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Tiludronic acid

  • Usually prescribed for a fixed period of time.
  • Tablets should be taken with a glass of water on an empty stomach (at least two hours) before or after meals.
  • You should eat a balanced diet and ensure you are getting plenty of calcium and vitamin D.
  • Your doctor may ask you to see a dentist before or while taking these tablets.
  • Food containing calcium (e.g. milk and dairy products) and indigestion remedies should be avoided for two hours before and after taking these tablets.

About tiludronic acid

Type of medicine Bisphosphonate
Used for Paget's disease (bones break down more quickly)
Also called Skelid
Available as Tablets

Tiludronic acid works by binding very tightly to bone and preventing calcium being removed. Tiludronic acid also stimulates the formation of new bone. Both actions help to keep the bones strong and less likely to break.

Before taking tiludronic acid

Before taking tiludronic acid make sure your doctor or pharmacist knows:

  • If you are pregnant, trying for a baby or breast-feeding.
  • If you suffer from kidney problems.
  • If you are taking a medicine called indometacin.
  • If you suffered from Paget's disease as a child.

How to take tiludronic acid

  • Take as directed by your doctor.
  • Usually prescribed for a fixed period of time.
  • Tablets should be taken with a glass of water on an empty stomach (at least two hours) before or after meals.

Getting the most from your treatment

  • You should eat a balanced diet and ensure you are getting plenty of calcium and vitamin D.
  • Your doctor may ask you to see a dentist before or while taking these tablets.
  • Food containing calcium (e.g. milk and dairy products) and indigestion remedies should be avoided for two hours before and after taking these tablets.

Can tiludronic acid cause problems

Along with their useful effects all medicines can cause unwanted side effects, which usually improve as your body adjusts to the new medicine. Speak with your doctor or pharmacist if any of the following side effects continue or become troublesome.

Common side-effects - these affect less than 1 in 10 people who take this medicine What can I do if I experience this
Abdominal pain, diarrhoea Drink plenty of water to replace lost fluids.
Nausea Eat little and often.
Stick to simple foods such as dry toast.

Important: Very rarely, use of tiludronic acid may cause osteonecrosis. Contact your doctor immediately if you develop pain or swelling in the mouth, or loosening of teeth.

How to store tiludronic acid

  • Keep all medicines out of the reach of children.
  • Store in a cool, dry place, away from direct heat and light.

Important information about all medicines


  • Keep all medicines out of the sight and reach of children.
  • Make sure that the person prescribing this medicine knows about any other medicines that you are taking. This includes medicines you buy and herbal and homeopathic medicines.
  • If you buy any medicines check with a pharmacist that they are safe to take with your other medicines.
  • Before taking this medicine tell your doctor if you have ever had an allergic reaction after taking any medicine.
  • Never take more than the prescribed dose. If you suspect that you or someone else has taken an overdose of this medicine go to the accident and emergency department of your local hospital at once. Always take the container with you, if possible, even if it is empty.
  • If you are having any treatment like an operation or dental treatment tell the person carrying out the treatment which medicines you are taking.
  • Always read the printed information leaflet that comes with your medicine.
  • This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.
  • Never keep out of date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.
  • If you have any questions about this medicine ask your pharmacist.
© EMIS 2007 DocID:
3766		 DocRef:
dils3765		 Last Updated:
25 Jul 2007		 Date of Next Review:
24 Jul 2009		 Version:
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PS - Health and Poverty

Perhaps the biggest cause of ill health in the world is poverty. Help to Make Poverty History. For example, why not lend some of your money to disadvantaged communities to enable them to trade their way out of poverty through schemes such as Shared Interest.

See also MAKEPOVERTYHISTORY North East for details and links to campaigns against poverty.

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