Pamoseo Uses

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Pamoseo indications

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Pamoseo 10 mg: Treatment of osteoporosis in postmenopausal women to prevent fractures; osteoporosis in men to prevent fractures; glucocorticoid-induced osteoporosis and prevention of bone loss in men and women considered at risk of developing the disease; prevention of osteoporosis in those postmenopausal women considered at risk of developing the disease.

Risk factors often associated with the development of osteoporosis include thin body build, family history of osteoporosis, early menopausal, moderately low bone mass and long-term glucocorticoid therapy, especially with high doses (15 mg/day).

Pamoseo 70 mg: Treatment of postmenopausal osteoporosis. Pamoseo reduces the risk of vertebral and hip fractures.

Uses of Pamoseo in details

Prevention and treatment of post-menopausal osteoporosis in women.

Pamoseo may be used in some cancers and diseases to slow down the activity of osteoclasts, the cells that break down bone. Increased activity of these cells increases the levels of calcium in the blood. Paget’s disease of the bone.

Pamoseo description

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Pamoseo (alendronate) is a nitrogen-containing, second generation bisphosphonate. Bisphosphonates were first used to treat Paget’s disease in 1971. This class of medications is comprised of inorganic pyrophosphate analogues that contain non-hydrolyzable P-C-P bonds. Similar to other bisphosphonates, alendronate has a high affinity for bone mineral and is taken up during osteoclast resorption. Alendronate inhibits farnesyl pyrophosphate synthetase, one of the enzymes in the mevalonic acid pathway involved in producing isoprenoid compounds that are essential for post-translational modification of small guanosine triphosphate (GTP)-binding proteins, such as Rho, Ras and Rab. Inhibition of this process interferes with osteoclast function and survival. Alendronate is used for the treatment of osteoporosis and Paget’s disease.

Pamoseo dosage

Osteoporosis in Postmenopausal Women: Recommended Dose: 10 mg once a day or 70 mg once weekly.

Osteoporosis in Men: Recommended Dose: 10 mg once a day.

Treatment and Prevention of Glucocorticoid-Induced Osteoporosis: Postmenopausal Women Not Receiving Hormone Therapy Replacement (HRT) With An Oestrogen: Recommended Dose: 10 mg once a day.

Others (ie, Men, Premenopausal Women and Postmenopausal Women Receiving HRT With An Oestrogen): Recommended Dose: 5 mg once a day.

Prevention of Osteoporosis in Postmenopausal Women: Recommended Dose: 5 mg once a day.

Elderly: In clinical studies, there was no age-related difference in the efficacy or safety profiles of Pamoseo. Therefore, no dosage adjustment is necessary for the elderly.

Renal Impairment: No dosage adjustment is necessary for patients with glomerular filtration rate (GFR) >35 mL/min. Pamoseo is not recommended for patients with renal impairment where GFR is <35 mL/min, due to lack of experience.

Administration: To Permit Adequate Absorption of Pamoseo: Pamoseo must be be taken at least 30 min before the 1st food, beverage or medication of the day with plain water only. Other beverages (including mineral water), food and some medications are likely to reduce the absorption of Pamoseo.

To facilitate delivery to the stomach and thus reduce the potential for local and oesophageal irritation/adverse experiences : Pamoseo should only be swallowed upon arising for the day with a full glass of water (not <200 mL or fl. oz.).

Patients should not chew the tablet or allow the tablet to dissolve in their mouths because of a potential for oropharyngeal ulceration.

Patients should not lie down for at least 30 min after taking Pamoseo.

Pamoseo should not be taken at bedtime or before arising for the day.

Patients should receive supplemental calcium and vitamin D if dietary intake is inadequate.

Pamoseo interactions

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If taken at the same time it is likely that calcium supplements, antacids and other oral medications will interfere with absorption of Pamoseo. Therefore, patients must wait at least ½ hr after taking Pamoseo before taking any other oral medication.

No other drug interaction of clinical significance are anticipated.

Concomitant use of HRT and alendronate sodium was assessed in 2 clinical studies of 1 or 2 years' duration in postmenopausal osteoporotic women. Combined use of alendronate sodium and HRT resulted in greater increases in bone mass, together with greater decreases in bone turnover, than seen with either treatment alone. In these studies, the safety and tolerability profile of the combination was consistent with those of the individual treatments.

In clinical studies, the incidence of upper GI adverse events was increased in patients receiving daily therapy with dosages of alendronate sodium >10 mg and aspirin-containing products. However, this was not observed in studies with alendronate sodium 70 mg once weekly.

Pamoseo side effects

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Cardiovascular

Nasal spray

Angina pectoris, hypertension (1% to 3%).

CNS

Nasal spray: Fatigue, depression, dizziness, paresthesia (1% to 3%). Injectable: Poor appetite; abdominal pain.

Dermatologic

Nasal spray

Erythematous rash (1% to 3%).

Injectable

Pruritus of ear lobes; skin rash.

EENT

Nasal spray

Rhinitis (12%); abnormal lacrimation, conjunctivitis (1% to 3%).

Injectable

Eye pain.

GI

Nasal spray

Abdominal pain, constipation, diarrhea, dyspepsia, nausea (1% to 3%).

Injectable

Nausea with or without vomiting (10%); salty taste.

Genitourinary

Nasal spray

Cystitis (1% to 3%).

Injectable

Nocturia.

Hematologic-Lymphatic

Nasal spray

Infection, lymphadenopathy (1% to 3%).

Local

Injectable

Inflammation at subcutaneous or IM site (10%).

Musculoskeletal

Nasal spray

Back pain (5%); arthralgia (4%); arthrosis, myalgia (1% to 3%).

Respiratory

Nasal spray

Epistaxis (4%); bronchospasm, sinusitis, upper respiratory tract infection (1% to 3%).

Miscellaneous

Nasal spray

Influenza-like symptoms (1% to 3%).

Injectable

Death caused by anaphylaxis (1 case), feet edema, feverish sensation.

Pamoseo contraindications

Hypersensitivity to alendronate or to any of the excipients of Pamoseo.

Use in pregnancy: Pamoseo should not be used during pregnancy.

Use in lactation: It is not known whether Pamoseo is excreted into human breast milk. Pamoseo should not be used by breastfeeding women.

Active ingredient matches for Pamoseo:

Alendronic Acid in Argentina.


List of Pamoseo substitutes (brand and generic names)

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Unit description / dosage (Manufacturer)Price, USD
Tablet; Oral; Alendronic Acid / Alendronate Sodium Trihydrate 70 mg (Rider)
Pharmadronate 1 Blister x 4 Tablet
Pharmadronate 70 mg x 1 Blister x 4 Tablet
Tablet; Oral; Alendronic Acid / Alendronate Sodium 70 mg
PHL-alendronate tablet 70 mg (Pharmel Inc (Canada))
Tablet; Oral; Alendronic Acid / Alendronate Sodium 70 mg
Tablet; Oral; Alendronic Acid / Alendronate Sodium 70 mg
PMS-alendronate tablet 70 mg (Pharmascience Inc (Canada))
Tablet; Oral; Alendronic Acid / Alendronate Sodium 70 mg
PMS-alendronate-FC tablet 70 mg (Pharmascience Inc (Canada))
Poronil 10mg TAB / 10
10 mg x 10's
Ralenost 70 mg x 1 x 4's (Sun Pharma)
Ralenost tab 10 mg 10's (Sun Pharma)
Ralenost tab 70 mg 4's (Sun Pharma)
Ralenost-10 10mg TAB / 10 (Ranbaxy (Consumer HC))$ 0.60
10 mg x 10's (Ranbaxy (Consumer HC))$ 0.60
RALENOST-10 tab 10 mg x 10's (Ranbaxy (Consumer HC))$ 0.60
Ran-alendronate tablet 10 mg (Ranbaxy Pharmaceuticals Canada Inc. (Canada))
Ran-alendronate tablet 70 mg (Ranbaxy Pharmaceuticals Canada Inc. (Canada))
Ran-alendronate tablet 5 mg (Ranbaxy Pharmaceuticals Canada Inc. (Canada))
Tablet; Oral; Alendronic Acid / Alendronate Sodium 70 mg
Reventa tab 70 mg 4's (Getz Pharma)$ 18.18
Tablet; Oral; Alendronic Acid / Alendronate Sodium Trihydrate 70 mg

References

  1. DailyMed. "ALENDRONATE SODIUM: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
  2. PubChem. "ALENDRONIC ACID". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
  3. DrugBank. "ALENDRONIC ACID". http://www.drugbank.ca/drugs/DB00630 (accessed September 17, 2018).

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Information checked by Dr. Sachin Kumar, MD Pharmacology

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