During treatment your blood may be monitored to ensure that you are receiving the correct dose of Ibandronic Acid Teva.
If you are under dental treatment or will undergo dental surgery, tell your dentist that you are being treated with Ibandronic Acid Teva.
Do not take Ibandronic Acid Teva
- if you are allergic (hypersensitive) to ibandronic acid or any of the other ingredients of Ibandronic Acid Teva.
- if you have certain problems with your oesophagus (the tube connecting your mouth with your stomach) such as narrowing or difficulty swallowing
- if you can?t stand or sit upright for at least one hour (60 minutes) at a time
- if you have, or had in the past low blood calcium. Please consult your doctor.
Do not give Ibandronic Acid Teva to children.
Take special care with Ibandronic Acid Teva
if you know or believe that you may have:
- allergies to other bisphosphonates,
- other disturbances of mineral metabolism (such as vitamin D deficiency),
- moderate kidney disease (creatinine clearance ?30 and <50 mL/min ) or severe kidney disease (renal insufficiency i.e. creatinine clearance <30 mL/min),</li>
- you have any swallowing or digestive problems
Irritation, inflammation or ulceration of the oesophagus (the tube that connects your mouth with your stomach) often with symptoms of severe pain in the chest, severe pain after swallowing food and/or drink, severe nausea, or vomiting may occur, especially if you do not drink a full glass of plain water and/or if you lie down within an hour of taking Ibandronic Acid Teva. If you develop these symptoms, stop taking Ibandronic Acid Teva and tell your doctor straight away.
Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription, or are taking supplements containing calcium, magnesium, iron or aluminium.
No interaction was observed when ibandronic acid was administered in combination with tamoxifen (used in the treatment of breast cancer), or melphalan/prednisolone.
Caution is advised when bisphosphonates are administered with aminoglycosides since both agents can lower serum calcium levels for prolonged periods. Caution should also be paid to the possible existence of simultaneous hypomagnesaemia (reduced magnesium levels).
Take special care if you are also taking non-steroidal anti-inflammatory drugs (NSAIDs), since both types of medicinal products (NSAIDs and bisphosphonates) may cause irritation to the stomach and intestine.
After taking your Ibandronic Acid Teva tablet, wait at least 30 minutes before taking any other medication of the day, including indigestion tablets/medicine, calcium supplements and vitamins.
Taking Ibandronic Acid Teva with food and drink
Your Ibandronic Acid Teva tablet should be taken after an overnight fast (at least 6 hours) and before the first food or drink of the day. Medications and supplements (including calcium, aluminium, magnesium and iron) should similarly be avoided prior to taking Ibandronic Acid Teva . Fasting, including avoiding other medication and supplements should be continued for at least 30 minutes after taking the tablet. Plain water may be taken at any time during the course of Ibandronic Acid Teva treatment.
Pregnancy and breast-feeding
Do not take Ibandronic Acid Teva if you are pregnant or if you are breast-feeding.
Driving and using machines
The effects of Ibandronic Acid Teva on the ability to drive or to use machines has not been studied.