Why is Boniva prescribed?

Ibandronate sodium (Boniva) is prescribed for the treatment and prevention of osteoporosis in women going through menopause. It can lessen your risk of having fractures or broken bones.

What does it do?

Osteoporosis is a condition where the bones in your body become weak and prone to fractures, which usually occurs at your wrist, spine, or hip. During menopause, bone resorption (a process in the body where the bone tissue is broken down to maintain calcium levels in the blood) is faster than bone formation, causing bones to become weaker.

Ibandronate belongs to a drug class called bisphosphonates and it works by altering the breakdown and formation process of bones in the body. This may result in stronger bones and a lesser chance of experiencing fractures.

How should I take it?

Boniva and its generic equivalents are currently available in 150mg tablets. Each tablet should be taken as a whole (do not split) by mouth without food. Take it only with 6 to 8 ounces of plain water. Wait for an hour before eating or drinking anything (including medications) and do not lie down immediately after taking it.

The dosage strength depends on every patient’s condition and the doctor’s prescription. It is imperative that you do not self-medicate and only take this drug after consulting with your doctor or pharmacist to determine the best dosage and dosing schedule for the treatment of your condition.

What if I missed a dose?

The desired effects of prescribed medications will only be achieved if taken properly. As much as possible, strictly follow your doctor’s prescribed dosing schedule. However, if you miss a dose on your scheduled day, do not take it later in the same day. Take the missed dose the following morning and adjust the time of your next dose depending on your doctor’s advice. However, if your next dose is in less than 7 days, skip it and take your next dose according to your schedule. Never take two doses at the same time just to make up for your missed dose.

What are the special precautions before using Boniva?

Inform your doctor about all the medications you are taking, your current and previous medical history, and any allergic reactions to Boniva or any other ingredients included in the manufacture of this medication.

Inform your doctor if you cannot sit upright or stand for at least one hour.

Taking Boniva may increase your risk of developing bone loss in your jaw. You may need to visit your dentist for an examination before starting Boniva. Ensure proper mouth hygiene at all times when taking Boniva and discuss with your doctor about any dental procedures you will undergo while taking it.

For the drug label information of Boniva, click here.

Does it have any side effects?

It is important to note that all drugs have corresponding side effects and adverse reactions. Additional information may be obtained when you ask your doctor or pharmacist.

Common side effects include:
• Back pain
• Diarrhea
• Fatigue
• Fever
• Headache
• Heartburn
• Muscle or joint pain
• Pain in arms or legs
• Stomach pain

Serious side effects include:
• Chest pain
• Coughing up blood
• Difficulty swallowing
• Jaw pain or swelling
• Loosening of your teeth
• Muscle spasms
• Numbness in fingers and toes or around the mouth
• Pain in the hips, groin, or thighs
• Rashes
• Severe bone pain
• Severe heartburn

Is it safe to use it with another drug?

Some drug interactions may cause life-threatening reactions when taken with other medications. Immediately inform your doctor if you are taking Boniva with any of the following medications:

• Aristocort
• Atropine
• Betapace
• Bevacizumab
• Bretylium
• Cidofovir
• Colistin
• Deferasirox
• Desipramine
• Dexamethasone
• Diatrizoate
• Dyrenium
• Effexor XR
• Eperisone
• Erythromycin
• Etelcalcetide
• Everolimus
• Flagyl
• Geodon
• Ibuprofen
• Inderal
• Mebeverine
• Methylprednisolone
• Metrizamide
• Mevacor
• Naproxen
• Pazopanib
• Prednisone
• Prograf
• Ranexa
• Rapamune
• Tenofovir
• Trimethoprim
• Zocor

Ask your doctor or pharmacist for other possible interactions not listed within this section.

How should I store it?

Store Boniva in a tight container in a clean environment away from excessive heat and moisture.

What action should I take in case of overdose?

Immediately call an ambulance and seek immediate medical attention to prevent further complications or possible death.

Is it safe for pregnant or breastfeeding women?

Present data suggest that the use of Boniva in pregnant women has not established its developmental risks.

There is also limited data on the presence of Boniva in human milk or its effects on the breastfed infant. Hence, the potential risks and benefits of using Boniva in pregnant or breastfeeding women should be carefully considered.

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