Can I take Alandrosic accid and Isosorbate mononotrate together?
Drug interaction guide
Originally published 14 Mar 2026
Meets Patient’s editorial guidelines
- DownloadDownload
- Share
- Language
- Discussion
- Audio Version
Taking alendronic acid and isosorbide mononitrate together can increase the risk of irritation or damage to your food pipe (oesophagus). Both medications have the potential to cause inflammation or ulcers in the digestive tract.
In this article:
Video picks for Drug interactions
Continue reading below
Why this happens
Alendronic acid is known to be very irritating to the lining of the oesophagus. Isosorbide mononitrate works by relaxing blood vessels, but it can also relax the muscle (sphincter) at the bottom of the food pipe. This can allow stomach acid to splash back up (acid reflux), which makes the irritating effects of the alendronic acid worse.
What you should do
Back to contentsYou can take both, but you must follow the safety instructions for alendronic acid very strictly. Take your alendronic acid first thing in the morning with a full glass of plain water on an empty stomach. Stay fully upright (sitting or standing) for at least 30 minutes afterwards and do not lie down until after you have eaten your first food of the day. If you develop any swallowing difficulties, new or worsening heartburn, or chest pain, stop taking the alendronic acid and speak to your doctor immediately.
Continue reading below
Using other medicines
Back to contentsTaking multiple medicines? Our Medicines Interaction Checker helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.
Disclaimer
This information is for general educational purposes only and should not be relied upon as a substitute for professional medical advice. Always consult your GP, pharmacist, or another qualified healthcare professional before making decisions about your medications. Individual circumstances may vary, and only a healthcare professional who knows your medical history can provide personalised guidance.
Patient picks for Drug interactions

Treatment and medication
Can I take Codeine and Magnesium together?
Taking magnesium and codeine together can lead to increased drowsiness and may cause constipation. Magnesium can also slightly interfere with how your body absorbs codeine if taken at the exact same time.

Treatment and medication
Can I take Allerwel am and Calpol together?
There are no known harmful interactions between Allerwel AM and Calpol. It is generally safe to take these two medicines together as long as you follow the recommended doses for each.
Continue reading below
Article history
The information on this page is written and peer reviewed by qualified clinicians.
14 Mar 2026 | Originally published

Ask, share, connect.
Browse discussions, ask questions, and share experiences across hundreds of health topics.

Feeling unwell?
Assess your symptoms online for free
Sign up to the Patient newsletter
Your weekly dose of clear, trustworthy health advice - written to help you feel informed, confident and in control.
By subscribing you accept our Privacy Policy. You can unsubscribe at any time. We never sell your data.