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The eMC  

Last Updated 08 Jan 2014

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Bonviva 150mg tablets

Bonviva (Bon-vee-var) is a medicine which is used in treating osteoporosis. Bonviva contains ibandronic sodium monohydrate. It is supplied by Roche Products Limited.

The information in this Medicine Guide for Bonviva varies according to the condition being treated and the particular preparation used.

There are 2 preparations of Bonviva available. If Bonviva 150mg tablets is not the preparation you are looking for, please select from the drop down list below.

Select your preparation (type) of Bonviva

Bonviva 150mg tablets

Information specific to Bonviva 150mg tablets when used in treating osteoporosis

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Your medicine

Bonviva is used in post-menopausal women who have osteoporosis and are at risk of getting bone fractures.

In osteoporosis the strength of the bones is reduced and this can increase the chances of getting bone fractures. Bonviva can make bones stronger in people with osteoporosis which can reduce the chances of getting bone fractures.

It is very important that you take Bonviva correctly as it may lead to oesophageal problems if it is not taken in the right way. A member of your medical team will explain to you how to take Bonviva.

Do not share your medicine with other people. It may not be suitable for them and may harm them.

The pharmacy label on your medicine tells you how much medicine you should take. It also tells you how often you should take your medicine. This is the dose that you and your prescriber have agreed you should take. You should not change the dose of your medicine unless you are told to do so by your prescriber.

If you feel that the medicine is making you unwell or you do not think it is working, then talk to your prescriber.

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When to take your medicine

Some medicines work best if they are taken at a specific time of day. Getting the most from your medicine can also be affected by what you eat, when you eat and the times at which you take other medicines. Make sure you follow any specific instructions given to you by your prescriber or that are in the Patient Information Leaflet that comes with this medicine.

In the case of Bonviva:

  • this medicine should not be taken with food or drinks
  • you should take Bonviva on rising. Make sure that your stomach has been empty for at least six hours before you take Bonviva
  • you may drink tap water but do not have any other drinks, food, medicines or mineral supplements such as calcium, aluminium, magnesium or iron for at least one hour after taking Bonviva
  • it is also important that you do not lie down for at least one hour after you have taken Bonviva
  • this medicine should only be taken once every month. If possible, you should take Bonviva on the same date each month
  • if you miss a dose and it is more than seven days until your next scheduled dose take one tablet on rising the day after you remember then return to taking one tablet once a month, as originally planned on your chosen date. If your next scheduled dose is within seven days do not take the missed dose as you should not take two tablets in the same week. Wait until your next scheduled dose then return to taking one tablet once a month, as originally planned on your chosen date
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How to take your medicine

Some medicines have specific instructions about how to take them. This is because they work better when taken correctly. These instructions can include getting the right dose and special instructions for preparing the medicine.

In the case of Bonviva:

  • detailed advice on how to take Bonviva can be found in the Patient Information Leaflet that comes with this medicine
  • swallow the tablet whole with a full glass of tap water. You must not take it with mineral water or any other drink
  • take your medicine in its original form. You must not chew or suck the tablet
  • you must make sure that you are in an upright position or standing when you take your tablet. Do not lie down for at least one hour after taking Bonviva

If you are having problems taking this medicine, you should talk to your prescriber or pharmacist. They may be able to give you advice on other ways to take your medicine or other medicines that are easier for you to take.

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Taking too much of your medicine

Taking extra doses of some medicines can be harmful. In some cases even one extra dose can cause you problems. If you take extra doses of your medicine, you must get medical advice immediately. You may need a test to assess the effect of taking extra doses. This is because the effects of taking too much medicine are very complex so it is very important that you seek medical advice.

Contact your prescriber, pharmacist, specialist clinic or NHS Direct on 0845 46 47 for advice.

Make sure you take all of your medicine containers with you if you are advised to go to hospital.

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Stopping your medicine

If you are having any problems taking your medicine you must speak to your prescriber. If you are not having any problems taking this medicine then do not stop taking it, even if you feel better, unless advised to do so by your prescriber.

If you are in any doubt, contact your prescriber, pharmacist, specialist clinic or NHS Direct on 0845 46 47.

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Looking after your medicine

The instructions on how you should keep your medicine are on the pharmacy label. You should keep your medicine in the original container. This will help to keep your medicine in the best condition and also allow you to check the instructions. Do not take the medicine if the packaging appears to have been tampered with or if the medicine shows any signs of damage. Make sure that the medicine is out of the sight and reach of children.

In the case of Bonviva:

  • there are no special instructions on how to look after your medicine

You must not take the medicine after the expiry date shown on the packaging. If you have any unused medicine, return it to your pharmacist who will dispose of it safely.

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Whether this medicine is suitable for you

Bonviva is not suitable for everyone and some people should never use it. Other people should only use it with special care. It is important that the person prescribing this medicine knows your full medical history.

Your prescriber may only prescribe this medicine with special care or may not prescribe it at all if you:

Furthermore the prescriber may only prescribe this medicine with special care or may not prescribe it at all for someone who is under the age of 18 years.

As part of the process of assessing suitability to take this medicine a prescriber may also arrange tests:

  • to determine whether or not the medicine is suitable and whether it must be prescribed with extra care

Over time it is possible that Bonviva can become unsuitable for some people, or they may become unsuitable for it. If at any time it appears that Bonviva has become unsuitable, it is important that the prescriber is contacted immediately.

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Side-effects

A medicine is only made available to the public if the clinical trials have shown that the benefits of taking the medicine outweigh the risks.

Once a medicine has been licensed, information on the medicine's effects, both intended and unintended, is continuously recorded and updated.

Some side-effects may be serious while others may only be a mild inconvenience.

Everyone's reaction to a medicine is different. It is difficult to predict which side-effects you will have from taking a particular medicine, or whether you will have any side-effects at all. The important thing is to tell your prescriber or pharmacist if you are having problems with your medicine.

Common: More than 1 in 100 people who take Bonviva:

  • diarrhoea
  • flu or flu-like symptoms such as fever, chills or loss of appetite
  • gastritis
  • gastro-oesophageal reflux
  • headaches
  • indigestion
  • muscle cramps
  • nausea
  • oesophageal problems such as oesophagitis or oesophageal ulcers - seek medical advice if you get any symptoms of oesophageal irritation, new or worsening swallowing difficulties, pain when swallowing, chest pain, or new or worsening heartburn
  • skin rash or rashes
  • stiffness or pain of the muscles, bones and joints
  • stomach pain

Uncommon: More than 1 in 1000 people who take Bonviva:

Rare: More than 1 in 10,000 people who take Bonviva:

The following side effects have been reported in people who have had medicines similar to Bonviva. The frequency of these side-effects in people who take Bonviva is not known:

  • bone fractures - this may occur if Bonviva is taken for a long period of time. Seek medical advice if you have any symptoms such as thigh, hip or groin pain
  • osteonecrosis of the jaw - this is usually associated with dental procedures or infection. If you need to have a dental procedure, make sure you tell your dentist that you are having treatment with Bonviva

If you feel unwell or if you have concerns about a side-effect, you will need to seek advice. If you feel very ill, get medical help straight away. Contact your prescriber, pharmacist, nurse or call NHS Direct on 0845 46 47.

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Taking other medicines

If you are taking more than one medicine they may interact with each other. At times your prescriber may decide to use medicines that interact, in other cases this may not be appropriate.

The decision to use medicines that interact depends on your specific circumstances. Your prescriber may decide to use medicines that interact, if it is believed that the benefits of taking the medicines together outweigh the risks. In such cases, it may be necessary to alter your dose or monitor you more closely.

Tell your prescriber the names of all the medicines that you are taking so that they can consider all possible interactions. This includes all the medicines which have been prescribed by your GP, hospital doctor, dentist, nurse, health visitor, midwife or pharmacist. You must also tell your prescriber about medicines which you have bought over the counter without prescriptions.

The following medicines may interact with Bonviva:

  • ranitidine, if injected into a vein

The following types of medicine may interact with Bonviva:

If you are taking Bonviva and one of the above medicines or types of medicines, make sure your prescriber knows about it.

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Complementary preparations and vitamins

Medicines can interact with complementary preparations and vitamins.

Make sure you tell your prescriber the names of all the complementary preparations and vitamins that you are taking or are planning to take.

Your prescriber can then decide whether it is appropriate for you to take combinations that are known to interact.

In the case of Bonviva:

If you have been prescribed Bonviva you should only take something on the above list on the specific advice of your prescriber or pharmacist.

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Driving and operating machinery

When taking any medicine you should be aware that it might interfere with your ability to drive or operate machinery safely.

In the case of Bonviva:

  • this medicine is unlikely to affect driving ability or the ability to operate machinery

You should see how this medicine affects you before you judge whether you are safe to drive or operate machinery. If you are in any doubt about whether you should drive or operate machinery, talk to your prescriber.

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Diet

Medicines can interact with certain foods. In some cases, this may be harmful and your prescriber may advise you to avoid certain foods.

In the case of Bonviva:

  • during treatment with Bonviva your prescriber may advise you to supplement your diet with extra vitamin D and calcium. You must not take foods or drinks such as milk at the same time as Bonviva

For more advice speak to your prescriber, nutritionist or pharmacist.

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Alcohol

Alcohol can interact with certain medicines.

In the case of Bonviva:

  • there are no known interactions between alcohol and Bonviva
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Family planning and pregnancy

Most medicines, in some way, can affect the development of a baby in the womb. The effect on the baby differs between medicines and also depends on the stage of pregnancy that you have reached when you take the medicine.

In the case of Bonviva:

  • do not take this medicine during pregnancy
  • if you could become pregnant you must not take Bonviva

You should discuss your personal circumstances with your doctor if you are pregnant or want to become pregnant. This is so that together you can make a decision about what treatment you may need during your pregnancy.

You should discuss whether there are any other medicines which you could take during pregnancy which would treat your condition.

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Breast-feeding

Certain medicines can pass into breast milk and may reach your baby through breast-feeding.

In the case of Bonviva:

  • women who are breast-feeding must not take this medicine

Before you have Bonviva you should discuss breast-feeding with your doctor or midwife. If you wish to breast-feed you should discuss with your prescriber whether there are any other medicines you could take which would also allow you to breast-feed. You should not stop this medicine without taking advice from your doctor.

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Ingredients of your medicine

Medicines contain active ingredients. They may also contain other, additional ingredients that help ensure the stability, safety and effectiveness of the medicine. They are also added to improve the medicine's taste and appearance and to make it easier to take. Some may be used to prolong the life of the medicine.

You should check that you are able to take the ingredients in your medicine, especially if you have any allergies.

Bonviva contains:

  • cellulose microcrystalline
  • colloidal anhydrous silica
  • crospovidone
  • hypromellose
  • lactose monohydrate
  • macrogol 6000
  • povidone
  • stearic acid
  • talc
  • titanium dioxide (E171)

If you are not able to take any of the ingredients in your medicine, talk to your prescriber or pharmacist to see if they can suggest an alternative medicine. If you have reacted badly to Bonviva before, do not take Bonviva. Talk to your prescriber, pharmacist or nurse as soon as possible.

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Bonviva, Version 12, last updated 08 Jan 2014