After reading thru I think all posts and seeing about Actonel, Fosomax etc. I begin to wonder. I have had Fibro and RA and Sjogren's etc arthritis for over 30 yrs. Have been all sorts of things. Now have lung infec. so have to watch what I take CLOSE. I beging to think 'just give me a pain pill' and forget the rest but natual things and or vitamins. I have tried a lot and not much success. Had had a lot of side effects. So I think at least the pain pills make it bearable and I am very CAUTIOUS about how I take them. If I am having particular bad time I have in past asked someone else to read pain literature and take management of how I take them. I think this is a good idea. I also have Ambien to take and even a nerve pill. Mind you I don't take all this together. I read everything I can about medicines, how to take and how many is the limit. I also call the pharmacist. I also talk to friends and have one that I call if I need help. I guess you could say a buddy system can help. I also have ones who call me. I have one friend with similar health problems and I asked her if I could put her down as one to discuss my treatment if I was in the hospital and she agreed to this. My husband is not well and I know he would never know what I needed. My son is far away and my daughter is not right here in our time and has her own bad health problems. Hope these hints help someone. I am and have been rethinking my taking Actonel.