All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Description
Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
Instructions
Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
Interaction with Medicine
Nonsteroidal anti-inflammatory drugs
Disease interactions
Osteonecrosis of the jaw (ONJ)
This medicine should be used with caution in patients undergoing invasive dental procedures due to the increased risk of osteonecrosis of the jaw (ONJ). Therapy with the medicine may need to be discontinued based on the clinical condition of the patient.
This medicine should be used with caution in patients with kidney diseases due to the increased risk of adverse effects. Regular monitoring of kidney function tests is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition. This medicine is not recommended for use in patients with creatinine clearance less than 35 ml/min.
Active upper gastrointestinal disorders
This medicine should be used with extreme caution in patients with active upper gastrointestinal disorders due to the increased risk of adverse effects. Close monitoring of the clinical condition, appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition. This medicine is not recommended for use in patients with esophageal abnormalities or who have delayed esophageal emptying due to any stricture or achalasia.
Caution is advised while using this medicine in patients with asthma due to the increased risk of worsening of the patient's condition. Close monitoring of such patients for any adverse effects is necessary during treatment with this medicine.
This medicine is not recommended for use in patients with higher blood levels of phosphorous due to the increased risk of adverse effects. The blood phosphorous and calcium levels should be corrected with appropriate treatment in such patients before starting therapy with this medicine. Close monitoring of blood electrolyte concentrations, appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
This medicine should be used with caution in patients with or predisposed to cardiac arrhythmias due to the increased risk of adverse effects. Regular monitoring of heart function is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
This medicine should be used with caution in patients with liver diseases due to the increased risk of adverse effects. Regular monitoring of liver function tests is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Food interactions
The desired effects of this medicine will not be achieved if it is taken along with food. It is advised to take this medicine first thing in the morning and at least 30 minutes before eating or drinking anything.
The combined use of this medicine and products containing calcium, magnesium, aluminum, or iron may reduce the effectiveness of this medicine. It is recommended not to take such products for at least 30 minutes after taking this medicine. It is advised that you inform the doctor about all your medicines including herbs and supplements before beginning treatment with this medicine to avoid such interactions.
Lab interactions
Information not available.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.