Bonviva – use, precautions, side effects

Bonviva is a drug that contains an active substance called ibandronic acid. This medicine belongs to group of medicines called bisphosphonates. Bonviva stop bone loss and help build bone, therefore decreases the risk of developing osteoporosis and reduces the risk of bone fracture. Postmenopausal women have a greater risk of developing osteoporosis, because estrogen secretion is reduced when menopause starts. Estrogen is hormone that is very important for the bone preservation.


  • It should be taken with plenty of liquid (at least 250 ml of regular water). After you take your tablet, you must not lie or sit down for next half hour. You need to walk, stand or sit upright because it can cause damage to the esophagus if you lie down after taking pill.
  • No foods, drinks or medicines should be consumed for at least one hour after the dose is taken, because it may nullify medicine effect.
  • Do not crush or chew the tablet, but swallow it whole. You can use only regular water. Do not drink carbonated (mineral) water, juice or other liquids!
  • It should be avoided in patients allergic to ibandronic acid or other similar drugs!
  • It also should be used only with extra precautions in patients with hypocalcemia (low calcium levels in the blood), in patients who have metabolic disorders as well as in the patients with renal impairment.
  • If you are unable to stand or sit upright for half an hour after drinking pill, then you must not use this medicine, because it is almost certain that it will cause damage to the esophagus! If you already have esophagus damage, you must not use this drug. Tell your doctor if you are experiencing symptoms of an esophageal damage:
    • painful swallowing,
    • nausea,
    • vomiting,
    • severe chest pain and other symptoms.

Use of Bonviva during pregnancy and breastfeeding

Bonviva pills should not be used during the pregnancy and breastfeeding. It is primarily intended for use in women who enter menopause!

Bonviva 150 mg use

This medicament should be taken once a month, in the morning, on an empty stomach. When you are taking Bonivava, bear in mind that at least 8 hours should pass after the last meal, so you need to avoid dinner the night before using it.

As we have already explained, it is very important to take tablet with more fluids (at least 250 ml of regular water). Do not lie down or sit at least half an hour after taking Bonviva tablets. You should stand up or walk. If you are lying or sitting, it will remain in the esophagus for a long time and may cause damage to your esophagus.

Since Bonviva 150 mg is taken only once a month, you need to choose one day of the month that is suitable for you, and always take your medicine on the same day of the month.

Use with other medicines (Interactions)

Bonviva should be avoided in combination with following medicines:

  • Antacids, drugs used to treat heartburn.
  • Preparations of calcium, magnesium, iron and other similar products.
  • Non-steroidal anti-inflammatory drugs, used in the treatment of pain and inflammation, such as:

Tell your doctor about all medications and herbal medicines you are using.


Bonviva side effects

This medicine can cause following side effects:

  1. bloating,
  2. nausea,
  3. vomiting,
  4. heartburn,
  5. diarrhea,
  6. damage to the esophagus (painful swallowing, chest pain, nausea),
  7. flu-like symptoms (sore throat, fever),
  8. allergy and others.

Tell your doctor if you are experiencing any side effects.


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