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Bonviva 150mg Tablet contains Ibandronic Acid, a bisphosphonate used to prevent and treat osteoporosis in postmenopausal women and individuals at risk of bone fractures.
It works by slowing down bone loss, increasing bone density, and reducing the risk of fractures, particularly in the spine, hips, and wrists.
Bonviva helps maintain strong, healthy bones by preventing calcium loss from the bones, making it an essential part of long-term osteoporosis management.
Each tablet contains:
Ibandronic Acid (Ibandronate Sodium Monohydrate) – 150 mg
Inactive ingredients: Lactose monohydrate, microcrystalline cellulose, povidone, crospovidone, stearic acid, and other excipients.
Bisphosphonate / Anti-osteoporotic agent
Oral Tablet
Bonviva 150mg Tablet is used for:
Treatment and prevention of osteoporosis in postmenopausal women
Prevention of bone fractures due to bone weakness
Maintenance of bone mass in women receiving long-term corticosteroid therapy
Treatment of bone loss associated with aging or hormonal changes
Adults (Postmenopausal women):
One 150 mg tablet once a month (every 30 days).
Take on the same date each month, ideally in the morning.
Children: Not recommended.
Always take as prescribed by your healthcare provider.
Symptoms may include:
Low calcium levels (muscle cramps, tingling sensations)
Heartburn, nausea, vomiting, or stomach pain
👉 Seek immediate medical attention or contact a poison control center.
If you miss a dose, take it the next morning after you remember, provided your next scheduled dose is more than 7 days away.
If your next dose is due within a week, skip the missed dose and continue with your regular schedule.
Do not take two tablets in the same week.
⚠️ Bonviva must be taken correctly to avoid stomach and esophagus irritation:
Take the tablet first thing in the morning, before eating or drinking anything (except water).
Swallow the tablet whole with a full glass (200 mL) of plain water.
Do not lie down, eat, drink (other than water), or take other medicines for at least 60 minutes after taking it.
Take it on the same day each month for best results.
Do not use Bonviva if you:
Are allergic to ibandronic acid or any ingredient in the formulation.
Have low blood calcium (hypocalcemia).
Have esophageal disorders (e.g., stricture, achalasia) that delay emptying of the esophagus.
Cannot sit or stand upright for at least 1 hour after taking the tablet.
Have severe kidney disease (creatinine clearance <30 mL/min).
Common side effects:
Headache
Stomach pain or indigestion
Heartburn or nausea
Muscle, joint, or bone pain
Flu-like symptoms (especially after the first dose)
Serious side effects (seek immediate help):
Difficulty swallowing or chest pain
Jaw pain or swelling (osteonecrosis of the jaw)
Unusual thigh pain (possible femur fracture)
Eye inflammation (pain, redness, vision changes)
Allergic reactions (rash, swelling, breathing difficulty)
Ensure adequate calcium and vitamin D intake during therapy.
Avoid lying down or eating immediately after taking the tablet.
Use with caution if you have kidney disease, GI disorders, or dental problems.
Inform your dentist before dental surgery — rare cases of jawbone damage can occur.
Not recommended during pregnancy or breastfeeding.
Bonviva may interact with:
Calcium, iron, or magnesium supplements – reduce absorption (take at least 6 hours apart)
Antacids or multivitamins – delay absorption
Aspirin or NSAIDs (Ibuprofen, Naproxen) – may increase stomach irritation
Aminoglycoside antibiotics – may increase risk of low calcium levels
Store below 30°C, in a cool, dry place, away from direct sunlight.
Keep out of reach of children.
Do not store in the bathroom or humid areas.
Dispose of expired tablets properly — do not flush down the toilet.
Prescription Only Medicine (Rx)
Not a controlled substance
Take once a month on the same date — easy to remember!
Swallow with a full glass of plain water only (no milk, juice, or tea).
Stay upright for at least 1 hour after taking.
Maintain good dental hygiene to prevent jaw complications.
Continue calcium and vitamin D supplements if prescribed.
Report any new or unusual bone, joint, or muscle pain to your doctor.
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