You should also brush and floss your teeth regularly and go for regular dental check-ups whilst taking alendronic acid. Tell your dentist that you are taking it. Calcium and vitamin D supplements are usually prescribed by your doctor as well as alendronic acid, unless they are sure that you are already getting adequate intake in your dietOmeprazole / Lansoprazole / Ranitidine These medicines all reduce the production of stomach acid, and are used as a treatment for indigestion, heartburn or stomach ulcers. They are also used to prevent such problems developing as side effects from other medicines such as steroids or anti-inflammatory painkillers. If you have been prescribed them just as a preventative while taking medicines such as prednisolone, diclofenac, or ibuprofen, then when the-se medicines are stopped, you should also stop taking the omeprazole / lansoprazole / ranitidine Riluzole Riluzole is a medicine which has been shown to have a beneficial effect on the survival of people with amyotrophic lateral sclerosis – motor neurone disease. It can slow down the progression of the disease. You will need regular blood tests while taking this medicine. Your doctor here will advise you and your GP about these. Propranolol Propranolol is used to prevent migraine attacks. It belongs to a group of medicines called beta blockers and it can also lower blood pressure and heart rate. Propranolol can cause tiredness, coldness of the extremities (fingers, toes and nose), disturbed sleep, nightmares, upset tummy, skin rashes (including worsening of psoriasis) or dry eyes. It may not be suitable if you have asthma or heart disease. You should report any shortness of breath or wheezing to your doctor. Beta blockers should not be stopped suddenly unless on the advice of a doctor. Verapamil Verapamil is often used by neurologists as a first-line treatment for cluster headache. Please note cluster headache will not be mentioned in the manufacturer’s leaflet in the box, since verapamil is not formally licensed for cluster headache. It is more commonly used for various heart problems, but its use by neurologists for cluster headache is well established. Verapamil can cause constipation, and may lower blood pressure and heart rate. High doses are sometimes needed to manage cluster headache, so a heart trace known as an ECG may be required when starting treatment or when the dose is increased. Amitriptyline Amitriptyline is a type of antidepressant but it is often used in the treatment of nerve pain. It may ease the nerve pain within a few days, but it may take two to three weeks. It can take several weeks before you get maximum benefit. Some people give up on their treatment too early. It is best to persevere for at least four to six weeks to see how well it is working. Amitriptyline can sometimes cause drowsiness as a side-effect. This often eases over time.