Compare Boniva vs. Forteo

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

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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.

2.9/ 5 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.

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.
  • 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.
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.
  • 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.
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Used for
Dosage forms
  • Pill
  • Injection
  • Injection
Price
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Reviews
64 reviews so far
31%
saidit'sworth it
20%
saiditworked well
27%
saidit'sa big hassle

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Side effects
22possible 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%
  • Cold
    4%
  • Localized joint stiffness and pain
    3%
  • Bronchitis
    3%
  • Headache
    3%
  • Influenza-like illness
    3%
  • Muscle pain
    2%
  • Muscle cramp
    2%
  • Urinary tract infection
    2%
  • Upper respiratory tract infection
    2%
  • Dizziness
    2%
  • Rash
    2%
  • Sleep difficulty
    2%
See more detailed side effects
The Forteo (Teriparatide) FDA package insert doesn’t have numbers about how common side effects are.
Risks and risk factors
  • Irritation and ulcers to the stomach and esophagus
    • Taking with aspirin or other NSAIDS (nonsteroidal anti-inflammatory drugs)
    • History of ulcers, or other stomach or esophageal problems
    • History of difficulty swallowing
    • Unable to sit upright or stand for 60 minutes after taking the medicine
  • Pain in the bones and/or muscles
  • Problems in the jawbone
    • Oral or dental surgery
    • Cancer
    • Poor oral hygiene
    • Prolonged use of Boniva (ibandronate)
  • Leg bone fractures
  • 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
    • Young people with open epiphyses
  • High calcium blood levels
    • Hypercalcemia
    • Hyperparathyroidism
  • Kidney stones
    • History of kidney stones
  • Positional low blood pressure
  • Drug interactions
    • Digoxin use
See more detailed risks and warnings