Mayo Clinic Health Manager
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It is important that your doctor check your progress at regular visits to make sure this medicine is working properly and watch for unwanted effects.
Tell your doctor right away if you develop symptoms of your esophagus being irritated such as new or worsening difficulty swallowing, pain on swallowing, pain behind your breast bone, or heartburn. Using aspirin or nonsteroidal anti-inflammatory drugs (e.g. Aleve®, Motrin®) may also increase your risk for stomach problems.
It is important that you tell all of your health care providers that you are taking ibandronate. If you are having a dental procedure while taking ibandronate, you may have an increased chance of having a severe problem with your jaw .
Make sure you tell your doctor about any new medical problems, especially with your teeth or jaws. Tell your doctor if you have severe bone, joint, or muscle pain while using this medicine.