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Boniva

Ibandronate is a medication used in the treatment and prevention of osteoporosis for postmenopausal women. It works by slowing down the process of old bone removal, allowing the creation of new bone to progress effectively.

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Frequently Asked Questions

Can I take Ibandronate if I have esophageal disorders?
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No, ibandronate can cause irritation and ulcers in the esophagus, so it's not recommended if you have such conditions.

Can I eat before taking Ibandronate?
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No, ingesting food before taking your dose of ibandronate will prevent the medication from being absorbed properly.

Does Ibandronate cause jaw pain?
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Rarely, ibandronate can cause a condition called osteonecrosis of the jaw. It's often associated with prolonged use of the drug and invasive dental procedures.

I missed a dose of Ibandronate, what should I do?
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If there's less than a week until the next scheduled dose, skip the missed dose and go back to your usual dosing schedule.

Can I drink milk or juice before taking Ibandronate?
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No, any other drink or food other than plain water can interfere with absorption, so it's important to only drink water when taking your dose

Comprehensive Drug Guide

How Does Boniva Work?

Ibandronate is part of the bisphosphonate class of drugs, which inhibit bone resorption through various mechanisms, thereby increasing overall bone mass and strength.

What is Boniva Used For?

FDA indications: Ibandronate is primarily used to prevent and treat osteoporosis in postmenopausal women.

Off-label uses: It may also sometimes be used to treat other bone diseases, based on a doctor's discretion and assessment

Common Dosages

Tablets: 150mg

Injection: 3mg/3mL

Typical Dosing

Who Shouldn't Take Boniva?

  • If you have low blood calcium.
  • If you're unable to sit or stand upright for at least 60 minutes.
  • If you have kidney disease.
  • If you're pregnant, planning to become pregnant, or breastfeeding.
  • If you have esophageal disorders.

Advice From The Pharmacist

  • Always take an ibandronate first thing in the morning, with a full glass of plain water (no juice, coffee, or any other beverage).
  • After taking your dose, do not lie down, eat, or drink anything (except plain water) for at least 60 minutes.
  • If the 150mg monthly dose is missed and there's less than a week until the next scheduled dose, skip the missed dose and go back to your usual dosing schedule.
  • Avoid using calcium supplements, vitamins, or antacids within 60 minutes before or after taking this medication.
  • Exercise regularly and maintain a balanced diet to build and maintain bone health.
  • Avoid smoking and excessive drinking, which can lower bone mineral density.
  • If you notice any signs of allergic reactions, such as rash, hives, swelling, or trouble breathing, seek medical attention right away.

Side Effects of Boniva

Common Side Effects

  • Common side effects:
  • Back pain, heartburn, nausea, and headache.
  • Severe side effects:
  • Severe joint or muscle pain, severe headache, eye pain, or even vision changes need immediate medical attention.

Risks and Warnings of Boniva

  • Ibandronate should not be taken by those with esophageal disorders, low blood calcium, or those unable to sit or stand upright for 60 minutes.
  • It should also be avoided by those with kidney problems or anyone pregnant or breastfeeding.

Interactions with Boniva

Common Drug Interactions

  • Antacids
  • Aspirin
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Calcium supplements
  • Vitamins with minerals

Alternatives to Boniva

  • Alendronate
  • Risedronate
  • Zoledronic acid