Boniva

Generic Name: Ibandronate

  • What is Boniva?

    Boniva is used to treat or prevent osteoporosis in women after menopause.

  • What is the most important information I should know about Boniva?

    Boniva may cause serious problems in the stomach and the esophagus (the tube that connects your mouth and stomach) such as trouble swallowing, heartburn, and ulcers.

    Adequate intake of calcium and vitamin D is important.

    Boniva should be taken at least 1 hour before the first food or drink (other than water) of the day and before taking any oral medication or supplement, including calcium, antacids, or vitamins.

    To reduce the potential for irritation of the esophagus, Boniva tablets should be swallowed whole with a full glass of plain water while you are standing or sitting in an upright position; you should not lie down for 1 hour after taking Boniva.

    Plain water is the only drink that should be taken with Boniva. Some mineral waters may have a higher concentration of calcium and should not be used.

  • Who should not take Boniva?

    Do not take Boniva if you have low blood calcium, cannot sit or stand up for at least 1 hour, have poorly functioning kidneys, have problems with your esophagus, or are allergic to ibandronate sodium or any other ingredients of Boniva, as well as other medications in the same class as Boniva.

  • What should I tell my doctor before I take the first dose of Boniva?

    Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking in order to prevent a possible interaction with Boniva. Talk to your doctor about your complete medical history, especially if you have swallowing problems (or other problems with your esophagus), kidney problems, or if you are planning a dental procedure such as having a tooth pulled.

  • What is the usual dosage?

    The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.

    Once-Daily Boniva

    Adults: Take one 2.5-milligram (mg) tablet once daily, first thing in the morning at least 1 hour before you eat or drink anything other than plain water.

    Once-Monthly Boniva

    Adults: Take one 150-mg tablet once a month the first thing in the morning at least 1 hour before you eat or drink anything other than plain water.

  • How should I take Boniva?

    Take Boniva first thing in the morning at least 1 hour before you eat or drink anything other than plain water, or take any other oral medicine. Take Boniva with 6 to 8 ounces (about 1 full cup) of plain water. Swallow Boniva whole. Do not chew or suck the tablet or keep it in your mouth to melt or dissolve. After you take Boniva, you must wait at least 1 hour before lying down.

    If you are taking 150-mg once-monthly Boniva, choose a day that you will remember and that best fits your schedule.

  • What should I avoid while taking Boniva?

    Avoid lying down within 1 hour of taking Boniva. Do not eat or drink (except plain water), or take any oral medications within 1 hour of taking Boniva.

  • What are possible food and drug interactions associated with Boniva?

    If Boniva is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Boniva with the following: antacids, vitamins, supplements, aspirin, nonsteroidal anti-inflammatory drugs (such as ibuprofen) or products containing calcium, aluminum, magnesium, or iron.

  • What are the possible side effects of Boniva?

    Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.

    Side effects may include: arthritis, diarrhea, dizziness, headache, pain in extremities (arms or legs), upset stomach, heartburn

  • Can I receive Boniva if I am pregnant or breastfeeding?

    The effects of Boniva on an unborn baby are unknown, and Boniva may pass into breast milk. Talk to your doctor if you are pregnant, plan to become pregnant, or are breastfeeding.

  • What should I do if I miss a dose of Boniva?

    If you are taking 2.5-mg once-daily Boniva, do not take Boniva later in the day if you forget a dose. Return to your normal schedule the next morning. Do not take two tablets on the same day.

    If you are taking 150-mg once-monthly Boniva, take the missed dose the morning following the day that you remembered that you missed a dose if your next scheduled Boniva day is more than 7 days away. Then, return to taking one Boniva 150-mg tablet every month in the morning of your chosen day, according to your original schedule.

    Do not take two 150-mg tablets within the same week. If your next scheduled Boniva day is less than 7 days away, wait until your next scheduled day to take your tablet. Then, return to taking one Boniva 150-mg tablet every month in the morning of your chosen day, according to your original schedule.

  • How should I store Boniva?

    Store at room temperature.

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I'm Shereen A. Gharbia, PharmD. Welcome to PDR Health!

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