Boniva (Ibandronate)

BONIVA is an oral prescription medicine used to treat or prevent osteoporosis in women after menopause. It works by increasing bone mineral density (BMD) and reduces the incidence of vertebral fractures. BONIVA slows bone loss while increasing bone mass, which may prevent bone fractures.

Directions

To maximize absorption and benefit, BONIVA should be taken at least 60 minutes before the first food or drink (other than water) of the day or before taking any oral medication or supplementation, including calcium, antacids, or vitamins. BONIVA tablets should be swallowed whole with a full glass of plain water (6 to 8 oz) while the patient is standing or sitting in an upright position. Patients should not lie down for 60 minutes after taking the medication. Patients should not eat, drink anything except water, or take other medications for at least 60 minutes after taking BONIVA.

Cautions

Before you start BONIVA, be sure to talk to your doctor if you:

• Have problems with swallowing
• Have stomach or digestive problems
• Have low blood calcium
• Plan to have dental surgery or teeth removed
• Have kidney problems
• Have been told you have trouble absorbing minerals in your stomach or intestines
• Are pregnant, or plan to become pregnant
• Are breast-feeding or plan to breast-feed

Especially tell your doctor if you take:

• Antacids
• Aspirin
• Nonsteroidal Anti-Inflammatory (NSAID) medicines

Do not take BONIVA if you:

• Have certain problems with your esophagus, the tube that connects your mouth with your stomach
• Cannot stand or sit upright for at least 60 minutes
• Have low levels of calcium in your blood
• Are allergic to BONIVA or any of its ingredients

Side Effects

The side effects of this medicine you might experience with this medicine include

• Difficult swallowing
• Chest pain/heartburn
• Burning in ribs or back
• Jaw pain
• Numbness
• Low calcium level
• Overall pain
• Fever and chills
• Headache
• Flu
• Tiredness