Boniva is a bisphosphonate indicated for the treatment and prevention of Postmenopausal osteoporosis
For patients at risk for bone fractures

Always take this medicine exactly as your doctor or pharmacist has told you.
Check with your doctor or pharmacist if you are not sure.
Doses may change from patient to patient based on your age, your medical condition, and whether or not you are taking other medicines.
Take one 150 mg tablet once monthly on the same day each month
Instruction for patients:
Swallow the whole tablet with a full cup of plain water only, at least 60 minutes before the first food, beverage, or medication of the day.
Avoid lying down for at least 60 minutes after taking Boniva.
Do not eat, drink (except for water), or take other medication for 60 minutes after taking Boniva.
Doses may be changed in special conditions so always follow your doctor's or pharmacist's instructions.
If you take more than you should, talk to a doctor or go to the hospital straight away.
If you forget to take a dose, take it as soon as you remember it unless it is nearly time for your next dose.
Do not take a double dose (two doses at the same time) to make up for the forgotten dose.

Although the following side effects are not common in everyone, some patients may complain from:

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Your doctor will discuss the possible risks and benefits of using this medicine during pregnancy and breast-feeding

There are many calcium-rich foods that can help you maintain a healthy level of calcium in your system, like Milk, Yogurt and Cheese
When it comes to healthy bones and preventing osteoporosis, calcium alone is not enough. There are a number of other vital nutrients that help your body absorb and make use of the calcium you consume. This include magnesium and vitamin D
You can always check for vitamin D deficiency by Natejah Vitamin D Deficiency Rapid Test
Beware of caffeine you consume, as drinking more than 2 cups of coffee a day can lead to calcium loss.
Limit soft drinks, as in order to balance the phosphates in soft drinks, your body draws calcium from your bones
exercise also plays a vital role in maintaining bone strength especially weight-bearing activities such as walking, weightlifting and stair climbing.

Upper gastrointestinal Adverse Reactions can occur. Instruct patients to follow dosing instructions and discontinue use if new or worsening symptoms occur.
Hypocalcemia may worsen during treatment. Correct hypocalcemia before use
Severe Bone, Joint, and Muscle Pain may occur. Consider discontinuing use if symptoms develop.
Osteonecrosis of the Jaw has been reported.
Atypical Femur Fractures have been reported. Patients with new thigh or groin pain should be evaluated to rule out a femoral fracture
Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medications including over-the-counter non-prescription medicines, prescription medicines, herbal supplements, vitamins, and supplements.

Store below 25°c
Don’t refrigerate the container
Keep this medicine out of the sight and reach of children.
Store in the original package to protect from moisture.
Do not use this medicine after the expiry date which is stated on the box/blisters/label. The expiry date refers to the last day of the month.

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