- It is used to put off or treat soft, brittle bones (osteoporosis).
- It is used to treat soft, brittle bones (osteoporosis) in women after change of life.
- It may be given to you for other reasons. Talk with the doctor.
- If you have an allergy to ibandronate or any other part of this drug.
- If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If you have any of these health problems: A swallowing tube (esophagus) that is not normal, low calcium levels, very bad kidney disease, or trouble swallowing.
- If you are not able to stand or sit up for 1 hour.
- If you have low calcium levels.
- If you have very bad kidney disease.
- Tell all of your health care providers that you take this drug. This includes your doctors, nurses, pharmacists, and dentists.
- Worsening of asthma has happened in people taking drugs like this one. Talk with the doctor.
- This drug may raise the chance of a broken leg. Talk with the doctor.
- Have a bone density test as you have been told by your doctor. Talk with your doctor.
- Have blood work checked as you have been told by the doctor. Talk with the doctor.
- This drug may affect certain lab tests. Tell all of your health care providers and lab workers that you take this drug.
- Follow the diet and workout plan that your doctor told you about.
- This drug works best when used with calcium/vitamin D and weight-bearing workouts like walking or PT (physical therapy).
- Have a dental exam before starting this drug.
- Take good care of your teeth. See a dentist often.
- Talk with your doctor before you drink alcohol.
- If you smoke, talk with your doctor.
- Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this drug while you are pregnant.
- Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.
- Very bad swallowing tube (esophagus) problems like irritation, swelling, ulcers, and bleeding have happened with this drug. Talk with the doctor.
- Very bad and sometimes deadly allergic side effects have rarely happened. Talk with your doctor.
- WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Signs of low calcium levels like muscle cramps or spasms, numbness and tingling, or seizures.
- Eye pain.
- Change in eyesight.
- Very bad belly pain.
- Very bad bone, joint, or muscle pain.
- Any new or strange groin, hip, or thigh pain.
- Very bad dizziness.
- Very bad headache.
- This drug may cause jawbone problems. The chance may be higher the longer you take this drug. The chance may be higher if you have cancer, dental problems, dentures that do not fit well, anemia, blood clotting problems, or an infection. The chance may also be higher if you are having dental work, getting chemo or radiation, or taking other drugs that may cause jawbone problems like some steroid drugs. There are many drugs that can do this. Ask your doctor or pharmacist if you are not sure. Call your doctor right away if you have jaw swelling or pain.
- Chest pain.
- Black, tarry, or bloody stools.
- Coughing up blood.
- Throwing up blood or throw up that looks like coffee grounds.
- Trouble swallowing.
- Very bad pain when swallowing.
- Mouth sores.
- Signs of kidney problems like unable to pass urine, change in how much urine is passed, blood in the urine, or a big weight gain.
- Belly pain.
- Upset stomach or throwing up.
- Loose stools (diarrhea).
- Flu-like signs.
- Back pain.
- Pain in arms or legs.
- Muscle or joint pain.
- Pain where the shot was given.
- Redness or swelling where the shot is given.
- Take on an empty stomach before breakfast.
- Take with a full glass of water at least 60 minutes before the first food, drink, or drugs of the day.
- Take with plain water only. Avoid taking with mineral water, milk, or other drinks.
- Swallow tablet whole. Do not chew, break, or crush.
- Do not lie down for at least 60 minutes after taking this drug.
- Take 150 mg tablet on the same day each month.
- Do not take calcium, iron, vitamins with minerals, or antacids within 1 hour of this drug.
- Keep taking this drug as you have been told by your doctor or other health care provider, even if you feel well.
- To gain the most benefit, do not miss doses.
- It is given as a shot into a vein.
- Do not take it later in the day.
- Take the missed dose on the next morning after you think about it and then go back to your normal time.
- Do not take 2 doses on the same day.
- Do not take two 150 mg tablets within the same week.
- Call the doctor for an office visit.
- Store at room temperature.
- Store in a dry place. Do not store in a bathroom.
- If you need to store this drug at home, talk with your doctor, nurse, or pharmacist about how to store it.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Check with your pharmacist about how to throw out unused drugs.
- If your symptoms or health problems do not get better or if they become worse, call your doctor.
- Do not share your drugs with others and do not take anyone else’s drugs.
- Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
- Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
- Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your doctor, nurse, pharmacist, or other health care provider.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.