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Patients Introduction

You have been prescribed Binosto 70mg Effervescent tablets by your doctor. They will have decided that you need Binosto because you have been diagnosed with a condition called osteoporosis.

This website is designed to tell you more about Binosto, how to take it and a little more about the condition of osteoporosis. It will also give you some links as to where you can get further information. You can only get Binosto with a prescription from your doctor. Always read the Patient Information Leaflet enclosed in the Binosto 70mg Effervescent pack or by clicking the link below.

What is Binosto?

The active ingredient in Binosto is alendronic acid, which is a bisphosphonate. These are a group of medicinal products that, through their mechanism of action, prevent the further demineralisation of bone, stopping it becoming more fragile and therefore decreasing the risk of fracture.

Why have I been prescribed Binosto?

You have been prescribed Binosto, because your doctor has diagnosed you with having osteoporosis. Osteoporosis is defined as a decline in the bone mineral density of the bones of the body which causes them to become weak and fragile and more likely to break or fracture.

By taking Binosto, it can help to prevent this from happening and the bone can become less liable to fracture. If you have been diagnosed as having osteoporosis it may be because you have already had a fracture. By taking Binosto along with adequate levels of calcium and vitamin D, this may prevent any further fractures happening.

How does Binosto work?

Binosto works by slowing down the process of the body breaking down old bone, allowing the bone-forming cells time to rebuild normal bone.

With the addition of adequate levels of calcium and vitamin D – the bones building blocks – it then allows the bone to reform normal bone again.

A skeleton comprised of healthy bone is much stronger and will help reduce the risk of fracture in the future.

  • Taking Binosto

    Unless otherwise stated your doctor will have prescribed one tablet to be taken weekly. Alendronic acid is known to have gastric side effects and interacts with some other medicines and foods. Binosto has been formulated to ensure you should have limited gastric side effects. However, you still need to take it as follows.
  • Taking Binosto - Step 1

    Before breakfast, dissolve one tablet in 120ml of tap water (not sparkling). It is important that the tablet is dissolved completely, as this ensures the whole tablet goes straight into your stomach and prevents any residual tablet lying in your oesophagus when you swallow it. Never chew or suck your Binosto tablet.
  • Taking Binosto - Step 2

    Swallow the whole water mixture, followed by at least 30ml (one third of a glass) of tap water. Additional tap water can be taken if required.
  • Taking Binosto - Step 3

    Afterwards, it is important to sit or stand upright, and avoid eating anything for the next 30 minutes. This should help the medicine reach your stomach and reduce the risk of unpleasant side effects, or interactions with food or other medicines. If you forget to take your tablet on the right day, don’t worry, you can take it the next morning you remember. However, do not take two tablets together. Then continue with your prescribed (weekly or otherwise) dose as before.
  • Are there any side effects?

    The possible side effects of taking Binosto are mainly gastro-intestinal, such as stomach pain, dyspepsia (wind/indigestion), acid reflux and feelings of nausea. By taking your medicine as described above and carefully following the instructions in the patient information leaflet, this should minimise these effects. However, if you experience any of these side effects, please contact your doctor or Pharmacist for advice. Please read your Package Leaflet for more information on side effects. You can also report side effects directly via the Yellow Card Scheme at By reporting side effects you can help provide more information on the safety of this medicine. Do not stop taking Binosto unless your doctor tells you to do so.
  • What happens if I stop taking it?

    The effects of not taking your Binosto tablets will develop over a medium to long period of time. As the body begins to break down bone structure again, your bones will weaken and can become susceptible to fracture. Fractures can cause you undue pain and discomfort but also may result in long-term consequences on mobility. Remember do not stop taking Binosto unless your doctor tells you to do so.
What if I stop taking it?
Step 1

What else can I do to strengthen my bones?

Make sure you eat a healthy balanced diet containing protein, calcium and vitamin D, these you will get from products such as dairy (milk and cheese), oily fish, eggs and fortified cereals; sometimes you may need to supplement your diet.

Talk to your doctor about having calcium/ and or vitamin D prescribed along with Binosto. Weight-bearing exercises where you support the weight of your own body are useful, such as jogging or walking. Only do this if you feel fit enough to do so, further advice on self-help can be obtained from the National Osteoporosis Society website