1 What Ibandronic acid is and what it is used for
Ibandronic acid belongs to a group of medicines calledbisphosphonates. It contains the active substance ibandronic acid.
Ibandronic acid may reverse bone loss by stopping more loss of bone and increasing bone mass in most women who take it, even though they won’t be able to see or feel a difference. Ibandronic acid may help lower the chances of breaking bones (fractures). This reduction in fractures was shown for the spine but not for the hip.
Ibandronic acid is prescribed to you to treat postmenopausal osteoporosis because you have an increased risk of fractures.Osteoporosis is a thinning and weakening of the bones, which is common in women after the menopause. At the menopause, a woman’s ovaries stop producing the female hormone, oestrogen, which helps to keep her skeleton healthy. The earlier a woman reaches the menopause, the greater her risk of fractures in osteoporosis.
Other things that can increase the risk of fractures include:
- not enough calcium and vitamin D in the diet
- smoking cigarettes, or drinking too much alcohol
- not enough walking or other weight-bearing exercise
- a family history of osteoporosis.
A healthy lifestyle will also help you to get the most benefit from your treatment. This includes
- eating a balanced diet rich in calcium and vitamin D
- walking or other weight-bearing exercise
- not smoking and not drinking too much alcohol.
2 What you need to know before you receive Ibandronic acid
Do not receive Ibandronic acid if you:
- have, or had in the past, low blood calcium. Please consult your doctor
- are allergic to Ibandronic acid or any of the other ingredients of this medicine (listed in section 6).
Warnings and precautions
Some patients need to be especially careful when using Ibandronic acid. Talk to your doctor before receiving Ibandronic acid:
- If you have or have ever had kidney problems, kidney failure or have needed dialysis, or if you have any other disease that may affect your kidneys
- If you have any disturbance of mineral metabolism (such as vitamin D deficiency)
- You should take calcium and vitamin-D supplements while receiving Ibandronic acid. If you are unable to do so, you should inform your doctor
- If you are under dental treatment or will undergo dental surgery, tell your dentist that you are being treated with Ibandronic acid. When you have cancer, tell your dentist as well
- If you have heart problems and the doctor recommended to limit your daily fluid intake.
Cases of serious, sometimes fatal allergic reaction have been reported in patients treated with intravenous ibandronic acid. If you experience one of the following symptoms, such as shortness of breath/difficulty breathing, tight feeling in throat, swelling of tongue dizziness, feeling of loss of consciousness, redness or swelling of face, body rash, nausea and vomiting, you should immediately alert your doctor or nurse (see section 4).
Children and adolescents
Ibandronic acid must not be used in children or adolescents below 18 years.
Other medicines and Ibandronic acid
Tell your doctor, nurse or pharmacist if you are taking, or have recently taken, any other medicines.