Alendronate sodium tablets taken with other medications?

Don't repeat the dose ... just take your dose correctly next week.

Take the tablet first thing in the morning, at least 30 minutes before you eat or drink anything or take any other medicine. If you take a Fosamax tablet only once a week, take it on the same day each week and always first thing in the morning.
Take each tablet with a full glass (6 to 8 ounces) of water. Use only plain water (not mineral water) when taking a Fosamax tablet. Do not crush, chew, or suck the Fosamax tablet. Swallow the pill whole.

After taking a Fosamax tablet, carefully follow these instructions:

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* Do not lie down or recline for at least 30 minutes after taking Fosamax.
* Do not eat or drink anything other than plain water.
* Do not take any other medicines including vitamins, calcium, or antacids for at least 30 minutes after taking Fosamax. It may be best to take your other medicines at a different time of the day. Talk with your doctor about the best dosing schedule for your other medicines.

http://www.drugs.com/fosamax.html

My endocrinologist told me that Alendronate "trumps ALL other medications, vitamins, foods, beverages etc.". I am also supposed to take gemfibrozil 30 minutes before my first meal. She told me to skip the gemfibrozil on the morning I take the Alendronate and take it later, before a mid-morning snack or before lunch, and if I forget, to just skip it that day.
I also take Synthroid, which should be 30 to 60 minutes before a meal in the morning and 2-3 hours AFTER a meal. I usually wake up nightly at 3 a.m. so I take the synthroid then. She okayed this also. I started doing this when I started on the gemfibrozil which solves a big problem for me.

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The most helpful thing this doctor told me was to drink MORE than a full glass of water if I could, as a "water sandwich" when I take Alendronate.
She told me to drink part of it before, then the other part after the medicine and then to be really particular about not bending over for that first 30 minutes. These tips have really helped me and I have had no problems so far.

Several RN's have told me that if you are in the hospital they just give you everything at once and pay little attention to the rules you should follow.
So if you go to the hospital, ask your doctors if you should just skip your meds until you get home. My sister successfully made them let her take her own meds the last time she went, on her own schedule. But I am not sure if that works everywhere.