Compare Boniva vs. Forteo

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Boniva (ibandronate)

Prescription only

Forteo (Teriparatide)

Prescription only
Prevents bone loss.

Boniva (ibandronate) is a first-choice treatment for osteoporosis and is available as a generic, but how you have to take it can be a hassle. It's also only approved for women, not men.

3.8/ 7 average rating with 64 reviewsforBoniva
Prevents bone loss.

Forteo (Teriparatide) is a good second-choice medication to treat bone loss, but it's only available as an injectable.

  • Available in generic.
  • Available in pills that can be taken by mouth once a month.
  • Also available as a shot given into your vein every 3 months.
  • If you're unable to use bisphosphonates or are still having fractures despite being on other medications, Forteo (Teriparatide) can be a good alternative.
  • You can start using Forteo (Teriparatide) as soon as you stop using bisphosphonates.
  • You have to take Boniva (ibandronate) first thing in the morning with a full glass of water.
  • You have to remain upright for at least 60 minutes after you take the medicine, which can be a problem if you have mobility issues.
  • It is only approved to treat and prevent osteoporosis in women who have gone through menopause.
  • Only available as a brand medication, so it can be expensive.
  • You have to inject this every day, so it may not be a good option if you don't like needles.
  • Shouldn't take this longer than 18 to 24 months since it can increase the risk of bone cancers.
Used for
Dosage forms
  • Pill
  • Injection
  • Injection
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Side effects
10possible side effects
  • Abdominal pain
  • High blood pressure
  • Indigestion
  • Joint pain
  • Nausea
  • Diarrhea
  • Back pain
  • Constipation
  • Pain in arms or legs
  • Flu
See more detailed side effects
The Forteo (Teriparatide) FDA package insert doesn’t have numbers about how common side effects are.
Risks and warnings
  • Irritation and ulcers to the stomach and esophagus

    Taking with aspirin or other NSAIDS (nonsteroidal anti-inflammatory drugs)

    ...and 3 more risk factors

  • Problems in the jawbone

    Oral or dental surgery

    ...and 3 more risk factors

  • Low calcium in the blood

    History of low calcium in the blood

See more detailed risks and warnings
  • Malignant tumor of the bone

    Paget's bone disease

    ...and 1 more risk factors

  • High calcium blood levels


    ...and 1 more risk factors

  • Kidney stones

    History of kidney stones

  • Drug interactions

    Digoxin use

See more detailed risks and warnings