Tell your healthcare provider if you cannot stand or sit straight for at least 60 minutes after taking the medicine. Taking  generic Boniva tablets requires you to stay upright for this specified period of time so that you can prevent the drug from causing severe problems in the stomach or esophagus (the passage between the pharynx and the stomach).

 

Inform your doctor if you have medical conditions such as kidney disease, an ulcer in your stomach or esophagus, or a vitamin D deficiency. In such cases, you will be prescribed to alter your Ibandronate doses or perform special tests to ensure safe use of the medication.

 

A condition of osteonecrosis of the jaw should be informed to your doctor. This condition leads to loss of bone in the jaw due to use of medicines similar to Boniva (Ibandronate) ( Japanese : イバンドロン ) . Symptoms of osteonecrosis may include swelling of the jaw, loose teeth, jaw pain, lack of sensation, gum infection, or slow curing after injury or operation involving the gums. Osteonecrosis of the jaw may occur in those patients who have cancer or have been treated with radiation, chemotherapy, or steroids. In addition, conditions like blood clotting disorders, low red blood cells (anemia), past dental problems, and dental surgery may also lead to osteonecrosis.