Ibandronate

What is Ibandronate for?

Ibandronate is a medication given to reduce bone breakdown, thus preventing the bone from becoming too weak or brittle. It is used to treat or prevent osteoporosis, and in conditions where the cancer has spread to the bone.

How should I take or use Ibandronate?

• It is a tablet, to be swallowed whole after an overnight fast with a full glass of plain water.
• Do not chew or suck the tablet.
• Avoid mineral water.
• For at least 1 hour after taking Ibandronate:
• Remain fully upright sitting or standing. Do not lie down.
• Do not take any food or drink (except plain water), medication or supplements e.g. antacids, calcium, iron. 
• Follow your doctor's instruction on how often and how much (exact number of tablets) to take:
• 150mg dose is taken once monthly.
• 50mg dose is taken once daily.

What should I do if I forget to take or use Ibandronate?

Once-monthly dosing (150mg):

If you miss a dose, take it the next morning after you remember and continue your next dose on your original scheduled date.

However, if there are less than 7 days to your next scheduled dose, skip the missed dose. Wait until the scheduled date to take your dose. Do not take two doses within 7 days.

Daily dosing (50mg):

If you miss a dose, skip the missed dose and resume your usual dosing time the next day. Do not double dose.

What precautions should I take when taking or using Ibandronate?

• Maintain good oral hygiene. Inform your dentist that you are taking Ibandronate.
• Inform your doctor if you have difficulty swallowing or have any history of gastrointestinal problems.
• For women: Inform your doctor of any intention to get pregnant or breast-feed.

What are some common side effects of Ibandronate?

• Nausea
• Diarrhea
• Mild stomach discomfort e.g. stomach fullness or bloatedness, indigestion
  Usually self-limiting
• Headache, muscle or joint aches

Inform your doctor if any of the following occurs:

• Allergic reactions e.g. rash, itch, swelling of eyelids and face, difficulty breathing
• Severe heartburn and/or abdominal pain
• An increase in bone, muscle or joint pain
• Persistent wounds/ulceration or pain in the mouth

How should I store Ibandronate?

• Keep away from children
• Keep in a cool, dry place, away from direct sunlight
• Store at room temperature

What should I do if I overdose?

If you overdose on this medication, inform your doctor immediately.