Ibandronate (Intravenous Route)

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Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur:

• Back pain
• Blurred vision
• Difficulty with moving
• Dizziness
• Headache
• Muscle pain or stiffness
• Nervousness
• Pain in the joints
• Pounding in the ears
• Slow or fast heartbeat

• Bladder pain
• Bloody or cloudy urine
• Body aches or pain
• Chills
• Cough
• Cough producing mucus
• Diarrhea
• Difficult, burning, or painful urination
• Difficulty with breathing
• Ear congestion
• Fever
• Frequent urge to urinate
• General feeling of discomfort or illness
• Loss of appetite
• Loss of voice
• Lower back or side pain
• Muscle aches and pains
• Muscle cramping
• Nasal congestion
• Nausea
• Pain in the arms or legs
• Pain, swelling, or redness in the joints
• Runny nose
• Shivering
• Shortness of breath
• Sneezing
• Sore throat
• Sweating
• Swollen joints
• Tightness in the chest
• Trouble sleeping
• Unusual tiredness or weakness
• Vomiting
• Wheezing

• Blurred vision or other change in vision
• Decreased vision
• Eye pain
• Eye redness
• Eye tenderness
• Increased tearing
• Sensitivity of the eye to light
• Severe eye pain
• Tearing

Get emergency help immediately if any of the following symptoms of overdose occur:

• Abdominal or stomach cramps
• Bone pain
• Confusion
• Convulsions
• Difficulty with breathing
• Drowsiness
• Irregular heartbeats
• Muscle cramps in the hands, arms, feet, legs, or face
• Muscle spasms (tetany) or twitching seizures
• Numbness and tingling around the mouth, fingertips, or feet
• Trembling
• Tremor
• Trouble breathing

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

• Abdominal or stomach pain

• Acid or sour stomach
• Belching
• Burning feeling in the chest or stomach
• Constipation
• Diarrhea
• Discouragement
• Feeling sad or empty
• Heartburn
• Indigestion
• Irritability
• Lack of appetite
• Loss of interest or pleasure
• Rash
• Red streaks on the skin
• Sleeplessness
• Stomach discomfort, upset, or pain
• Stuffy nose
• Swelling, tenderness, or pain at the injection site
• Tenderness in the stomach area
• Tiredness
• Trouble concentrating
• Unable to sleep
• Weakness

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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