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.
uses
What isIbandronate (Oral/Injection)(Intravenous,Oral)used for?
- Osteoporosis
- Prevention of Osteoporosis
warnings
What is the most important information I should know aboutIbandronate (Oral/Injection)(Intravenous,Oral)?
You should not use ibandronate if you are allergic to it, or if you have:
- severe kidney disease; or
- low blood levels of calcium (hypocalcemia).
Do not take anibandronate tabletif 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:
- trouble swallowing;
- problems with your stomach or digestion;
- hypocalcemia;
- a dental problem (you may need a dental exam before you begin using ibandronate);
- kidney disease; or
- any condition that makes it hard for your body to absorb nutrients from food (malabsorption).
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.
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Side Effects
What are the side effects ofIbandronate (Oral/Injection)(Intravenous,Oral)?
Get emergency medical help if you havesigns 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:
- chest pain, new or worsening heartburn;
- difficulty or pain when swallowing;
- pain or burning under the ribs or in the back;
- 在你的上气孔严重的胃灼热,灼痛ch, or coughing up blood;
- new or unusual pain in your thigh or hip;
- jaw pain, numbness, or swelling;
- severe joint, bone, or muscle pain; or
- low calcium levels--muscle spasms or contractions, numbness or tingly feeling (around your mouth, or in your fingers and toes).
Common side effects may include:
- heartburn, stomach pain, diarrhea;
- back pain, bone pain, muscle or joint pain;
- pain in your arms or legs;
- headache; or
- fever, chills, tiredness, flu-like symptoms.
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.
Pregnancy & Breastfeeding
Can I takeIbandronate (Oral/Injection)(Intravenous,Oral)if I’m pregnant or breastfeeding?
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.
Interactions
What drugs and food should I avoid while takingIbandronate (Oral/Injection)(Intravenous,Oral)?
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.
Dosage Guidelines & Tips
How to takeIbandronate (Oral/Injection)(Intravenous,Oral)?
UseIbandronate (Oral/Injection)(Intravenous,Oral)exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.
Ibandronatetabletsare taken once per month. Ibandronateinjectionis 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 ibandronatetabletfirst 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 ibandronatetabletwith 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 ibandronatetablet.Swallow it whole.
For at least 60 minutes (1 full hour) after taking an ibandronate tablet:
- Do not lie down or recline.
- Do not take any other medicineincluding vitamins, calcium, or antacids.
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 nottake two (2) doses in one week.
Ibandronate injections:Call your doctor for instructions if you miss an appointment for your injection.
Overdose Signs
What happens if I overdose onIbandronate (Oral/Injection)(Intravenous,Oral)?
Since ibandronate injections are given by a healthcare professional in a medical setting, an overdose is unlikely to occur.
Images
IN 150, >
Color: white
Shape: capsule
Imprint: IN 150, >
ID, 150
Color: yellow
Shape: capsule
Form: film coated
Imprint: ID, 150
APO, IBA 150
Color: white
Shape: oval
Imprint: APO, IBA 150