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Follow the Fosamax directions on your Fosamax prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Symptoms of overdose may include: severe stomach pain, painful heartburn, pain in the esophagus chest pain muscle weakness, mental mood changes. What should discuss with my healthcare provider before taking alendronate? Do not take an alendronate tablet if you cannot sit como comprar alendronate sem receita medica upright or stand for at least 30 minutes. We comply with the HONcode standard for trustworthy health information. Gov processed this record on August 04, 2009 Back to top of Main Content Contact Help Desk Lister Hill National Center for Biomedical Communications,. Hepatic Insufficiency: As there is evidence that alendronate is not metabolized or excreted in the bile, no studies were conducted in patients with hepatic insufficiency.