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From simple mix-ups to fatal overdoses, medication mistakes happen, on average, once a day to every hospital patient, a new report says. Nationwide, at least 1.5 million people annually are harmed from drug errors, more than half of them in nursing homes.
Many Unfavorable Drug Studies Aren’t Published. Nearly a third of antidepressant drug studies are never published in the medical literature, and nearly all of those happen to show that the drug being tests failed to work.
Only Drugs That are Safe Should be put on the Market. Drug developers are just beginning to come to grips with recent FDA oversight reforms and how they will affect drug safety. But, it appears that industry and consumer advocates are not together on how well the overhaul will be able to prevent future drug safety scandals.

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Community-reported Boniva side effects:

sever bone pain, arm tingling indicitive of heart attack symptoms, leading to hospitalization 2008-07-27 07:59:19
does boniva cause weight gain? 2008-07-31 21:27:44
Flu-like symptoms (including fever, chills, etc.), nausea, headache, pain in hands, shoulders and back, exacerbation of osteoarthritis in knee (major swelling and difficulty walking), lack of energy 2008-08-25 07:50:09

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Review Boniva Safety Reports submitted to FDA

Total Boniva reports: 1022.
Boniva FDA safety alerts: 2007 2008 .
Reported deaths: 49    Reported hospitalizations: 357.
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FDA Reported Boniva Side Effects: arthralgia, bone pain, chest pain, back pain, pain in extremity, pain in jaw, myalgia, nausea, dyspnoea, influenza like illness, diarrhoea.
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Boniva Side Effects Report #5041116-9
Physician from SWITZERLAND reported BONIVA problem on Dec 06, 2004. Female patient, 56 years of age, was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: osteonecrosis. BONIVA dosage: unknown. During the same period patient was treated with FEMARA, STILNOX, PONSTAN, ZOLEDRONIC ACID, PAMIDRONIC ACID. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5044229-0
BONIVA problem was reported by a Consumer or non-health professional from UNITED KINGDOM on June 26, 2006. Female patient, 60 years of age, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: abdominal pain, diarrhoea, haematochezia. BONIVA dosage: unknown. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5045595-2
Health Professional from UNITED STATES reported BONIVA problem on June 30, 2006. Female patient, 47 years of age, was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: arthralgia, hypoaesthesia. BONIVA dosage: unknown. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5045603-9
BONIVA problem was reported by a Health Professional from UNITED STATES on June 28, 2006. Female patient, 79 years of age, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: renal failure acute. BONIVA dosage: unknown. During the same period patient was treated with SYNTHROID, NEXIUM. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5045612-X
Consumer or non-health professional from BRAZIL reported BONIVA problem on June 30, 2006. Female patient, 88 years of age, weighting 114.6 lb, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: back pain, blood pressure increased, chest pain, dyspnoea, movement disorder. BONIVA dosage: unknown. During the same period patient was treated with ENALAPRIL, INDAPAMIDE. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5046398-5
BONIVA problem was reported by a Health Professional from UNITED STATES on June 22, 2006. Female patient, 80 years of age, weighting 114.0 lb, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: asthenia, dehydration, diabetes mellitus inadequate control, dysphagia, electrolyte imbalance, foreign body trauma, headache, odynophagia, oesophageal stenosis. BONIVA dosage: unknown. During the same period patient was treated with BUSPAR, LOPRESSOR, ACTOS, LISINOPRIL, MIACALCIN, VITAMIN B, PHENERGAN, METOPROLOL TARTRATE. Patient was hospitalized and became disabled. Patient recovered.

Boniva Side Effects Report #5046662-X
Physician from UNITED STATES reported BONIVA problem on July 07, 2006. Female patient, 41 years of age, weighting 97.00 lb, was diagnosed with barrett's oesophagus, osteopenia and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: carpal tunnel syndrome, hypoaesthesia, infusion site reaction, movement disorder, muscle injury, nerve compression, oedema, swelling. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5048024-8
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on July 10, 2006. Female patient, 68 years of age, weighting 128.0 lb, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: arthralgia, joint stiffness, joint swelling, malaise, musculoskeletal stiffness, pain in extremity. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5048193-X
Physician from GERMANY reported BONIVA problem on June 19, 2006. Female patient, 69 years of age, weighting 124.3 lb, was diagnosed with multiple myeloma and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: creatinine renal clearance decreased. BONIVA dosage: unknown. During the same period patient was treated with THALIDOMIDE. Patient recovered.

Boniva Side Effects Report #5049444-8
BONIVA problem was reported by a Physician from HUNGARY on July 03, 2006. Female patient, 65 years of age, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: diarrhoea, headache, urine analysis abnormal, urine output decreased. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5049469-2
Physician from UNITED STATES reported BONIVA problem on July 11, 2006. Female patient, 50 years of age, weighting 186.0 lb, was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: deep vein thrombosis. BONIVA dosage: 150MG MONTHLY PO ONE TIME DOSE. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5050481-8
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on May 02, 2006. Female patient, 84 years of age, was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: asthma, confusional state, malaise. BONIVA dosage: unknown. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5050500-9
Physician from MEXICO reported BONIVA problem on July 03, 2006. Female patient, 71 years of age, weighting 94.80 lb, was diagnosed with osteoporosis postmenopausal and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: bone pain, gastroenteritis, rash. BONIVA dosage: unknown. During the same period patient was treated with CELEBREX. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5050501-0
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on June 07, 2006. Female patient, 58 years of age, weighting 155.0 lb, was diagnosed with osteopenia and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: epistaxis, mouth haemorrhage, nasal dryness, thrombosis. BONIVA dosage: unknown. During the same period patient was treated with VITAMIN NOS. Patient recovered.

Boniva Side Effects Report #5051193-7
Consumer or non-health professional from PERU reported BONIVA problem on July 07, 2006. Female patient, 78 years of age, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: burning sensation, oral mucosal petechiae, pharyngolaryngeal pain. BONIVA dosage: unknown. During the same period patient was treated with CALCIUM GLUCONATE, ASPIRIN, IRRIGOR. Patient recovered.

Boniva Side Effects Report #5052170-2
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on July 12, 2006. Female patient, 53 years of age, weighting 105.0 lb, was diagnosed with osteopenia and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: arthralgia, back pain, bone pain, pain in extremity. BONIVA dosage: 150 MG MONTHLY PO. During the same period patient was treated with FOSAMAX. Patient recovered.

Boniva Side Effects Report #5052183-0
Consumer or non-health professional from UNITED STATES reported BONIVA problem on July 12, 2006. Female patient, 61 years of age, weighting 138.0 lb, was diagnosed with resorption bone increased and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: abdominal pain upper, arthralgia, gait disturbance, myalgia, neck pain, pain in extremity. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5052778-4
BONIVA problem was reported by a Health Professional from UNITED STATES on July 05, 2006. Female patient, 41 years of age, weighting 100.1 lb, was diagnosed with osteopenia and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: cellulitis, injection site cellulitis, injection site haematoma. BONIVA dosage: unknown. During the same period patient was treated with OMEPRAZOLE MAGNESIUM. Patient recovered.

Boniva Side Effects Report #5053570-7
Consumer or non-health professional from UNITED STATES reported BONIVA problem on May 05, 2006. Female patient was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: abdominal distension, weight increased. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5053709-3
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on June 09, 2006. Female patient, 72 years of age, weighting 138.0 lb, was diagnosed with osteoporosis, hypertension and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: blood pressure increased, diarrhoea, dizziness, dyspnoea, feeling hot, headache, heart rate increased, influenza like illness, nausea. BONIVA dosage: unknown. During the same period patient was treated with HYDROCHLOROTHIAZIDE. Patient recovered.

Boniva Side Effects Report #5054255-3
Consumer or non-health professional from UNITED STATES reported BONIVA problem on May 02, 2006. Female patient, 84 years of age, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: burning sensation. BONIVA dosage: unknown. During the same period patient was treated with LOVASTATIN, MOBIC, PLENDIL, NEXIUM, INDERAL. Patient recovered.

Boniva Side Effects Report #5055171-3
BONIVA problem was reported by a Physician from GERMANY on June 19, 2006. Female patient, 69 years of age, weighting 124.3 lb, was diagnosed with multiple myeloma and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: blood creatinine increased, creatinine renal clearance decreased, fluid intake reduced, oral intake reduced. BONIVA dosage: unknown. During the same period patient was treated with THALIDOMIDE. Patient recovered.

Boniva Side Effects Report #5055174-9
Health Professional from UNITED KINGDOM reported BONIVA problem on June 14, 2006. Female patient, 68 years of age, weighting 259.0 lb, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: dyspnoea, eating disorder. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5055922-8
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on July 17, 2006. Female patient, 55 years of age, weighting 240.0 lb, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: arthralgia, insomnia, muscle spasms, pain in extremity, walking aid user. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5056414-2
Physician from UNITED STATES reported BONIVA problem on July 12, 2006. Female patient, 64 years of age, weighting 190.0 lb, was diagnosed with osteoporosis, urinary incontinence, depression and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: abdominal pain upper, dry socket, jaw operation, stomatitis necrotising. BONIVA dosage: unknown. During the same period patient was treated with LISINOPRIL, NEXIUM, DITROPAN, PROZAC. Patient recovered.

Boniva Side Effects Report #5057860-3
BONIVA problem was reported by a Physician from GERMANY on May 12, 2006. Female patient, 73 years of age, weighting 165.3 lb, was diagnosed with breast cancer, hypertension, dyspepsia, antiemetic supportive care and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: atrial fibrillation, cardiac failure congestive, deep vein thrombosis. BONIVA dosage: unknown. During the same period patient was treated with CAPECITABINE, ANASTROZOLE, BISOPROLOL FUMARATE, OMEPRAZOLE, METOCLOPRAMIDE. Patient recovered.

Boniva Side Effects Report #5057862-7
Health Professional from UNITED STATES reported BONIVA problem on May 16, 2006. Female patient, 63 years of age, weighting 138.9 lb, was diagnosed with osteoporosis, hyperlipidaemia, hypothyroidism and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: jaw disorder. BONIVA dosage: unknown. During the same period patient was treated with ZETIA, SYNTHROID. Patient recovered.

Boniva Side Effects Report #5058029-9
BONIVA problem was reported by a Health Professional from UNITED STATES on June 22, 2006. Female patient, 59 years of age, weighting 195.1 lb, was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: aphthous stomatitis, swollen tongue. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5058075-5
Consumer or non-health professional from UNITED STATES reported BONIVA problem on July 10, 2006. Female patient, 67 years of age, was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: constipation, muscle spasms, shoulder operation. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5059663-2
BONIVA problem was reported by a Physician from UNITED STATES on May 05, 2006. Female patient, 78 years of age, was diagnosed with hypertension and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: anorexia, anxiety, asthenia, atrial fibrillation, back pain, cardiac disorder, clostridial infection, dilatation atrial, hyponatraemia. BONIVA dosage: unknown. During the same period patient was treated with LOPRESSOR, FOLIC ACID, LOVASTATIN, ANTIVERT, CARDIZEM, LOVENOX, COUMADIN, AMIODARONE. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5059670-X
Consumer or non-health professional from UNITED STATES reported BONIVA problem on Mar 22, 2006. Female patient, 49 years of age, weighting 182.1 lb, was diagnosed with osteoporosis, back pain, vertigo, hypertension and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: constipation, depression, diarrhoea, dizziness, dyspepsia, intraocular pressure increased, nuclear magnetic resonance imaging brain abnormal, nystagmus. BONIVA dosage: unknown. During the same period patient was treated with NAPROXEN, VALIUM, PRAVACHOL, ZESTRIL, PROPOXYPHENE NAPSYLATE AND ACETAMINOPHEN. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5059706-6
BONIVA problem was reported by a Physician from BRAZIL on July 12, 2006. Female patient, 49 years of age, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: dizziness, dyspepsia, influenza like illness, myalgia, oesophagitis, swelling. BONIVA dosage: DOSE REPORTED AS 150 MG/MONTH. During the same period patient was treated with OSCAL, EUTHYROX. Patient recovered.

Boniva Side Effects Report #5060584-X
Consumer or non-health professional from UNITED STATES reported BONIVA problem on July 21, 2006. Female patient, weighting 150.0 lb, was diagnosed with osteoporosis prophylaxis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: arthralgia, back pain, dysstasia, gait disturbance, lip disorder, myalgia. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5061024-7
BONIVA problem was reported by a Health Professional from UNITED STATES on July 05, 2006. Female patient, 41 years of age, weighting 100.1 lb, was diagnosed with osteopenia and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: cellulitis, erythema, hypoaesthesia, injection site erythema, injection site haematoma, injection site irritation, injection site pain, injection site swelling, joint range of motion decreased. BONIVA dosage: unknown. During the same period patient was treated with OMEPRAZOLE MAGNESIUM. Patient recovered.

Boniva Side Effects Report #5062076-0
Consumer or non-health professional from UNITED STATES reported BONIVA problem on Mar 29, 2006. Female patient, 64 years of age, was diagnosed with osteoporosis, hypothyroidism and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: impaired healing, infection, jaw disorder, osteonecrosis. BONIVA dosage: unknown. During the same period patient was treated with DIOVAN HCT, EFFEXOR, SYNVISC, AMOXICILLIN, SYNTHROID, ZOCOR. Patient recovered.

Boniva Side Effects Report #5062109-1
BONIVA problem was reported by a Physician from UNITED STATES on June 12, 2006. Female patient, 82 years of age, weighting 142.0 lb, was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: blister, extravasation, pain, skin necrosis. BONIVA dosage: STRENGTH REPORTED AS 3 MG/3 ML.. Patient recovered.

Boniva Side Effects Report #5063569-2
Physician from UNITED STATES reported BONIVA problem on July 19, 2006. Female patient, 80 years of age, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: gastrointestinal haemorrhage. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5063598-9
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on June 12, 2006. Female patient, 51 years of age, weighting 125.0 lb, was diagnosed with bone density decreased and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: impaired healing, osteitis, pain in jaw, tooth extraction. BONIVA dosage: unknown. During the same period patient was treated with TESTOSTERONE, VITAMINS NOS. Patient recovered.

Boniva Side Effects Report #5063599-0
Consumer or non-health professional from UNITED STATES reported BONIVA problem on July 21, 2006. Female patient, 78 years of age, weighting 108.0 lb, was diagnosed with osteoporosis, cardiovascular event prophylaxis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: bone disorder. BONIVA dosage: unknown. During the same period patient was treated with CALCIUM GLUCONATE, ASPIRIN. Patient recovered.

Boniva Side Effects Report #5063603-X
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on July 17, 2006. Female patient, 55 years of age, weighting 179.9 lb, was diagnosed with osteopenia, hypercholesterolaemia, hypothyroidism, hypertension and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: breast cancer, breast cancer female. BONIVA dosage: unknown. During the same period patient was treated with PRANDIN, LIPITOR, SYNTHROID. Patient recovered.

Boniva Side Effects Report #5064643-7
Consumer or non-health professional from UNITED STATES reported BONIVA problem on June 22, 2006. Female patient was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: gastrointestinal pain, large intestinal ulcer, muscle spasms. BONIVA dosage: REGIMEN: 150 MG/MONTH. Patient recovered.

Boniva Side Effects Report #5064718-2
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on July 21, 2006. Female patient, 61 years of age, was diagnosed with osteoporosis, blood pressure and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: dysphagia, gastritis, intestinal functional disorder, oedema peripheral, renal disorder. BONIVA dosage: unknown. During the same period patient was treated with CELEBREX, ALBUTEROL SPIROS, DIOVAN. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5065095-3
Consumer or non-health professional from UNITED STATES reported BONIVA problem on July 27, 2006. Female patient, 54 years of age, weighting 160.0 lb, was diagnosed with osteoporosis prophylaxis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: abdominal pain, arthralgia, diarrhoea, pain in extremity, pyrexia. BONIVA dosage: 150 MG MONTHLY PO. Patient recovered.

Boniva Side Effects Report #5065725-6
BONIVA problem was reported by a Physician from UNITED STATES on Sept 19, 2005. Female patient, 90 years of age, was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: breast cancer, breast cancer recurrent, chest pain, fall, gastrointestinal disorder, muscle spasms, rib fracture. BONIVA dosage: unknown. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5065740-2
Consumer or non-health professional from UNITED STATES reported BONIVA problem on June 05, 2006. Female patient, 63 years of age, weighting 149.9 lb, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: mouth ulceration. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5065742-6
BONIVA problem was reported by a Health Professional from UNITED STATES on May 10, 2006. Female patient, 68 years of age, weighting 160.1 lb, was diagnosed with osteopenia and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: osteonecrosis. BONIVA dosage: unknown. During the same period patient was treated with CALCIUM NOS. Patient recovered.

Boniva Side Effects Report #5068025-3
Health Professional from UNITED STATES reported BONIVA problem on July 05, 2006. Female patient, 41 years of age, weighting 97.00 lb, was diagnosed with osteopenia and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: cellulitis, erythema, injection site erythema, injection site haematoma, injection site irritation, injection site pain, injection site swelling, joint range of motion decreased. BONIVA dosage: unknown. During the same period patient was treated with OMEPRAZOLE MAGNESIUM. Patient recovered.

Boniva Side Effects Report #5072678-3
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on July 26, 2006. Female patient, 62 years of age, weighting 102.1 lb, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: colitis ulcerative, weight decreased. BONIVA dosage: unknown. During the same period patient was treated with CALTRATE PLUS, CENTRUM SILVER, LEVOXYL. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5072687-4
Physician from UNITED STATES reported BONIVA problem on July 28, 2006. Male patient, 81 years of age, was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: gastrointestinal haemorrhage. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5072689-8
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on July 28, 2006. Female patient, 84 years of age, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: cholelithiasis. BONIVA dosage: unknown. During the same period patient was treated with THYROID. Patient recovered.

Boniva Side Effects Report #5075005-0
Consumer or non-health professional from UNITED STATES reported BONIVA problem on Aug 07, 2006. Female patient, 70 years of age, weighting 133.0 lb, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: dizziness, fatigue, fear, hypoaesthesia, impaired driving ability, malaise, middle insomnia, pain. BONIVA dosage: 3 MG EVERY 3 MONTHS IV. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5075094-3
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on Aug 03, 2006. Female patient, 50 years of age, weighting 105.0 lb, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: arthralgia, blood pressure increased, cartilage injury, dizziness, dry mouth, eye pain, facial pain, fatigue, feeling hot. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5075509-0
Physician from SWITZERLAND reported BONIVA problem on Dec 06, 2004. Female patient, 56 years of age, was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: osteonecrosis. BONIVA dosage: unknown. During the same period patient was treated with FEMARA, STILNOX, PONSTAN, ZOLEDRONIC ACID, PAMIDRONIC ACID. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5075512-0
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on June 01, 2006. Female patient, 83 years of age, weighting 140.0 lb, was diagnosed with osteoporosis, blood pressure increased, therapeutic procedure and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: bone disorder, dental caries, pain in jaw, resorption bone increased, tooth erosion. BONIVA dosage: unknown. During the same period patient was treated with ZOCOR, LISINOPRIL, SYNTHROID, FOSAMAX. Patient recovered.

Boniva Side Effects Report #5075559-4
Physician from GERMANY reported BONIVA problem on June 19, 2006. Female patient, 80 years of age, weighting 165.3 lb, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: abdominal pain, gastric haemorrhage, melaena. BONIVA dosage: unknown. During the same period patient was treated with BENALAPRIL, MINIASAL, OSSOFORTINTE, FOSAMAX. Patient recovered.

Boniva Side Effects Report #5075586-7
BONIVA problem was reported by a Pharmacist from UNITED STATES on Aug 01, 2006. Female patient, 77 years of age, was diagnosed with osteoporosis postmenopausal and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: recall phenomenon. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5075588-0
Consumer or non-health professional from UNITED STATES reported BONIVA problem on July 31, 2006. Female patient, 83 years of age, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: fall, pelvic fracture. BONIVA dosage: unknown. During the same period patient was treated with PREDNISONE. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5076683-2
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on Aug 02, 2006. Female patient, 60 years of age, was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: arthralgia, chest pain, dehydration, diarrhoea. BONIVA dosage: unknown. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5076907-1
Physician from GERMANY reported BONIVA problem on July 28, 2006. Female patient, 77 years of age, was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: circulatory collapse, coma, disturbance in attention. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5078653-7
BONIVA problem was reported by a Pharmacist from UNITED STATES on Aug 10, 2006. Female patient, 84 years of age, weighting 130.0 lb, was diagnosed with fracture, osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: asthenia, dyspnoea, infusion site phlebitis, lung infection, malaise. BONIVA dosage: 3 MG Q 3 MONTHS IV BOLUS. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5079408-X
Physician from UNITED STATES reported BONIVA problem on Feb 14, 2006. Female patient, 52 years of age, weighting 162.9 lb, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: erosive oesophagitis, fungal infection, oesophageal ulcer. BONIVA dosage: unknown. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5079434-0
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on May 24, 2006. Female patient, 79 years of age, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: chest pain, pain in extremity, pleural effusion. BONIVA dosage: unknown. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5080356-X
Consumer or non-health professional from UNITED STATES reported BONIVA problem on Aug 14, 2006. Female patient, 47 years of age, weighting 174.0 lb, was diagnosed with familial risk factor, osteopenia and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: activities of daily living impaired, arthralgia, asthenia, back pain, blood pressure increased, bone pain, chills, cough, crying. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5080385-6
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on Aug 03, 2006. Female patient, 66 years of age, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: abdominal pain, chest pain, diarrhoea, dyspepsia, electrocardiogram change, pain in extremity, spinal disorder. BONIVA dosage: unknown. During the same period patient was treated with LIPITOR. Patient recovered.

Boniva Side Effects Report #5081319-0
Consumer or non-health professional from UNITED STATES reported BONIVA problem on Aug 14, 2006. Female patient, 65 years of age, weighting 209.0 lb, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: back pain, chest pain, condition aggravated, hiatus hernia, oesophagitis, posture abnormal. BONIVA dosage: 150 MG ONE/MONTH PO. Patient recovered.

Boniva Side Effects Report #5081676-5
BONIVA problem was reported by a Physician from BRAZIL on Aug 08, 2006. Female patient, 60 years of age, weighting 152.1 lb, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: blood pressure increased, bone pain, chest pain, dizziness, dyspnoea, fatigue. BONIVA dosage: DOSING REGIMEN 150MG PER MONTH. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5081751-5
Consumer or non-health professional from UNITED STATES reported BONIVA problem on May 31, 2006. Female patient, 82 years of age, weighting 125.0 lb, was diagnosed with osteoporosis, atrial fibrillation, chest pain, cardiovascular event prophylaxis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: anaemia. BONIVA dosage: unknown. During the same period patient was treated with SOTALOL, NITROGLYCERIN, FOLIC ACID, FISH OIL, ASPIRIN. Patient was hospitalized and became disabled. Patient recovered.

Boniva Side Effects Report #5081865-X
BONIVA problem was reported by a Physician from UNITED STATES on Aug 04, 2006. Female patient, 72 years of age, was diagnosed with osteoporosis, gout, arthritis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: abasia, asthenia, fatigue, pain. BONIVA dosage: unknown. During the same period patient was treated with ALLOPURINOL, DARVOCET. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5082544-5
Physician from GREECE reported BONIVA problem on Aug 09, 2006. Female patient was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: influenza like illness, myalgia, nausea, pyrexia, syncope, tachycardia. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5083724-5
BONIVA problem was reported by a Physician from UNITED STATES on July 20, 2006. Female patient, 52 years of age, weighting 155.0 lb, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: grand mal convulsion. BONIVA dosage: REPORTED AS 150 MG ORALLY EVERY MONTH.. During the same period patient was treated with DEPAKOTE, PHENYTOIN, DICYCLOMINE, LORAZEPAM, CLONAZEPAM, NEURONTIN, SYNTHROID. Patient recovered.

Boniva Side Effects Report #5083728-2
Physician from UNITED STATES reported BONIVA problem on July 31, 2006. Female patient, 57 years of age, weighting 170.0 lb, was diagnosed with osteoporosis, somnolence and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: calculus ureteric. BONIVA dosage: unknown. During the same period patient was treated with ZOLOFT. Patient recovered.

Boniva Side Effects Report #5083736-1
BONIVA problem was reported by a Physician from MAURITIUS on Aug 08, 2006. Female patient, 63 years of age, weighting 154.3 lb, was diagnosed with osteoporosis, postmenopause and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: back pain, dizziness, dyspnoea, fatigue. BONIVA dosage: unknown. During the same period patient was treated with NIFLURIL. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5084615-6
Consumer or non-health professional from UNITED STATES reported BONIVA problem on May 24, 2006. Female patient, 79 years of age, was diagnosed with osteoporosis, hypothyroidism, hypertension and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: chest pain, musculoskeletal chest pain, pain in extremity, pleural effusion. BONIVA dosage: unknown. During the same period patient was treated with NIASPAN, SYNTHROID, AVAPRO. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5085662-0
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on June 01, 2006. Female patient, 83 years of age, weighting 140.0 lb, was diagnosed with osteoporosis, blood pressure increased, therapeutic procedure and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: bone disorder, dental caries, pain in jaw, resorption bone increased, tooth disorder. BONIVA dosage: unknown. During the same period patient was treated with ZOCOR, LISINOPRIL, SYNTHROID, FOSAMAX. Patient recovered.

Boniva Side Effects Report #5085697-8
Health Professional from UNITED STATES reported BONIVA problem on May 22, 2006. Female patient, 55 years of age, weighting 132.1 lb, was diagnosed with osteopenia and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: blood calcium decreased, grand mal convulsion, spinal fracture, vitamin d decreased. BONIVA dosage: unknown. Patient was hospitalized and became disabled. Patient recovered.

Boniva Side Effects Report #5085711-X
BONIVA problem was reported by a Physician from UNITED STATES on June 12, 2006. Female patient, 82 years of age, weighting 142.0 lb, was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: extravasation, skin necrosis. BONIVA dosage: STRENGTH REPORTED AS 3 MG/3 ML.. Patient recovered.

Boniva Side Effects Report #5086743-8
Consumer or non-health professional from UNITED STATES reported BONIVA problem on Aug 11, 2006. Female patient, 54 years of age, weighting 175.9 lb, was diagnosed with osteoporosis, hypothyroidism, menopause and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: diarrhoea, insomnia, loss of consciousness, pain in extremity. BONIVA dosage: unknown. During the same period patient was treated with SYNTHROID, PREMPRO. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5087577-0
BONIVA problem was reported by a Health Professional from UNITED STATES on Aug 22, 2006. Female patient, weighting 133.0 lb, was diagnosed with osteopenia and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: asthenia, balance disorder, dizziness, emotional distress, nausea, vomiting. BONIVA dosage: 150 MG ONCE PER MONTH PO. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5087761-6
Consumer or non-health professional from UNITED STATES reported BONIVA problem on Aug 21, 2006. Female patient, 43 years of age, weighting 200.0 lb, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: activities of daily living impaired, back pain. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5088471-1
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on Aug 23, 2006. Female patient, weighting 135.0 lb, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: arthralgia, balance disorder, dizziness, dysgraphia, dyspnoea, fatigue, motor dysfunction, rash, thinking abnormal. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5088768-5
Physician from UNITED STATES reported BONIVA problem on Aug 24, 2006. Female patient, weighting 117.0 lb, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: myalgia. BONIVA dosage: 150MG ONCE MONTHLY PO. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5088853-8
BONIVA problem was reported by a Health Professional from UNITED STATES on June 22, 2006. Female patient, 80 years of age, weighting 114.0 lb, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: asthenia, dehydration, diabetes mellitus inadequate control, electrolyte imbalance, foreign body trauma, headache, insomnia, oesophageal stenosis, oesophagitis chemical. BONIVA dosage: unknown. During the same period patient was treated with BUSPAR, LOPRESSOR, ACTOPLUS MET, LISINOPRIL, MIACALCIN, VITAMIN B, PHENERGAN, METOPROLOL TARTRATE. Patient was hospitalized and became disabled. Patient recovered.

Boniva Side Effects Report #5088856-3
Physician from UNITED STATES reported BONIVA problem on Aug 07, 2006. Female patient, 51 years of age, weighting 113.1 lb, was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: blood pressure increased, rash. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5088988-X
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on Aug 01, 2006. Female patient, 60 years of age, weighting 166.0 lb, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: anaphylactic shock. BONIVA dosage: unknown. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5091207-1
Pharmacist from UNITED STATES reported BONIVA problem on Aug 25, 2006. Female patient, 59 years of age, weighting 135.0 lb, was diagnosed with bone disorder and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: muscular weakness, respiratory disorder. BONIVA dosage: 1-150MG TAB MONTHLY PO. Patient recovered.

Boniva Side Effects Report #5091525-7
BONIVA problem was reported by a Health Professional from UNITED STATES on June 30, 2006. Female patient, 44 years of age, weighting 119.9 lb, was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: arthralgia, chest discomfort, dizziness, dyspnoea, fatigue, hypoaesthesia, myalgia, nausea, paraesthesia. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5093134-2
Physician from UNITED STATES reported BONIVA problem on June 21, 2006. Female patient, 52 years of age, weighting 154.1 lb, was diagnosed with osteoporosis, asthma, irritable bowel syndrome and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: arthralgia, contusion, depression, fatigue, joint swelling, lethargy, lymphadenopathy, mass, muscle swelling. BONIVA dosage: unknown. During the same period patient was treated with PREVACID, KLONOPIN, VOLMAX, ZELNORM, WELLBUTRIN, TRAZODONE. Patient recovered.

Boniva Side Effects Report #5094074-5
BONIVA problem was reported by a Physician from UNITED STATES on July 21, 2006. Female patient, 77 years of age, weighting 112.0 lb, was diagnosed with osteoporosis, cardiovascular event prophylaxis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: osteonecrosis, osteoporosis. BONIVA dosage: unknown. During the same period patient was treated with CALCIUM GLUCONATE, ASPIRIN. Patient recovered.

Boniva Side Effects Report #5094090-3
Consumer or non-health professional from UNITED STATES reported BONIVA problem on Aug 24, 2006. Female patient, 50 years of age, was diagnosed with osteoporosis, pain and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: foot fracture, road traffic accident, upper limb fracture, wrist fracture. BONIVA dosage: unknown. During the same period patient was treated with DURAGESIC, MOTRIN. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5094836-4
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on Aug 30, 2006. Female patient, weighting 200.0 lb, was diagnosed with bone scan abnormal, fracture and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: chills, fatigue, influenza like illness, nausea, pain, pyrexia. BONIVA dosage: unknown. Patient recovered.

Boniva Side Effects Report #5096991-9
Consumer or non-health professional from UNITED STATES reported BONIVA problem on Aug 31, 2006. Female patient, 56 years of age, weighting 112.0 lb, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: activities of daily living impaired, arthralgia, bone pain, chills, headache, impaired work ability, movement disorder, myalgia, pyrexia. BONIVA dosage: unknown. Patient was hospitalized. Patient recovered.

Boniva Side Effects Report #5114481-1
BONIVA problem was reported by a Health Professional from UNITED STATES on May 17, 2006. Female patient was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: arthralgia, influenza like illness, myalgia, tendonitis. BONIVA dosage: 3 MG. Patient recovered.

Boniva Side Effects Report #5114482-3
Health Professional from UNITED STATES reported BONIVA problem on May 18, 2006. Female patient was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: chills, dyspepsia, headache, injection site irritation, pain, pain in extremity, staphylococcal infection. BONIVA dosage: 3 MG INTRAVENOUS. Patient recovered.

Boniva Side Effects Report #5114483-5
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on May 15, 2006. Female patient was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: abdominal pain, dyspepsia. BONIVA dosage: 3 MG INTRAVENOUS. Patient recovered.

Boniva Side Effects Report #5114484-7
Consumer or non-health professional from UNITED STATES reported BONIVA problem on May 19, 2006. Female patient was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: injection site reaction. BONIVA dosage: 3 MG. Patient recovered.

Boniva Side Effects Report #5114485-9
BONIVA problem was reported by a Physician from UNITED STATES on May 22, 2006. Female patient, 71 years of age, was diagnosed with osteoporosis and was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: injection site pain, injection site reaction, injection site swelling. BONIVA dosage: 3 MG INTRAVENOUS. Patient recovered.

Boniva Side Effects Report #5114486-0
Consumer or non-health professional from UNITED STATES reported BONIVA problem on May 24, 2006. Female patient was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: injection site bruising, injection site pain, injection site swelling. BONIVA dosage: 3 MG. Patient recovered.

Boniva Side Effects Report #5114487-2
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on May 27, 2006. Female patient was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: nasopharyngitis. BONIVA dosage: 3 MG. Patient recovered.

Boniva Side Effects Report #5114489-6
Consumer or non-health professional from UNITED STATES reported BONIVA problem on June 01, 2006. Female patient was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: chills, feeling cold, feeling hot, nausea. BONIVA dosage: 3 MG INTRAVENOUS. Patient recovered.

Boniva Side Effects Report #5114490-2
BONIVA problem was reported by a Consumer or non-health professional from UNITED STATES on June 05, 2006. Female patient was treated with BONIVA. After drug was administered, patient experienced the following problems/side effects: injection site erythema, injection site mass, injection site pain, injection site swelling, injection site warmth. BONIVA dosage: 3 MG INTRAVENOUS. Patient recovered.

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Drug Information: Ibandronate

URL of this page: http://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a605035.html

(i ban' droh nate)

IMPORTANT WARNING:

[Posted 01/07/2008] FDA informed healthcare professionals and patients of the possibility of severe and sometimes incapacitating bone, joint, and/or muscle (musculoskeletal) pain in patients taking bisphosphonates. Although severe musculoskeletal pain is included in the prescribing information for all bisphosphonates, the association between bisphosphonates and severe musculoskeletal pain may be overlooked by healthcare professionals, delaying diagnosis, prolonging pain and/or impairment, and necessitating the use of analgesics. The severe musculoskeletal pain may occur within days, months, or years after starting a bisphosphonates. Some patients have reported complete relief of symptoms after discontinuing the bisphosphonate, whereas others have reported slow or incomplete resolution. The risk factors for and incidence of severe musculoskeletal pain associated with bisphosphonates are unknown.Healthcare professionals should consider whether bisphosphonate use might be responsible for severe musculoskeletal pain in patients who present with these symptoms and consider temporary or permanent discontinuation of the drug. For more information visit the FDA website at: http://www.fda.gov/medwatch/safety/2008/safety08.htm#Bisphosphonates and http://www.fda.gov/cder/drug/infopage/bisphosphonates/default.htm.[Posted 10/01/2007] FDA issued an early communication about the ongoing review of new safety data regarding the association of atrial fibrillation with the use of bisphosphonates. Bisphosphonates are a class of drugs used primarily to increase bone mass and reduce the risk for fracture in patients with osteoporosis, slow bone turnover in patients with Paget’s disease of the bone, treat bone metastases, and lower elevated levels of blood calcium in patients with cancer.FDA reviewed spontaneous postmarketing reports of atrial fibrillation reported in association with oral and intravenous bisphosphonates and did not identify a population of bisphosphonate users at increased risk of atrial fibrillation. In addition, as part of the data review for the recent approval of once-yearly Reclast for the treatment of postmenopausal osteoporosis, FDA evaluated the possible association between atrial fibrillation and the use of Reclast (zoledronic acid). Most cases of atrial fibrillation occurred more than a month after drug infusion. Also, in a subset of patients monitored by electrocardiogram up to the 11th day following infusion, there was no significant difference in the prevalence of atrial fibrillation between patients who received Reclast and patients who received placebo.Upon initial review, it is unclear how these data on serious atrial fibrillation should be interpreted. Therefore, FDA does not believe that healthcare providers or patients should change either their prescribing practices or their use of bisphosphonates at this time. For more information visit the FDA website at: http://www.fda.gov/medwatch/safety/2007/safety07.htm#Bisphosphonates and http://www.fda.gov/cder/drug/early_comm/bisphosphonates.htm.

Why is this medication prescribed?

Pending revision, the material in this section should be considered in light of more recently available information in the MedWatch notification at the beginning of this monograph.

Ibandronate is used to prevent and treat osteoporosis (a condition in which the bones become thin and weak and break easily) in women who have undergone menopause ('change of life,' end of menstrual periods). Ibandronate is in a class of medications called bisphosphonates. It works by preventing bone breakdown and increasing bone density (thickness).

How should this medicine be used?

Ibandronate comes as a tablet to take by mouth. The 2.5-mg tablet is usually taken once a day in the morning on an empty stomach and the 150-mg tablet is usually taken once a month in the morning on an empty stomach. The 150-mg tablet should be taken on the same date each month. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take ibandronate exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Ibandronate may not work properly and may damage the esophagus (tube between the mouth and stomach) or cause sores in the mouth if it is not taken according to the following instructions. Tell your doctor if you do not understand, you do not think you will remember, or you are unable to follow these instructions:

  • You must take ibandronate just after you get out of bed in the morning, before you eat or drink anything. Never take ibandronate at bedtime or before you wake up and get out of bed for the day.
  • Swallow the tablets with a full glass (6 to 8 ounces, about 1 cup) of plain water. Never take ibandronate with tea, coffee, juice, milk, mineral water, sparkling water, or any liquid other than plain water.
  • Swallow the tablets whole; do not split, chew, or crush them. Do not suck on the tablets.
  • After you take ibandronate, do not eat, drink, or take any other medications (including vitamins or antacids) for at least 60 minutes. Do not lie down for at least 60 minutes after you take ibandronate. Sit upright or stand upright for at least 60 minutes.

Ibandronate controls osteoporosis but does not cure it. Ibandronate helps to treat and prevent osteoporosis only as long as it is taken regularly. Continue to take ibandronate even if you feel well. Do not stop taking ibandronate without talking to your doctor.

Ask your pharmacist or doctor for a copy of the manufacturer's information for the patient.

Other uses for this medicine

This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.

What special precautions should I follow?

Before taking ibandronate,

  • tell your doctor and pharmacist if you are allergic to ibandronate or any other medications, or any of the ingredients in ibandronate tablets. Ask your pharmacist for a list of the ingredients.
  • tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: aspirin and other nonsteroidal anti-inflammatory medications (NSAIDs) such as ibuprofen (Advil, Motrin) and naproxen (Naprosyn, Aleve) cancer chemotherapy; and oral steroids such as dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), and prednisone (Deltasone). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
  • if you are taking any oral medications, including supplements, vitamins, or antacids, take them at least 60 minutes after you take ibandronate.
  • tell your doctor if you are unable to sit upright or stand upright for at least 60 minutes and if you have or have ever had a low level of calcium in your blood. Your doctor may tell you not to take ibandronate.
  • tell your doctor if are undergoing radiation therapy and if you have or have ever had anemia (condition in which the red blood cells do not bring enough oxygen to all the parts of the body); difficulty swallowing; heartburn; ulcers or other problems with your stomach or esophagus; cancer; any type of infection, especially in your mouth; problems with your mouth, teeth, or gums; any condition that stops your blood from clotting normally; or dental or kidney disease.
  • tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding.Also tell your doctor if you plan to become pregnant at any time in the future, because ibandronate may remain in your body for many years after you stop taking it. Call your doctor if you become pregnant during or after your treatment.
  • you should know that ibandronate may cause serious problems with your jaw, especially if you have dental surgery or treatment while you are taking the medication.A dentist should examine your teeth and perform any needed treatments before you start to take ibandronate. Be sure to brush your teeth and clean your mouth properly while you are taking ibandronate. Talk to your doctor before having any dental treatments while you are taking this medication.
  • talk to your doctor about other things you can do to prevent osteoporosis from developing or worsening. Your doctor will probably tell you to avoid smoking and drinking large amounts of alcohol and to follow a regular program of weight-bearing exercise.

What special dietary instructions should I follow?

You should eat and drink plenty of foods and drinks that are rich in calcium and vitamin D while you are taking ibandronate. Your doctor will tell you which foods and drinks are good sources of these nutrients and how many servings you need each day. If you find it difficult to eat enough of these foods, tell your doctor. In that case, your doctor may prescribe or recommend a supplement.

What should I do if I forget a dose?

If you forget to take the daily 2.5-mg tablet, do not take it later in the day.Skip the missed dose and continue your regular dosing schedule the next morning. Do not take two tablets of ibandronate on the same day.

If you forget to take the once-monthly 150-mg tablet, and your next scheduled day to take ibandronate is more than 7 days away, take one tablet the morning after you remember. Then return to taking one tablet each month on the regularly scheduled date. If you forget to take the once-monthly 150-mg tablet and your next scheduled day to take ibandronate is 7 or fewer days away, skip the dose and wait for your next scheduled day. You should not take two 150-mg tablets of ibandronate within 1 week.

If you are not sure what to do if you miss a dose of ibandronate, call your doctor.

What side effects can this medication cause?

Pending revision, the material in this section should be considered in light of more recently available information in the MedWatch notification at the beginning of this monograph.

Ibandronate may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

  • nausea
  • stomach pain
  • diarrhea
  • constipation
  • back pain
  • bone, joint, or muscle pain
  • pain in the arms or legs
  • weakness
  • dizziness
  • headache
  • flu-like symptoms
  • fever, sore throat, chills, cough, and other signs of infection
  • frequent or urgent need to urinate
  • painful urination

Some side effects can be serious. If you experience any of the following symptoms, call your doctor immediately before you take any more ibandronate:

  • new or worsening heartburn
  • difficulty swallowing
  • pain on swallowing
  • chest pain
  • rash
  • painful or swollen gums
  • loosening of the teeth
  • numbness or heavy feeling in the jaw
  • poor healing of the jaw
  • eye pain

Ibandronate may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.

What storage conditions are needed for this medicine?

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

In case of emergency/overdose

In case of overdose, give the victim a full glass of milk and call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911. Do not allow the victim to lie down and do not try to make the victim vomit. Do not lie down.

Symptoms of overdose may include:

  • nausea
  • stomach pain
  • heartburn

What other information should I know?

Pending revision, the material in this section should be considered in light of more recently available information in the MedWatch notification at the beginning of this monograph.

Keep all appointments with your doctor. Your doctor may order certain tests to check your body's response to ibandronate.

Before having any bone imaging study, tell your doctor and health care personnel that you are taking ibandronate

Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.

It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

Brand name(s):

  • Boniva®

Ask Our Patient Community about Boniva

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