IBANDRONIC acid 150 mg. 1 tablet
Ibandronic acid belongs to a group of medicines called bisphosphonates. Ibandronic acid tablets do not contain hormones.
Ibandronic acid can reverse the process of bone loss by stopping further bone loss and increase bone mass in most women who take the drug even if they fail to identify or feel any difference. Ibandronic acid may help reduce the risk of broken bones (fractures). This reduction in fractures was shown for the spine but not for the hip.
Ibandronic acid you are prescribed to treat osteoporosis because you have an increased risk of fractures. Osteoporosis is a thinning and weakening of the bones, which is common in women after menopause. During the menopause, the ovaries of women stop producing the female hormone estrogen, which plays a role in maintaining the health of the skeleton.
The earlier menopause in a woman, the greater her risk of fractures in osteoporosis condition. Other things that can increase the risk of fractures include:
insufficient presence of calcium and Vitamin D in the diet;
smoking or excessive alcohol use;
not enough walking or other exercise, in which the body maintains its own weight;
family history of osteoporosis.
Many people who suffer from osteoporosis have no symptoms. If you have no symptoms you may not know that you suffer from this condition. However, osteoporosis more likely to break a bone if you fall or hit. Broken bone after the age of 50 may be a sign of osteoporosis. In addition, osteoporosis can cause back pain, loss of height of the body and a curved back of the spine.
Ibandronic acid prevents bone loss in osteoporosis and helps to rebuild bone. Therefore, ibandronic acid reduces the chance of breaking of the bones.
A healthy lifestyle will also help you get the maximum benefit from your treatment. It includes a balanced diet rich in calcium and vitamin D diet; walking or any other exercise, in which the body maintains its own weight, do not smoke, do not use alcohol excessively.
2. Before you take Ibandronic acid 150 mg
Do not take Ibandronic acid 150 mg:
if you are allergic (hypersensitive) to the active substance or to any of the excipients of FLOCKS Ibandronic acid 150 mg;
If you suffer from a certain type of problems of the esophagus (the tube body that connects your mouth to your stomach), such as narrowed esophagus or swallowing difficult;
If you can not stand or sit upright for at least one hour (60 minutes) at a time;
If you have, or if you have previously suffered from a reduced level of calcium in the blood. Please consult your doctor.
Ibandronic acid should not be used in children and adolescents.
Take special care with Ibandronic acid 150 mg:
If you have any disturbances of mineral metabolism (such as deficiency of vitamin D);
if you suffer from severe kidney disease (renal insufficiency ie creatinine clearance <30 mL / min);
If you have any problems swallowing or digesting food;
If you are having dental treatment or will undergo dental surgery. Tell your dentist that you are being treated with ibandronic acid;
if your doctor has told you that you suffer from an intolerance to some sugars. Before taking this medicine, you should contact your doctor.
May occur irritation, inflammation or ulceration of the esophagus (the tube body that connects your mouth to your stomach) often with symptoms of severe pain in the chest, severe pain after swallowing food and / or drink, severe nausea or vomiting, especially if you do not drink a full glass of plain water and / or if you lie before passing at least one part of ibandronic acid. If you get these symptoms, stop taking Ibandronic acid and notify your doctor immediately.
Taking other medicines
Ibandronic acid may affect other medicines. They in turn can affect the potency of ibandronic acid.
Ibandronic acid may be reacted with:
dietary supplements containing calcium, magnesium, iron or aluminum. They can influence the effect of ibandronic acid;
Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) (including ibuprofen, diclofenac sodium and naproxen). They can cause irritation of the stomach and intestines. Bisphosphonates (such as ibandronic acid) also have this effect. Therefore, be especially careful if you use painkillers or anti-inflammatory while taking ibandronic acid.
After ibandronic acid, wait at least one hour before taking any other medication of the day, including tablets / medicines against indigestion, calcium supplements and vitamins.
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
Taking Ibandronic acid 150 mg with food and drink
Ibandronic acid should be taken in the morning on an empty stomach (at least 6 hours after the last meal) and before the first food or drink of the day. Abstinence from food, including other medicines and supplements should be continued for another at least 1 hour after taking the tablet. Clean water may be taken at any time in the course of treatment with ibandronic acid.
Pregnancy and lactation
Do not take Ibandronic acid if you are pregnant or breast-feeding. If you are breastfeeding, you may need to stop breastfeeding, you can take ibandronic acid.
Ask your doctor or pharmacist before taking any medicine.
Driving and using machines
You can drive and make use machines as it's very unlikely ibandronic acid affect your ability to drive and use machines.
Important information about some of the ingredients of Ibandronic acid 150 mg
Ibandronic acid tablets contain milk sugar, also called lactose. If your doctor has told you that you suffer from an intolerance to some sugars, contact your doctor before taking this medicine.
3. How to use Ibandronic acid 150 mg
Always use Ibandronic acid exactly as prescribed by your doctor. If you are not sure, ask your doctor or pharmacist.
The usual dose of ibandronic acid is one tablet once a month.
It is important to carefully follow these instructions. They are provided to help you agreeing ibandronic acid tablets to quickly reach your stomach to reduce the likelihood of causing irritation.
Take 1 tablet Ibandronic acid 150 mg once monthly.
Choose one day of the month that will easily remember. You can choose either the same date (such as the first day of each month) or the same day of the week (the first Sunday of each month) in which to take your tablet ibandronic acid. Select a date that best corresponds to your usual lifestyle.
Take the tablet ibandronic acid at least 6 hours after the last intake of any food or drink except plain water.
Take your tablet ibandronic acid:
as soon as you get out of bed;
before you eat any food and drink (on an empty stomach).
Swallow the tablet with a full glass of plain water (at least 180 ml). Do not take your tablet with mineral water, fruit juice or other drinks.
Swallow the tablet whole - do not chew, crush or dissolve in your mouth.
Before the next hour (60 minutes) after taking the tablet:
do not lie in a horizontal position; if you do not stand up (standing or sitting), some of the medicine may fall back into your esophagus;
not eat anything;
do not drink anything (except plain water if you need it);
do not take any other medicines.
After waiting an hour, you can have your first day on food and drink. After you've eaten, there's no problem to lie down if you wish, and to take other medicines if you need them.
Do not take your tablet at bedtime or morning before you are out of bed.
Continue to use Ibandronic acid 150 mg
It is important to continue taking ibandronic acid every month for as long period as your doctor prescribes it. Ibandronic acid can treat osteoporosis only as long as you take it regularly.
If you take more dose Ibandronic acid 150 mg
If by mistake you take more than one tablet, drink a full glass of milk and immediately call your doctor.
Do not try to induce vomiting and do not lie horizontally - thus ibandronic acid can cause irritation of the stomach or esophagus.
If you forget to take Ibandronic acid 150 mg
If you forget to take your tablet, do not take a tablet in the day that you remember. Instead, look at your calendar and see when scheduled to take your next dose:
If your next scheduled dose is 1 to 7 days away ...
You should wait until it is time for the next scheduled dose, and take it in the usual way, and then continue to take the tablet once a month within the scheduled day that you note in your calendar.
If your next scheduled dose is more than 7 days ...
You should take one tablet the next morning after you remember; then you should continue taking one tablet once a month within the scheduled day that you note in your calendar.
Never take two tablets ibandronic acid in the same week.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
4. Possible side effects
Like all medicines, ibandronic acid can cause side effects, although not everybody gets them.
Common side effects (affects 1 to 10 patients in 100):
Pain in muscles and joints;
Ibandronic acid may cause irritation of the stomach, although you can usually avoid this by taking your dose as described in this leaflet. If you experience symptoms such as severe pain in the chest, severe pain after swallowing food or drink, severe nausea or vomiting, stop taking Ibandronic acid and notify your doctor immediately.
May occur flu-like symptoms (blunt or sharp pain, discomfort, fatigue) which are usually mild, transient and disappear soon after the first dose. Therefore, you should continue to take ibandronic acid. Tell your doctor if any of the reactions begin to interfere with you, or if they last longer.
Uncommon side effects (affects 1 to 10 patients in 1000):
Rare side effects (affects 1 to 10 patients in 10,000):
Swelling and itching of the face, lips and mouth.
If any of the side effects gets serious, or you notice other effects not listed in this leaflet, please tell your doctor or pharmacist.
5. How to store Ibandronic acid 150 mg
Keep out of the reach and sight of children.
Do not use ibandronic acid after the expiry date stated on the blister and carton after "EXP". The first two digits indicate the month and the last four digits indicate the year.
The expiry date refers to the last day of that month.
This medicinal product does not require any special storage conditions.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
6. Further information
What Ibandronic acid 150 mg
The active substance e: 150 mg of ibandronic acid.
The other ingredients are lactose monohydrate, crospovidone (E1202), microcrystalline cellulose (E460), silica colloidal anhydrous (E551), sodium stearyl fumarate (tablet core); polyvinyl alcohol, macrogols / PEG 3350, talc (E553b) and titanium dioxide (E171) (coating of the tablet).
How does Ibandronic acid herds and contents of the pack
Ibandronic acid tablets are white to off-white, oblong, convex, marked "I9VE" on one side and "150" on the other.
They are available in blister packs containing 1, 3, 6, 9, or 12 tablets.
He all pack sizes may be marketed.