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Introduction About NEWBONA JELLY SACHET
NEWBONA JELLY SACHET contains Alendronic acid, which belongs to the group of medicines called Bisphosphonates. It is used to manage osteoporosis (weak or brittle bones) in postmenopausal women.
It helps to improve bone mass density in patients with weak bones and can also be used to manage osteoporosis caused by excessive use of corticosteroids (such as prednisone). It also helps in the management of Paget’s disease (abnormal bone growth due to disturbances in the normal span of bone cells).
Alendronic acid inhibits bone loss and helps in building bone mass and density. It works by attaching itself to the bone surface and then stopping the action of certain bone cells that destroy the bone mass. It also stabilizes the replacement of new bone tissue growth and stops abnormal bone growth.
Take NEWBONA JELLY SACHET on an empty stomach. Do not lie down immediately after taking NEWBONA JELLY SACHET. It is necessary to maintain good oral hygiene while undergoing management with NEWBONA JELLY SACHET. Therefore, routinely undergo dental check-ups to avoid unwanted oral problems. You should also inform your doctor immediately if you experience any oral problems such as tooth pain, swelling, or loosening after taking NEWBONA JELLY SACHET.
Before taking NEWBONA JELLY SACHET, inform your doctor if you have any problems with your kidneys or stomach. You must also inform your doctor if you are scheduled for any oral management or dental surgery before taking NEWBONA JELLY SACHET as a precaution. Do not take NEWBONA JELLY SACHET if you are pregnant or breastfeeding without consulting your doctor.
NEWBONA JELLY SACHET is not recommended for use in patients having problems in their food pipe (esophagus). It is also not suitable for use by patients who are unable to sit or stand upright for at least 30 minutes straight.
The most common side effects of taking NEWBONA JELLY SACHET are headache, dizziness, stomach pain, bloating, indigestion, diarrhea, constipation, and acid reflux. Consult your doctor if any of these side effects worsen.
Uses Of NEWBONA JELLY SACHET
- To manage osteoporosis (caused by low bone mass, menopause, or corticosteroid use)
- To manage Paget’s disease
How NEWBONA JELLY SACHET Works
NEWBONA JELLY SACHET inhibits bone loss and helps in building bone mass and density. It contains alendronic acid, which acts by attaching itself to the bone surface and stopping the actions of certain bone cells (osteoclasts) that destroy the bone mass. It also stops abnormal bone growth and stabilizes the replacement of old bone tissues with new ones. As a result, it improves bone mass, makes the bone stronger, and manages the risk of fracture.
How to use NEWBONA JELLY SACHET
Take NEWBONA JELLY SACHET as advised by your physician. Place the medicine beneath the tongue, and do not swallow until it dissolves. Take NEWBONA JELLY SACHET on an empty stomach or for at least 30 minutes before taking any food, drink, or medicine. Stay upright (i.e., sitting, standing, or walking) for at least 30 minutes after taking NEWBONA JELLY SACHET. Do not lie down immediately. You must sit or stand upright until you eat the first meal of the day. This may help in reducing the changes in medicines coming back to the oesophagus.
Avoid consuming tea, coffee, mineral water, or juice along with NEWBONA JELLY SACHET. Your doctor will decide the correct dose and duration of therapy for you depending on your age, body weight, and health condition. You may also be prescribed vitamin D or calcium supplements along with NEWBONA JELLY SACHET to improve your disease condition. Do not stop taking NEWBONA JELLY SACHET without consulting your doctor, as it may reduce its effectiveness.
Side Effects Of NEWBONA JELLY SACHET
Common
- gastric problems (ulceration of the food pipe, difficulty and pain while swallowing, bloating, indigestion, diarrhea, constipation, stomach pain, and reflux of acid from the stomach)
- headache, dizziness
- vertigo (spinning sensation)
- hair loss
- swelling in the joints
- lack of energy or weakness
- itching
- presence of excess fluid, especially in the legs (peripheral oedema)
Uncommon
- black tarry stools
- nausea and vomiting
- skin redness
- temporary flu-like symptoms usually at the beginning of the management (such as feeling ill, muscle pain, and rarely fever)
- inflammation of the eye
- changes in the sense of taste
Rare
- narrowing of the food pipe
- skin rashes due to light sensitivity
- muscle cramps or spasms and tingling sensation around the mouth or in the finger because of low calcium levels
- pain and inflammation of the jaw, mainly seen in people who underwent tooth extraction or have any mouth infections
Stop taking NEWBONA JELLY SACHET and contact your doctor immediately if you experience any of the following side effects:
- severe allergic reactions (such as skin rash, itching, swelling of the face, lips, eyes, tongue, or throat causing wheezing or difficulty breathing)
- signs of severe skin reactions called toxic epidermal necrolysis or Stevens Johnson syndrome (such as the formation of blisters, rashes, itching, and peeling of the skin, especially around the eyes, mouth, or genitals, along with fever)
- difficulty or pain while swallowing or pain behind the breastbone
- heartburn
- tooth problems (such as tooth pain, swelling, or loosening)
- fracture in the thigh bone (such as pain, weakness, or discomfort in the thigh, hip, or groin)
How To Manage Side Effects
Constipation
Eat a lot of fiber-rich foods, such as fresh fruits, vegetables, and cereals. Drink plenty of fluids. Exercise more regularly. Consult your doctor if this side effect bothers you.
Diarrhea
Hydrate yourself by drinking plenty of fluids, such as water or fruit juices. Consuming ORS can also be beneficial. Do not self-manage diarrhea on your own. Consult your doctor if your diarrhea becomes uncontrollable.
Dizziness Or Drowsiness
Try to rest and relax. Get enough sleep. Avoid driving or operating any heavy tools or machines while you are feeling dizzy. Do not consume too much alcohol, as it could aggravate your dizziness. Consult your doctor if you continue to feel dizzy for a prolonged period of time.
Warning & Precautions
Pregnancy
ContraindicatedNEWBONA JELLY SACHET is not recommended for use in pregenant women. Therefore, consult your doctor before taking it.
Breastfeeding
ContraindicatedNEWBONA JELLY SACHET is not recommended for use by breastfeeding women. Therefore, consult your doctor before taking it.
Driving and Using Machines
Use with CautionDo not drive or operate any heavy tools or machines if your abilities are affected by NEWBONA JELLY SACHET.
Alcohol
Consult your doctorAvoid drinking alcohol while taking NEWBONA JELLY SACHET.
Kidney
Use with CautionNEWBONA JELLY SACHET should be used with caution in patients who have or have ever had any kidney problems. Therefore, consult your doctor before taking it.
Allergy
ContraindicatedDo not take NEWBONA JELLY SACHET if you are allergic to alendronic acid.
Use In Pediatrics
ContraindicatedNEWBONA JELLY SACHET is not recommended for use in children and adolescents (below 18 years). Therefore, consult your doctor before taking it.
Use In Geriatrics
Use with CautionNEWBONA JELLY SACHET should be used with caution with elderly patients. Therefore, consult your doctor before taking it.
Others
NEWBONA JELLY SACHET is not recommended for use if you:
- have certain diseases of the food pipe, such as difficulty swallowing or narrowing of the food pipe
- have low blood calcium levels
- are not able to stand or sit straight for a minimum of 30 minutes
Before taking NEWBONA JELLY SACHET, inform your doctor if you:
- have Barrett’s oesophagus (a condition in which there are changes seen in the cells of the lower food pipe)
- had surgery of the stomach or food pipe (this does not include pyroplasty (a surgery of widening of the stomach outlet))
- had vitamin D deficiency in the past
- have hypoparathyroidism (a condition in which the parathyroid gland does not work properly)
- had dental problems in the past or are planning to undergo any dental surgery
- had pain, swelling, and numbness in the jaw
- have a loose tooth or a sense of having a heavy jaw
- have cancer, or undergoing radiotherapy or chemotherapy, or taking steroids to manage cancer
- smoke
- have a mouth infection
- have stomach problems (such as stomach ulcer or bleeding in the gut)
Interactions
A. Drug-Drug interactions:
Before taking NEWBONA JELLY SACHET, inform your doctor if you are taking any of the following medicines, such as:
- non-steroidal anti-inflammatory drugs (used to relieve fever, pain, and inflammation) Ex. aspirin and ibuprofen
B. Drug-Food Interactions:
It may take slightly longer for NEWBONA JELLY SACHET to work when taken along with a heavy meal or a snack. Therefore, take NEWBONA JELLY SACHET on an empty stomach or at least 30 minutes before having meals or drinks.
Overdosage:
If you or anyone else accidentally took more NEWBONA JELLY SACHET, consult your doctor immediately or visit the nearby hospital. Symptoms of an overdose are heartburn, stomach upset, inflammation of the stomach or food pipe, cramps in the stomach or in the muscle, fits, and weakness.
Synopsis
| Drug | : | Alendronic acid |
| Pharmacological Category | : | Bisphosphonates |
| Therapeutic Indication | : | Osteoporosis, Paget’s Disease |
| Dosage Forms | : | Tablet, Oral Jelly |
More Information
- Keep NEWBONA JELLY SACHET out of reach of children
- Store NEWBONA JELLY SACHET at room temperature
FAQs About NEWBONA JELLY SACHET
Q: Who should not take NEWBONA JELLY SACHET?
A: NEWBONA JELLY SACHET should not be used in patients who are not able to swallow or have any problems in the food pipe that hinder swallowing (such as narrowing of the gullet). Also, it should not be used in patients who cannot sit or stand constantly for 30 minutes. Women who are pregnant or planning to become pregnant must not take NEWBONA JELLY SACHET without consulting their doctor.
Q: What is the use of NEWBONA JELLY SACHET?
A: NEWBONA JELLY SACHET is used to manage bone problems such as osteoporosis caused by aging, menopause, or excessive corticosteroid use. It can also be used to manage Paget’s disease.
Q: Why is NEWBONA JELLY SACHET taken once a week?
A: It is because NEWBONA JELLY SACHET contains a medicine called alendronic acid, which acts by blocking the actions of bone-killing cells (osteoclasts). Since the process of replacing the older bone cells with newer ones takes around 2-3 weeks for completion, taking NEWBONA JELLY SACHET once a week would make it stay on the affected bone sites for a sustained period and effectively stop bone destruction.
Q: What are the side effects of NEWBONA JELLY SACHET?
A: The most common side effects of NEWBONA JELLY SACHET are headache, dizziness, stomach pain, bloating, indigestion, diarrhea, constipation, or acid reflux. Consult your doctor if any of the side effects trouble you. You should also inform your doctor immediately if you experience any oral problems such as tooth pain, swelling, or loosening after taking NEWBONA JELLY SACHET.
Q: Why am I instructed to stand upright for a few minutes after taking NEWBONA JELLY SACHET?
A: You need to stand upright for 30 minutes after taking NEWBONA JELLY SACHET so that the medicine does not come back up again from your food pipe and harm you.
Q: How do I take NEWBONA JELLY SACHET?
A: Take NEWBONA JELLY SACHET as advised by your physician. Swallow the medicine with a glass of water. Take NEWBONA JELLY SACHET on an empty stomach and wait at least 30 minutes before taking any food, drink, or medicine. Stay upright for at least 30 minutes after taking the medicine. Your doctor will decide the appropriate dose and duration of therapy for you depending on your age, body weight, and health condition.
Q: Can elderly patients take NEWBONA JELLY SACHET?
A: Yes, elderly patients can take NEWBONA JELLY SACHET after consulting their doctor.
Q: Can NEWBONA JELLY SACHET cause hair loss?
A: Yes. NEWBONA JELLY SACHET may cause hair loss in some individuals, although not everybody gets them. Regularly wash your hair and moisturize it. Avoid using harsh chemicals on your hair, as it can aggravate your hair fall. Consult your doctor if the symptom bothers you.
Q: Can NEWBONA JELLY SACHET manage osteoporosis?
A: Yes. NEWBONA JELLY SACHET helps in managing osteoporosis and helps in gaining back lost bone mass. However, consult your doctor before taking.
Q: Can NEWBONA JELLY SACHET be taken daily?
A: Take NEWBONA JELLY SACHET as advised by your physician. It is usually taken once a week. However, your doctor will decide the frequency of taking NEWBONA JELLY SACHET based on your health condition. Strictly follow the instructions given by your doctor.
Q: What precautions do I need to follow while taking NEWBONA JELLY SACHET?
A: Take NEWBONA JELLY SACHET on an empty stomach or at least have a time gap of 30 minutes between your first meal and the medicine. Do not take NEWBONA JELLY SACHET before going to bed or just after getting up in the morning. Sit, stand, or walk straight for at least 30 minutes after taking NEWBONA JELLY SACHET. Do not lie down. Do not take NEWBONA JELLY SACHET if you are taking any painkiller such as aspirin or ibuprofen. Before taking NEWBONA JELLY SACHET, inform your doctor if you have trouble swallowing.
Q: Will taking a higher dose of NEWBONA JELLY SACHET be more effective?
A: No. Taking a higher dose of NEWBONA JELLY SACHET will not be effective. Stick to the dosage that your doctor has prescribed to you. If the prescribed dose is not effective for you, consult your doctor for advice. Your doctor will increase the dose or suggest an alternative therapy, depending on your health condition.
Q: How does NEWBONA JELLY SACHET work?
A: NEWBONA JELLY SACHET works by binding itself to the bone surface and by stopping the actions of bone-eating cells. This helps inhibit bone loss and reduces the risk of fractures. It also improves bone mass and makes your bones stronger.
Q: Can NEWBONA JELLY SACHET cause dental problems?
A: Yes. NEWBONA JELLY SACHET may cause dental problems such as jaw inflammation, pain, and loosening of teeth. Therefore, consult your doctor immediately if you experience any such symptoms.
Q: Can I stop taking NEWBONA JELLY SACHET once my symptoms subside?
A: No. Do not stop taking NEWBONA JELLY SACHET without consulting your doctor once your symptoms subside, as it may reverse the healed condition. Continue to take NEWBONA JELLY SACHET as long as instructed by your doctor.
Q: Can NEWBONA JELLY SACHET cause weight gain?
A: It is unlikely that NEWBONA JELLY SACHET would cause weight gain in patients. However, it may cause peripheral edema (accumulation of fluid in the body) in some patients, which may make them feel that they have gained a lot of weight.
References
1. K.D. Tripathi. Drugs effecting Calcium balance. Essentials of medical pharmacology. Seventh edition. 2013. Page – 344-345.
2. M. Sharpe, S Noble and C M Spencer. Alendronate: an update of its use in osteoporosis. NIH National Library of Medicine, National centre for biotechnology information. 2001 [Accessed on 30th January 2024] https://pubmed.ncbi.nlm.nih.gov/11434454/
3. Kazuhiro Imai. Alendronate sodium hydrate (oral jelly) for the treatment of osteoporosis: review of a novel, easy to swallow formulation. NIH National Library of Medicine, National center for biotechnology information. June 2013. [Accessed on 30th January 2024] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3679967/
4. Actavis Ltd. Electronic Medicines Compendium (EMC). [Revised in November 2015]. [Accessed on 30th January 2024] https://www.medicines.org.uk/emc/files/pil.5697.pdf
5. Cipla Ltd. Alendronic Acid. Ciplamed. [Revised in January 2021] [Accessed on 30th January 2024] https://www.ciplamed.com/content/osteofos-tablets
Useful Diagnostic Tests
- Calcium
- Extended Arthritis Care
- Comprehensive Arthritis Care
- Basic Bone Care
- Advance Bone Care
- Comprehensive Bone Care
- Esr Automated
- Phosphorus-Inorganic, Serum
- Basic Arthritis Care Plan
- Bone Strength Package
- Arthritis Profile-Basic
- Arthritis Profile-Advanced
Author Details
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