please consult your doctor.
Pregnancy

Pregnancy

CONSULT YOUR DOCTOR
The safety of Fossical 35mg Tablet during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing.
Breast feeding

Breast feeding

CONSULT YOUR DOCTOR
Fossical 35mg Tablet may be unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby. It should be used only if the expected benefit outweighs the potential risk. Please consult your doctor.
Driving

Driving

CONSULT YOUR DOCTOR
It is not known whether Fossical 35mg Tablet alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react. Please consult your doctor.
Kidney

Kidney

CAUTION
Fossical 35mg Tablet should be used with caution in patients with kidney disease. Dose adjustment may be needed.
Liver

Liver

SAFE IF PRESCRIBED
Fossical 35mg Tablet is probably safe to use in patients with liver disease. Limited data suggest dose adjustment may not be needed.

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
Moderate

Amikacin (Injection Route)

Your doctor may monitor your calcium and magnesium levels along with your overall treatment and adjust the doses as per the observations.
Moderate

Calcium (Oral Route)

Your doctor may monitor your treatment and adjust the doses as per the observations.
Moderate

Gentamicin (Injection Route)

Your doctor may monitor your calcium and magnesium levels along with your overall treatment and adjust the doses as per the observations.
Moderate

Iron (Oral Route)

Your doctor may monitor your treatment and adjust the doses as per the observations.
Moderate

Kanamycin (Injection Route)

Your doctor may monitor your calcium and magnesium levels along with your overall treatment and adjust the doses as per the observations.

Frequently asked questions

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.
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.
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.
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.

Fact Box

Chemical Class

Bisphosphonates

Habit Forming

No

Therapeutic Class

PAIN ANALGESICS

Action Class

Bone Resorption Inhibitors- Bisphosphonates

Related lab tests

References

  1. 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.
  2. 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.
  3. Risedronate. Camberley, Surrey: Sandoz Limited; 2010 [revised Dec. 2015]. [Accessed 02 Apr. 2019] (online) Available from:
  4. Central Drugs Standard Control Organisation (CDSCO). [Accessed 02 Apr. 2019] (online) Available from:
  5. Risedronate sodium [EMC Label]. Camberley, UK: Sandoz Limited; 2020. [Accessed 28 Mar. 2023] (online) Available from:
  6. Risedronate sodium. Weston, Florida: Apotex Corp.; 2025. [Accessed 04 Feb. 2026] (online). Available from:
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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.

Marketer details

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

Vendor Details

Country of origin: India
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