Boniva vs. Fosamax vs. Actonel: Which is Better? Four bisphosphonates are approved for treatment and prevention of postmenopausal osteoporosis: alendronate (Fosamax), risedronate (Actonel), ibandronate (Boniva), and .

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Clinically I haven't found there to be a big difference between Actonel or Fosamax. I see much more Fosamax prescribed, though. This is probably a combination of Fosamax being available as a generic and being much cheaper as well as it ...

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