Bonviva 150mg Tablet
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Prescription Required
Overview
Bonviva 150mg Tablet contains ibandronic acid 150mg, a once-monthly oral bisphosphonate used to treat osteoporosis in postmenopausal women, reducing the risk of spinal (vertebral) fractures. It works by slowing down bone loss so that bone density can be maintained or improved over time.
Ibandronic acid binds to bone surfaces and is taken up by osteoclasts, the cells responsible for breaking down old bone. It interferes with their activity, slowing the rate of bone breakdown so that bone-building cells can keep pace, gradually increasing bone mineral density.
How it Works
As a nitrogen-containing bisphosphonate, ibandronic acid concentrates in areas of active bone remodelling and inhibits an enzyme pathway (farnesyl pyrophosphate synthase) inside osteoclasts, reducing their ability to resorb bone. This shifts the balance of bone turnover towards net bone formation, strengthening bone over months of regular use.
Directions for Use
Take Bonviva 150mg Tablet first thing in the morning, on an empty stomach, at least 6 hours after your last food or drink, swallowed whole with a full glass of plain water only (not mineral water, coffee, tea, or juice). After taking it, remain fully upright – sitting or standing, never lying down – for at least 60 minutes, and do not eat, drink anything other than plain water, or take any other oral medicines during this time.
Dosage
Bonviva 150mg Tablet is taken as a single tablet once a month, on the same date each month, as directed by your doctor. It must never be taken more frequently than prescribed, and if a dose is missed it should be taken the next morning after you remember, then the monthly schedule adjusted accordingly – your doctor or pharmacist can advise on the correct rescheduling.
Shelf Life
Use this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.
Storage Instructions
Store below 30°C in a dry place, away from direct sunlight and out of reach of children.
Side Effects
- Headache
- Nausea or indigestion
- Flu-like symptoms (especially after first dose)
- Heartburn
- Muscle or joint pain
- Diarrhea
- Dizziness
- Injection site reaction (for IV form)
Contraindications
- Known hypersensitivity to ibandronic acid or other bisphosphonates
- Abnormalities of the oesophagus that delay emptying, such as stricture or achalasia
- Inability to stand or sit upright for at least 60 minutes
- Uncorrected low blood calcium (hypocalcaemia)
- Severe kidney impairment (creatinine clearance below 30mL/min)
Drug / Food Interactions
- Calcium, iron, magnesium, or aluminium-containing supplements and antacids reduce absorption if taken too close to the dose
- Food and any beverage other than plain water (including mineral water, coffee, and juice) significantly reduce absorption
- NSAIDs (e.g. ibuprofen, naproxen) may add to the risk of stomach and oesophageal irritation
- Aspirin taken regularly may increase the risk of gastrointestinal side effects when combined with this medicine
Quick Tips
- Mark your monthly dose on a calendar so you never take it more than once a month
- Tell your dentist you are taking this medicine before any dental extraction or implant surgery
- Ensure you get enough dietary calcium and vitamin D unless your doctor advises otherwise
- Stop taking the medicine and contact your doctor if you develop chest pain or difficulty swallowing
Frequently Asked Questions
What is Bonviva 150mg Tablet used for?
Bonviva 150mg Tablet is used to treat osteoporosis in postmenopausal women, reducing the risk of spinal fractures by slowing bone loss.
Why must I take this medicine exactly as directed, with only plain water?
Ibandronic acid is very poorly absorbed, and food, other beverages, and many minerals bind to it in the stomach and block absorption almost completely – taking it any other way makes it far less effective.
Why do I need to stay upright for 60 minutes after taking it?
Bisphosphonate tablets can irritate the oesophagus if they stay in contact with it too long. Remaining upright helps the tablet pass quickly into the stomach and reduces the risk of heartburn or oesophageal injury.
What should I do if I forget to take my monthly dose?
If it is less than 7 days until your next scheduled dose, skip the missed dose and wait for your next scheduled date. Otherwise, take it the morning after you remember, then resume your original monthly schedule.
Do I need to tell my dentist I am taking this medicine?
Yes. Bisphosphonates carry a rare risk of a jaw bone-healing problem (osteonecrosis of the jaw), so tell your dentist before any extraction, implant, or invasive dental procedure.
Can I buy Bonviva 150mg Tablet from DoctorOnCall?
Yes, Bonviva 150mg Tablet is available through DoctorOnCall, a licensed online pharmacy serving our Malaysian and Singaporean customers. As this is a prescription medicine, you will need to complete an online consultation so a doctor can assess your suitability and issue a valid prescription before the order is processed. This ensures the medicine is appropriate for your condition and used under proper medical supervision, whether you are ordering from Malaysia or Singapore.
Is the medication provided by DoctorOnCall genuine and safe to use?
DoctorOnCall sources its medicines through appropriate licensed pharmacy supply channels for our Malaysian and Singaporean customers. All orders are dispensed and checked by a registered pharmacist before delivery. Always use Bonviva 150mg Tablet according to your doctor’s instructions and the information provided with the product.
What payment methods does DoctorOnCall accept?
We accept payment via Online Banking, Credit Card, and e-Wallets (Boost, GrabPay) for our Malaysian and Singaporean customers, so you can choose whichever method is most convenient for you at checkout.
Does DoctorOnCall provide an installment payment plan for Bonviva 150mg Tablet?
DoctorOnCall provides an installment payment plan for eligible Malaysian and Singaporean customers, where applicable. Available plans, eligibility, and terms can vary by market, so please contact DoctorOnCall Customer Service for the latest information on installment options for your order.
Is delivery free, and how much does shipping for Bonviva 150mg Tablet cost?
Delivery charges may vary for our Malaysian and Singaporean customers depending on your delivery location and the applicable order terms at the time of purchase. For the most accurate and up-to-date delivery fee information, please contact DoctorOnCall Customer Service before placing your order.
How long does delivery take for Bonviva 150mg Tablet?
Our Malaysian customers can generally expect delivery within 3-5 working days, while our Singaporean customers generally receive their orders within 5-7 working days. These are expected timeframes rather than guarantees, and actual delivery time may vary depending on your delivery location, order processing time, courier operations, and whether the order falls on a weekend or public holiday.
What is DoctorOnCall’s shipping, return, or cancellation policy for Bonviva 150mg Tablet?
Shipping, return, and cancellation terms may vary for our Malaysian and Singaporean customers depending on the product and your order details. Please refer to DoctorOnCall’s Shipping & Delivery Policy and Return, Refund & Exchange Policy, or contact Customer Service, for the specific terms that apply to your order.
Ingredients / Active Ingredients
- Ibandronic acid 150mg (as ibandronate sodium)
Safety Advice
Pregnancy
Use during pregnancy is generally not recommended unless absolutely necessary.
Breastfeeding
Generally not recommended while breastfeeding.
Kidney
Use cautiously. Dose adjustment or monitoring may be required.
Liver
Limited data available in liver disease patients.
Alcohol
Caution is advised when consuming alcohol with this medicine.
Driving
It is not advisable to drive if you experience side effects from this medicine.
Medical Review
