PATIENT INFORMATION ON RALOXIFENE (Brand name: Evista)
This information sheet has been produced
by the Australian Rheumatology Association
causes bones to become fragile and brittle so
to help you understand the medicine that
that they break (fracture) more easily even
has been prescribed for you. It includes
as a result of normal activity (as distinct
how you should take your medicine
restrict a person’s ability to carry out their
the possible side effects
other precautions you should take
Once you have a fracture, the risk of another
while taking raloxifene.
is high. Raloxifene is prescribed for women who have already had a fracture, in order to
Please read it carefully and discuss it with
How does it work? Important things to remember
Bone is constantly changing, with old bone
While taking raloxifene you should see
your doctor to make sure the treatment is
to take its place. This usually happens in a
unbalanced, bone breaks down faster than it
If you are worried about any side effects
is replaced. This leads to osteoporosis.
Raloxifene is a medicine that slows or stops
the bone breaking down. As a result, bone
strength increases and the risk of fracture is
For more information about OSTEOPOROSIS see the Osteoporosis Australia website What benefit can you expect from Osteoporosis Australia on 1800 242 141. your treatment?
Since osteoporosis doesn’t usually have any
What is raloxifene?
symptoms such as pain, you will not ‘feel’ any immediate benefit from your treatment
medicine used to treat osteoporosis. It is prescribed only for women as it works on
Tests of urine or blood are also sometimes
used to measure the effects of treatment on bone formation and breakdown.
Australian Rheumatology Association www.rheumatology.org.au Revised September 2010 – next review July 2011 How is raloxifene taken?
A reduction in dose or change to another medicine may minimise the side effects so
What is the dosage and when should it
that you can continue to have treatment for
be taken?
Raloxifene comes in 60mg tablets. The dose
Most common possible side effects
is one tablet every day. It can be taken with or without food at any time.
To help you remember to take raloxifene,
hot flushes – these are more common during the first 6 months after starting
take it at about the same time each day.
If you miss a dose, take it as soon as you
remember. However, if it is almost time for
your next dose, skip the missed dose and
swelling of the hands, feet, ankles, or lower legs
take only your next regularly scheduled dose. Do not take two doses at the same
joint pain sweating Can other medicines be taken with raloxifene?
difficulty falling asleep or staying asleep.
It is safe to take most other medicines when
Less common or rare possible side effects
you are taking raloxifene (see Precautions on
Blood clot in a vein is rare. Contact your
you take calcium and possibly vitamin D as
pain or swelling in your legs or a sudden
shortness of breath. Because of this risk your doctor may advise you to stop
Raloxifene should nothowever be taken
such as bisphosphonates, e.g. alendronate (Fosamax, Alendro, Fosamax Plus) or
sachet as it will list all the cautions and possible side effects.
How long is the treatment continued?
For osteoporosis, treatment with raloxifene
What precautions are necessary?
is usually given for a number of years. Your doctor will review your progress each year.
Blood tests
Once you have had one fracture your chance
Monitoring blood tests are not usually
of having another one is quite high so it is
although in certain situations these may
unless your doctor advises you to stop it. Liver disease Are there any side effects?
Raloxifene may not be recommended if
experience side effects. Below are some side effects that you might experience with your treatment. Tell your doctor if you experience any side effects.
Australian Rheumatology Association www.rheumatology.org.au Revised September 2010 – next review July 2011 Other medicines Pregnancy and breastfeeding
You should tell your doctor (including
your general practitioner, rheumatologist
Raloxifene has not been shown to cause
increase the risk of cancer of the lining of
the uterus. However, tell your doctor if
Raloxifene should not be taken with
Raloxifene has been shown to reduce the
You should not take cholestyramine or
How to store raloxifene
Store raloxifene in a cool, dry place,
Questions? Your doctor’s contact details
If you have any questions or concerns write them
If you are taking raloxifene you should see
treatment is working and to minimise any
The information in this sheet has been obtained from various sources and has been reviewed by the Australian Rheumatology Association. It is
intended as an educational aid and does not cover all possible uses, actions, precautions, side effects, or interactions of the medicines
mentioned. This information is not intended as medical advice for individual problems nor for making an individual assessment of the risks and
benefits of taking a particular medicine. It can be reproduced in its entirety but cannot be altered without permission from the ARA.
The NHMRC publication: How to present the evidence for consumers: preparation of consumer publications (2000) was used as a guide in
Australian Rheumatology Association www.rheumatology.org.au Revised September 2010 – next review July 2011
Diplomarbeiten HöFa labmed Böhler Thomas Präanalytiksysteme im Labor: Vorteile – Nachteile – Stolpersteine Disler Claudia Immunsubtraktion – Ist die konventionelle Immunfixation im Serum im Routinelabor ersetzbar? Kathriner Silvio Thrombelastometrie (ROTEM® delta) – Gerätevergleich Intra-individuelle Variabilität; Normenwertermittlung Intra-assay Variation Ly Tu Yen No
PRESS RELEASE Joshua A. Perper, M.D., LL.B., M.Sc. Chief Medical Examiner March 26, 2007 It is only fitting and proper for the Medical Examiner’s Office to express its thanks and appreciation to Chief Charlie Tiger and the Seminole Police Department, including Detective Katheran Frank, for their valuable and continuous cooperation, professionalism and their thorough investigat