Boniva Side Effects, How to Use, Before Taking & More

Boniva is a drug designed to prevent and treat osteoporosis in women, post mensuration and skeletal fractures related to metastasis in people fighting cancer.


Bones become more susceptible to damage and fracture leading to the development of osteoporosis with time. The factors contributing to it or pacing up the process include menopause, aging and long-term use of corticosteroid medicine use. It may also be used in the treatment of hypercalcemia. The medicine is available in two forms; tablet and injectable solution in different concentrations.

Boniva belongs to the category of medicine known as biphosphates. It functions by altering the process of bone forming and breaking. It strengthens the bones by adding to its mass which prevents them from breaking easily and makes them stronger.


Side Effects:

Common Side Effects:

The following list entails common and minor side effects experienced when using Boniva:

  • Pain in your arms or legs
  • Back pain
  • Redness or swelling on the injection site
  • Headache
  • Redness or swelling of your eyes
  • Nausea or upset stomach
  • Flu symptoms
  • Diarrhea


Side Effects:

Severe Side Effects:

If you experience the following symptoms, immediately go to the doctor as they could possibly be very harmful to your health.

  • Chest pain
  • Difficulty in swallowing
  • Pain under the ribs or in the back
  • Unusual pain in the hip, thigh or groin
  • Severe abdominal pain
  • Jaw pain, numbness, or swelling
  • New or worsening heartburn
  • Vomit that looks like coffee grounds
  • Ulcers in the stomach or esophagus
  • Severe joint, muscle, or bone pain
  • Unusual or new pain in the thigh or hip
  • Vision changes


Overdose Symptoms:

Report immediately to the emergency if you experience any of the symptoms of overdose:

  • Heartburn
  • Diarrhea
  • Tightness of the face muscles
  • Muscle cramps
  • Unusual thoughts or behaviors
  • Seizures


How to use:

Before engaging in the regular use of the medicine, make sure you thoroughly read the medical leaflet provided with the drugs and for further queries, seek your doctor or pharmacist.

Typically, the medicine in tablet form is prescribed to be used orally, preferably around the same date every month. Carefully, choose the date and stick to it. The injectable solution should be injected directly into the vein, subcutaneously once every 3 months.

The medicine should be taken after waking up in the morning or at least 90 minutes prior to having the first meal of the day. It should absolutely not be taken before going to bed or if you are already in bed. It is advised to take the medicine with water and not any other forms of beverages.

Do not try to chew or suck on the medicine but swallow it directly. After administering the drug, stand or sit in an upright position for at least an hour until it is time for the first meal of the day. Do not take any other medicine or even regular supplements until a few hours after having taken Boniva.

For the best results, use the medicine regularly and around the same time each month. Discuss the risks and benefits of its use with your doctor before using it.



Before administering the drug, make sure you tell your doctor about any allergies you have especially those related to other biphosphates. This medicine could contain inactive ingredients that could activate in your body and possibly cause allergic reactions.

Prior to engaging in the regular use of the drug, ensure you tell your doctor your complete medical history especially the problems listed below or similar ones:

  • Esophagus problems (heartburn, achalasia, narrowing of the esophagus)
  • Kidney disease
  • Hypocalcemia (low body calcium levels)
  • Inability to sit upright or stand for 60 minutes
  • Stomach disorders (ulcers)


The medicine may stay in your body for many years, so it is advised to get in touch with your doctor if you are planning to become pregnant. It is unknown if the drug passes through breast milk so consult your doctor before breastfeeding.