Ibandronate (Boniva) Tips from Pharmacists

• Take ibandronate 150 mg on the same date every month. Mark your calendar or set a reminder on your smartphone to help you remember.

• Take ibandronate first thing in the morning after getting out of bed. This medicine should be taken on an empty stomach with a full glass of plain water. You should not eat or drink anything or take other oral medicines before your ibandronate dose and for at least 60 minutes afterward.

• Remain upright for at least 60 minutes after taking ibandronate. Lying down can cause irritation and damage to your esophagus (the tube that connects the mouth and stomach).

• Continue taking ibandronate even if you feel well. This drug can increase bone density but does not cure osteoporosis.

• Brush your teeth twice a day and keep your mouth clean while on this drug. Tell your dentist you are on ibandronate before any dental treatment.

• Tell your doctor if you develop adverse effects such as new or worsening heartburn, chest pain, jaw pain, or bone, joint, or muscle pain while on this drug.