3.8/ 7 average rating with 64 reviewsforBoniva

Boniva
Alternatives

(ibandronate)

Boniva (ibandronate)

Prescription only

Fosamax (alendronate)

Prescription only
1 of 7 alternatives
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.

Prevents bone loss.

Fosamax (alendronate) is a first-choice treatment for osteoporosis, but taking it can be a hassle.

Upsides
  • 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.
  • First choice to treat osteoporosis
  • Lowers your risk of fractures due to osteoporosis.
  • Available generic.
  • Available as daily, weekly, or twice weekly dosing.
  • Comes as a regular tablet, an oral solution, or effervescent tablet.
Downsides
  • 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.
  • Can harm your esophagus if you don't remain upright for 30 minutes after taking it.
  • Not recommended for people who can't sit or stand upright for at least 30 minutes.
  • Can increase the risk of atypical fractures.
  • Can cause bad heartburn or stomach problems.
Used for
Dosage forms
  • Pill
  • Injection
  • Pill
  • Effervescent tablet
  • Liquid
Price
Lowest price near you
$44.23
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Lowest price near you
$4
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Reviews
64 
31%
think this treatment is worth it
20%
think this treatment works well
27%
think this treatment is a hassle

Have you used Boniva (ibandronate)?

Leave a review
169 
43%
think this treatment is worth it
30%
think this treatment works well
19%
think this treatment is a hassle

Have you used Fosamax (alendronate)?

Leave a review
Side effects
10possible side effects
  • Abdominal pain
    8%
  • High blood pressure
    6%
  • Indigestion
    6%
  • Joint pain
    6%
  • Nausea
    5%
  • Diarrhea
    5%
  • Back pain
    5%
  • Constipation
    4%
  • Pain in arms or legs
    4%
  • Flu
    4%
See more detailed side effects
1possible side effects
  • Abdominal pain
    2%
See more detailed side effects
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
  • Irritation and ulcers to the stomach and esophagus

    Taking anti-inflammatory medicines like ibuprofen, and naproxen

    ...and 3 more risk factors

  • Problems in the jaw bone

    Oral or dental surgery

    ...and 3 more risk factors

See more detailed risks and warnings