Maxlen Dosage/Direction for Use

The recommended dosage is one 70 mg tablet once weekly.
To permit adequate absorption of alendronate: Maxlen-70 must be taken at least 30 minutes before the first food, beverage, or medicinal product of the day with plain water only. Other beverages (including mineral water), food and some medicinal products are likely to reduce the absorption of alendronate (see Interactions).
To facilitate delivery to the stomach and thus reduce the potential for local and oesophageal irritation/adverse experiences (see Precautions).
Maxlen-70 should only be swallowed upon arising for the clay with a full glass of water (not less than 200 ml or 7 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 at least 30 minutes after taking Maxlen-70 and until after their first food of the day.
Maxlen-70 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 (see Precautions).
Use in special populations: Use in the elderly: In clinical studies there was no age-related difference in the efficacy or safety profiles of alendronate. Therefore no dosage adjustment is necessary for the elderly.
Use in renal impairment: No dosage adjustment is necessary for patients with creatinine clearance greater than 35 ml/min. Alendronate is not recommended for patients with renal impairment where creatinine clearance is less than 35 ml/min.
Use in children: Alendronate has not been studied in children and should not be given to them.