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Ibanox

Ibanox

ibandronic acid

Manufacturer:

Pharmathen

Distributor:

Sandoz
Concise Prescribing Info
Contents
Ibandronic acid (as Na monohydrate)
Indications/Uses
Osteoporosis in postmenopausal women at increased risk of fracture.
Dosage/Direction for Use
1 tab once a mth, preferable taken on the same date each mth.
Administration
Should be taken on an empty stomach: Should be taken after an overnight fast (at least 6 hr) & 1 hr before the 1st food or drink (other than water) of the day or any other oral medicinal products or supplements (including Ca). Swallow whole w/ a glass of water (180-240 mL) while sitting or standing in an upright position. Do not lie down for 1 hr. Do not chew or suck the tab.
Contraindications
Hypersensitivity. Hypocalcaemia; abnormalities of the oesophagus which delay oesophageal emptying eg, stricture or achalasia; inability to stand or sit upright for at least 60 min.
Special Precautions
Correct existing hypocalcaemia & treat other disturbances of bone & mineral metabolism before starting therapy. Ensure adequate intake of Ca & vit D. Risk of upper GI mucosa irritation. Discontinue use if patient develops dysphagia, odynophagia, retrosternal pain or new or worsening heartburn. Reports of osteonecrosis of the external auditory canal, mainly associated w/ long-term therapy. Very rare post-marketing reports of osteonecrosis of the jaw. Reports of atypical subtrochanteric & diaphyseal femoral fractures, primarily in patients receiving long-term treatment for osteoporosis. Consider discontinuation of therapy in patients suspected to have an atypical femur fracture. Should not be taken by patients w/ rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption. Not recommended for patients w/ CrCl <30 mL/min. Not to be used during pregnancy & lactation.
Adverse Reactions
Headache; oesophagitis, gastritis, GERD, dyspepsia, diarrhoea, abdominal pain, nausea; rash; arthralgia, myalgia, musculoskeletal pain, muscle cramp, musculoskeletal stiffness; flu-like illness.
Drug Interactions
Reduced oral bioavailability in the presence of food. Interference of absorption w/ products containing Ca (eg, milk) & other multivalent cations (eg, Al, Mg, Fe). Risk of GI irritation w/ ASA & NSAIDs.
MIMS Class
Agents Affecting Bone Metabolism
ATC Classification
M05BA06 - ibandronic acid ; Belongs to the class of bisphosphonates. Used in the treatment of bone diseases.
Presentation/Packing
Form
Ibanox FC tab 150 mg
Packing/Price
1's
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