Boniva

(ibandronate)

2.9/ 5 average rating with 64 reviewsforBoniva
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Prevents bone loss.

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Our bottom line

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.

Lowest price near you
  • Price before coupon
    $365.65
  • Lowest price with coupon
    $31.97
    91% savings
Quick facts about Boniva
  • Drug class: Musculoskeletal
  • Rx status: Prescription only
  • Generic status: Lower-cost generic available (ibandronate)

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.
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What to expect from Boniva, on one page

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People’s experience with Boniva

64reviews so far. What do you think?

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.
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What to expect from Boniva, on one page

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How it works

Boniva (ibandronate) is a bisphosphonate. It slows down osteoclasts, the cells that break down bone. This results in greater bone mass and lowers the possibility of fractures.

Quick facts about Boniva
  • Drug class: Musculoskeletal
  • Rx status: Prescription only
  • Generic status: Lower-cost generic available (ibandronate)
People’s experience with Boniva

64reviews so far. What do you think?

Prices and coupons

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What to expect when you take Boniva (ibandronate) for Postmenopausal osteoporosis

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  • First few daysDays
    First few weeksWeeks
    First few monthsMonths
    Long term
  • Effectiveness
  • Starts to kick in
    Full effects
  • First few daysDays
    First few weeksWeeks
    First few monthsMonths
    Long term
  • Possible side effects
  • Back pain
  • Weakness
  • Joint pain
  • Cold symptoms
  • Stomach issues
  • Jaw fractures and other bone fractures
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Side effect rates for Boniva (ibandronate)

From 396 clinical trials of Boniva when taken for postmenopausal osteoporosis (150 mg- monthly)
  • Abdominal pain
    8%8%
  • High blood pressure
    6%6%
  • Indigestion
    6%6%
  • Joint pain
    6%6%
  • Nausea
    5%5%
  • Diarrhea
    5%5%
  • Back pain
    5%5%
  • Constipation
    4%4%
  • Pain in arms or legs
    4%4%
  • Flu
    4%4%
  • Cold
    4%4%
  • Localized joint stiffness and pain
    3%3%
  • Bronchitis
    3%3%
  • Headache
    3%3%
  • Influenza-like illness
    3%3%
  • Muscle pain
    2%2%
  • Muscle cramp
    2%2%
  • Urinary tract infection
    2%2%
  • Upper respiratory tract infection
    2%2%
  • Dizziness
    2%2%
  • Rash
    2%2%
  • Sleep difficulty
    2%2%
0%
10%
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30%
40%
50%
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80%
Where we got our data »

The placebo bar shows how common a side effect was for people taking a sugar pill instead of Boniva.

Boniva (ibandronate)
Placebo

People taking Boniva felt side effect more

People taking Boniva felt side effect less

No difference

Risks and Warnings for Boniva (ibandronate)

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    • Higher risk if:
    • 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

    Some people taking the pill form of Boniva (ibandronate) have had stomach and esophagus irritation, including ulcers. It is very important to remain standing or sitting upright for at least 60 minutes after you take the medicine to help stop this from happening. You also need to take it first thing in the morning when you wake up with a full glass of plain water. Talk to your doctor if this will be a problem for you. Also, talk to your doctor if you notice new pain with swallowing, or pain around the middle of your chest or stomach while taking this medication.

Pharmacist Q&A

Boniva (ibandronate) questions for

Frequently Asked Questions

This medication treats osteoporosis in women who have gone through menopause.

Who is this drug for?

This medication treats osteoporosis in women who have gone through menopause.

Common concerns from people taking Boniva (ibandronate)

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Pregnancy

Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

Tip: Always talk with your doctor before you take any medication while pregnant.
FDA pregnancy category for Boniva
CWeigh risks vs. benefits
Food
  • Although rare, breakdown of the jawbone has happened in people taking Boniva (ibandronate). This is more likely to happen if you have oral or dental surgery, or if you have poor oral hygiene. The risk might also increase the longer you take Boniva (ibandronate). If you notice pain or swelling in your jaw, talk to your doctor right away.
Pain
  • If you have pain with swallowing around your chest or stomach, new or worsening heartburn, or any pain around your hips, thighs, or jaw, tell your doctor right away.
  • Not worth it
    Big hassle
    Reviewed Bonivaon 11/9/2015Muscle aches, joint pain, 4 finger joints swelled, fever, headache. I could barely walk to the kitchen and bathroom. Took 10 tries to get up out of the chair.
    70
    Woman
    Less than a week