Boniva is used for:
Preventing and treating osteoporosis (weak bones) in women who are past menopause. It may also be used for other conditions as determined by your doctor.
Boniva is a bisphosphonate. It works by slowing bone loss and allowing new bone to be formed.
Do NOT use Boniva if:
- you are allergic to any ingredient in Boniva
- you have severe kidney problems or low levels of calcium in your blood
Before using Boniva :
Some medical conditions may interact with Boniva . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you have cancer, anemia, bleeding or blood clotting problems, kidney problems, or if you have an infection
- if you have low blood calcium levels, low blood vitamin D levels, or you are unable to take calcium or vitamin D supplements
- if you have poor dental hygiene, dental problems, or an upcoming dental procedure
- if you take a corticosteroid (eg, prednisone), or if you have had or will be having chemotherapy or radiation treatment
Some MEDICINES MAY INTERACT with Boniva . However, no specific interactions with Boniva are known at this time.
How to use Boniva :
Use Boniva as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- An extra patient leaflet is available with Boniva . Talk to your pharmacist if you have questions about this information.
- Boniva is usually given as an injection at your doctor's office, hospital, or clinic. Contact your health care provider if you have any questions.
- Do not use Boniva if it contains particles, is cloudy or discolored, or if the prefilled syringe is cracked or damaged.
- Calcium or iron supplements, vitamins, or antacids containing calcium, magnesium, aluminum, or iron may interfere with the absorption of Boniva . Take these products and any other medicines at least 1 hour after taking Boniva .
- IF YOU MISS YOUR SCHEDULED DOSE OF Boniva contact your doctor to reschedule it as soon as possible. Do not receive your injection more often than once every 3 months.
Important safety information:
- Boniva may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Boniva with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- Follow the diet and exercise program given to you by your health care provider. Be sure that you are getting enough calcium and vitamin D in your diet. Weight-bearing exercise may also be beneficial in the prevention of osteoporosis. Consult your doctor or pharmacist for more information.
- Do NOT use more than the recommended dose or use for longer than prescribed without checking with your doctor.
- Some patients may develop jaw bone problems while taking Boniva . You may be at a higher risk if you have cancer, poor dental hygiene, or certain other conditions (eg, bleeding or blood clotting problems, infection, dental problems), or if you are using certain medicines or therapies (eg, chemotherapy, corticosteroids, radiation). Talk to your doctor about an appropriate dental exam before starting Boniva . Tell your doctor if you develop jaw pain or swelling, or if you have an upcoming dental procedure.
- Proper dental care is important while you are taking Boniva . Brush and floss your teeth and visit the dentist regularly.
- Tell your doctor or dentist that you take Boniva before you receive any medical or dental care, emergency care, or surgery.
- Boniva may interfere with certain lab or diagnostic tests that use a bone-imaging agent. Be sure your doctor and lab personnel know that you are taking Boniva .
- Lab tests, including bone density, kidney function, and blood calcium levels, may be performed while you use Boniva . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
- Boniva should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.
- PREGNANCY and BREAST-FEEDING: Boniva may cause harm to the fetus. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using Boniva while you are pregnant. It is not known if Boniva is found in breast milk. If you are or will be breast-feeding while you use Boniva , check with your doctor. Discuss any possible risks to your baby.
Possible side effects of Boniva :
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Seek medical attention right away if any of these SEVERE side effects occur:
Diarrhea; dizziness; headache; heartburn; mild flu-like symptoms (eg, mild fever, chills, tiredness, weakness, joint or muscle aches); nausea; pain in the arms, legs, or back; pain, swelling, or redness at the injection site; stomach upset.
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); change in the amount of urine produced; eye pain; painful or difficult urination; severe bone, joint, or muscle pain; severe or persistent dizziness or headache; severe or persistent heartburn or stomach pain; swelling or pain in your jaw; vision changes.