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

• 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.

• 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.

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.

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

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