Skelid

Skelid is used for:

Treating adults with Paget disease. It may also be used for other conditions as determined by your doctor.

Skelid is a bisphosphonate. It works by slowing the resorption of bone and allowing new bone to be formed.

Do NOT use Skelid if:

• you are allergic to any ingredient in Skelid
• you have severe kidney problems or esophagus problems, including difficulty swallowing or a narrow or blocked esophagus
• you are unable to stand or sit for at least 30 minutes

Contact your doctor or health care provider right away if any of these apply to you.

Before using Skelid :

Some medical conditions may interact with Skelid . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have pain or burning upon swallowing, a stomach or intestinal disease, heartburn, chest pain, kidney problems, or low blood calcium levels

Some MEDICINES MAY INTERACT with Skelid . However, no specific interactions with Skelid are known at this time.

Ask your health care provider if Skelid may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Skelid :

Use Skelid as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Skelid is effective only if taken on an empty stomach. Do not take Skelid within 2 hours of eating or drinking.
• Take Skelid by mouth with a full glass of water (8 oz/240 mL).
• If you are also taking calcium or iron supplements, vitamins, antacids containing calcium, aspirin, or indomethacin, they may interfere with the absorption of Skelid . Do not take Skelid within 2 hours of these medicines.
• Do not take an antacid that has aluminum or magnesium in it within 1 hour before or 2 hours after you take Skelid .
• Continue to take Skelid even if you feel well. Do not miss any doses.
• If you miss a dose of Skelid , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses on the same day.

Ask your health care provider any questions you may have about how to use Skelid .

Important safety information:

• Skelid may cause drowsiness. This effect may be worse if you take it with alcohol or certain medicines. Use Skelid with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.
• Do not drink alcohol, smoke, or use other tobacco products while taking Skelid .
• It is important to have enough calcium and vitamin D in your diet. Ask your doctor or pharmacist if you have questions about your diet or about taking dietary supplements such as calcium or vitamin D.
• Talk to your doctor about weight-bearing exercises to increase the calcium density of bones.
• Skelid may cause jaw bone problems in some patients. Your risk may be greater if you have cancer, poor dental hygiene, or certain other conditions (eg, anemia, blood clotting problems, infections, dental problems). Your risk may also be greater if you use certain medicines or therapies (eg, chemotherapy, corticosteroids, radiation). Talk to your doctor about having a dental exam before you start to use Skelid . Ask your doctor any questions you may have about dental treatment while you use Skelid .
• Lab tests, including calcium levels, may be performed while you use Skelid . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
• Skelid should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Skelid while you are pregnant. It is not known if Skelid is found in breast milk. If you are or will be breast-feeding while you use Skelid , check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Skelid :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Abnormal skin sensations; diarrhea; gas; nausea; stomach upset; stuffy nose; vomiting.

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); black or bloody stools; chest pain; difficulty swallowing; new, worsening, or severe heartburn; pain upon swallowing; red, swollen, blistered, or peeling skin; severe bone, muscle, or joint pain; severe or persistent stomach pain; swelling of the hands or feet; swelling or pain in the jaw; throat pain or irritation; vision changes; vomit that looks like coffee grounds.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately. Do not lie down. Symptoms may include heartburn; pain upon swallowing; stomach upset or pain; ulcers.

Store Skelid at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Skelid out of the reach of children and away from pets.

General information:

• If you have any questions about Skelid , please talk with your doctor, pharmacist, or other health care provider.
• Skelid is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Skelid . If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

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