Each 3ml Pre-filled syringe contains Ibandronate Sodium Monohydrate INN
3.3759 mg equivalent to Ibandronic acid 3 mg.
Osteoporosis is a condition where the body removes more bone than it replaces, leading to weaker bones that are more prone to fractures. This disease is common in women after menopause but can also affect men. Initially, osteoporosis has no symptoms, but it may cause a loss of height and increase the likelihood of fractures, especially in the spine, wrist, and hip.
Ibandronic acid works by inhibiting osteoclast activity, reducing bone resorption and turnover. In postmenopausal women, it decreases the elevated rate of bone turnover, resulting in a progressive increase in bone mass.
Bondrova i.v. is indicated for the treatment of osteoporosis in postmenopausal women to reduce the risk of vertebral fractures.
The recommended dose of Bondrova i.v. is 3 mg, administered as an intravenous injection over 15–30 seconds, every 3 months.
If a dose is missed, it should be administered as soon as possible, with subsequent doses scheduled every 3 months from the date of the last injection.
Special Dosage Instructions
Hepatic Impairment: No dosage adjustment required.
Renal Impairment: No dosage adjustment needed for patients with mild to moderate renal impairment (creatinine clearance ≥30 ml/min).
Elderly Patients: No dosage adjustment required.
Pediatric Patients: Bondrova i.v. is not recommended for use in pediatric patients.
Bondrova i.v. is contraindicated in patients who:
Are hypersensitive to ibandronic acid or any of its excipients.
Have uncorrected hypocalcemia.
Common side effects include:
Gastrointestinal: Dyspepsia, nausea, diarrhea, constipation, abdominal pain.
Musculoskeletal: Myalgia.
General: Headache, mild flu-like symptoms, dizziness, and skin rash.
Caution is advised in patients with known hypersensitivity to other bisphosphonates.
Adequate intake of calcium and vitamin D is essential for all patients receiving Bondrova i.v.
No significant interactions have been observed with tamoxifen or hormone replacement therapy.
Bondrova i.v. should not be used during pregnancy or lactation.
No specific information is available regarding the treatment of ibandronic acid overdose.
Store at a temperature not exceeding 30°C in a dry place.
Protect from light.
Keep out of reach of children.