Indications
Boniva (Ibandronate sodium) is a medication indicated for the treatment of postmenopausal osteoporosis; a condition characterized by weakened bones. Boniva contains the active drug ibandronate and belongs to a group of drugs called bisphosphonates. It works by slowing down the process of bone breakdown, helping to keep existing bone strong, and encouraging the body to form new bone.
Uses and Dosage
Patients should take Boniva in the form of tablets once a month. For optimal results, it is recommended that the tablet be taken first thing in the morning, before consuming any food, drink, or other medications. Ensure that the tablet is swallowed with plain water only and not crushed or chewed. After taking Ibandronate Sodium, patients should wait at least one hour before eating, drinking, lying down, or taking other medications.
Boniva tablets are available in one strength of 150 milligrams (mg) and are to be swallowed whole. When taken as recommended, Boniva tablets should be taken once per month for optimal results in treating and preventing osteoporosis. The tablet form of Boniva is an oral medication and should not be chewed or crushed.
Side Effects
Common Side Effects of Boniva Includes
- Arm or leg pain
- Back pain
- Diarrhea
- Headache
- Heartburn
- Joint pain
- Muscle pain
- Nausea
- Stomach pain
Serious Side Effects of Ibandronate Sodium Include:
- Esophagus problems, such as ulcers, inflammation, narrowing, or wearing away of the esophagus
- Food stuck in the throat
- Loss of appetite
- Pain when swallowing
- Trouble swallowing
- Low level of calcium
- Fatigue (lack of energy)
- Feeling of pins and needles in the arms or legs
- Memory problems
- Muscle spasms (cramps) or stiffness
- Kidney problems, such as acute renal failure
- Confusion
- Dark-colored urine
- Leg swelling
- Nausea
- Urinating a smaller amount than usual
- Allergic reaction
- Jaw and dental problems
- Bone, joint, and muscle pain
- Thigh fracture
Form and Strength
Boniva and its generic alternative Ibandronate sodium are available in the following forms and strengths.
Boniva: Tablet
- 150 mg
Ibandronate sodium: Tablet
- 150 mg
Caution
- Do not eat, drink anything except plain water, or take other medications for at least 60 minutes.
- After taking BONIVA Patients should not take Ibandronate Sodium if they are pregnant, breastfeeding, have kidney problems, or have low blood calcium levels.
- If Patients are unable to remain in a sitting or standing position for at least one hour, they should not take the tablet form of the medication.
- If you experience trouble swallowing, new pain with swallowing, pain around the middle of your chest, or new or worsening heartburn while taking ibandronate (Boniva), stop taking the medication right away and talk to a healthcare provider.
- Patients at minimal risk for fracture should be considered for drug discontinuation after 3 to 5 years of use. Patients who discontinue therapy should have their risk for fracture re-evaluated periodically.
- Before starting ibandronate (Boniva), ensure that your calcium levels are not too low. If your calcium levels are low, you will need to be treated before starting ibandronate (Boniva) to prevent your calcium levels from getting worse. Taking calcium and vitamin D supplements may also help keep your calcium levels from getting too low.
Frequently Asked Questions (FAQ)
When is the best time to take Boniva?
Take ibandronate with a full glass (6 to 8 ounces) of plain water on an empty stomach. It should be taken first thing in the morning at least 60 minutes before any food, beverage, or other medicines.
How long can Boniva be taken?
For long-term osteoporosis treatment, Boniva may be prescribed. However, if your doctor determines that your risk of bone fracture is low, they may suggest ceasing Boniva usage after 3 to 5 years. This is because the safety and effectiveness of Boniva when taken for more than 3 years is not yet known.
Can I take Boniva after eating?
BONIVA should be taken on an empty stomach to be effective. Take one tablet after waking up in the morning, before consuming any food, drink, or other medications. Ensure that you are sitting or standing when taking BONIVA.
When do you stop taking Boniva?
The U.S. Food & Drug Administration has issued guidance, saying that although the optimal duration is not known, discontinuation should be considered after three to five years for patients with a low fracture risk.
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