Pronunciation: eye BAN dro nate
150 mg, capsule, white, imprinted with IN 150, >
150 mg, capsule, yellow, imprinted with ID, 150
150 mg, oval, white, imprinted with APO, IBA 150
150 mg, oblong, white, imprinted with BNVA, 150
You should not use ibandronate if you have severe kidney disease or low levels of calcium in your blood.
Do not take an ibandronate tablet if you have problems with your esophagus, or if you cannot sit upright or stand for at least 60 minutes after taking the tablet.
Ibandronate tablets can cause serious problems in the stomach or esophagus. Stop taking ibandronate and call your doctor at once if you have chest pain, new or worsening heartburn, or pain when swallowing.
Also call your doctor if you have muscle spasms, numbness or tingling (in hands and feet or around the mouth), new or unusual hip pain, or severe pain in your joints, bones, or muscles.
Ibandronate is a bisphosphonate (bis FOS fo nayt) medicine that alters bone formation and breakdown in the body. This can slow bone loss and may help prevent bone fractures.
Ibandronate is used to treat or prevent osteoporosis in women after menopause.
Ibandronate may also be used for purposes not listed in this medication guide.
You should not use ibandronate if you are allergic to it, or if you have:
Do not take an ibandronate tablet if you have problems with your esophagus, or if you cannot sit upright or stand for at least 60 minutes. Ibandronate can cause serious problems in the stomach or esophagus. You must stay upright for at least 1 full hour after taking this medicine.
To make sure ibandronate is safe for you, tell your doctor if you have ever had:
In rare cases, this medicine may cause bone loss (osteonecrosis) in the jaw. Symptoms include jaw pain or numbness, red or swollen gums, loose teeth, or slow healing after dental work. The longer you use ibandronate, the more likely you are to develop this condition.
Osteonecrosis of the jaw may be more likely if you have cancer or received chemotherapy, radiation, or steroids. Other risk factors include blood clotting disorders, anemia (low red blood cells), and a pre existing dental problem.
Talk with your doctor about the risks and benefits of using this medication.
It is not known whether ibandronate will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.
It is not known whether ibandronate passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.
Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.
Ibandronate tablets are taken once per month. Ibandronate injection is given into a vein through an IV once every 3 months.
Ibandronate tablets can be taken at home, but a healthcare provider must give the ibandronate injection.
Take the ibandronate tablet first thing in the morning, at least 60 minutes before you eat or drink anything or take any other medicine. Take the medicine on the same day each month and always first thing in the morning.
Take the ibandronate tablet with a full glass (6 to 8 ounces) of plain water. Do not use coffee, tea, soda, juice, or mineral water. Do not eat or drink anything other than plain water.
Do not crush, chew, or suck on an ibandronate tablet. Swallow it whole.
For at least 60 minutes (1 full hour) after taking an ibandronate tablet:
Pay special attention to your dental hygiene while using ibandronate. Brush and floss your teeth regularly. If you need to have any dental work (especially surgery), tell the dentist ahead of time that you are using ibandronate.
Ibandronate is only part of a complete program of treatment that may also include diet changes, exercise, bone mineral density testing, and taking calcium and vitamin supplements. Follow your doctor's instructions very closely.
Store at room temperature away from moisture and heat.
Your doctor will determine how long to treat you with this medicine. Ibandronate is often given for only 3 to 5 years.
Ibandronate tablets: If you forget to take a tablet first thing in the morning on your scheduled day, do not take it later in the day. Wait until the next morning to take the missed dose. Then return to your regular monthly schedule on your chosen dose day. If your next scheduled dose is less than 7 days away, wait until then and skip the missed dose. Do not take two (2) doses in one week.
Ibandronate injections: Call your doctor for instructions if you miss an appointment for your injection.
For oral ibandronate: Drink a full glass of milk and seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Do not make yourself vomit and do not lie down.
Since ibandronate injections are given by a healthcare professional in a medical setting, an overdose is unlikely to occur.
Avoid taking any other medicines for at least 60 minutes after taking ibandronate. This includes vitamins, calcium, and antacids. Some medicines can make it harder for your body to absorb ibandronate.
Avoid smoking, or try to quit. Smoking can reduce your bone mineral density, making fractures more likely.
Avoid drinking large amounts of alcohol. Heavy drinking can also cause bone loss.
Get emergency medical help if you have signs of an allergic reaction: hives; wheezing, difficult breathing; swelling of your face, lips, tongue, or throat.
Stop using ibandronate and call your doctor at once if you have:
Common side effects may include:
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Tell your doctor about all your current medicines and any you start or stop using, especially:
This list is not complete. Other drugs may interact with ibandronate, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide. Talk with your doctor about the best dosing schedule for your other medicines.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
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