Menopause in women entails many unpleasant consequences. In the weaker sex, all body systems begin to wear out faster, the appearance worsens, the bones become less strong. To maintain their body in order, elderly patients are advised to take special medications. Only a qualified specialist can appoint them. Popular is the tool "Bonviva". Reviews of doctors about this medicine in most cases can be heard positive.
Release form and composition
The medication is available in the form of a solution for intravenous injection, as well as tablets. The main active ingredient is sodium ibandronate monohydrate. As auxiliary elements in tablets, substances such as povidone, lactose monohydrate, stearic acid, colloidal silicon dioxide, microcrystalline cellulose are used. The injection solution contains acetic acid, as well as sodium trihydrate. Tablets are available in cartons. The solution is sold in a sterile plastic container.
Ibandronic acid is a powerful bone inhibitor. This substance helps to strengthen bone tissue, significantly reduces the likelihood of fractures and cracks. The connection of the main substance with blood plasma cells reaches 85%. The medicine is excreted completely unchanged during the day.
Indications
The drug “Bonviva” has a positive effect on the body of elderly patients. Reviews note that the general condition of the musculoskeletal system is improving, the bone system is strengthening . The medicine is primarily indicated for women who have entered menopause and suffer from frequent fractures. If the patient has too fragile bones, she is prescribed Bonviva injections. Reviews show that the drug in the form of a solution has a more pronounced effect.
As a prophylaxis, it is worth taking medicine for women suffering from osteoporosis as a result of low bone mineral density. The exact dosage can only be prescribed by a doctor. Self-medication in some cases leads to the development of side effects.
Contraindications
You should not take Bonviva solution or tablets without a specialist’s appointment. The drug reviews are positive only if the patient uses it correctly. The medication has a number of contraindications, which you must first familiarize yourself with. Hypercalcemia betting medicine cannot be used. In case of lesions of the esophagus, stomach ulcer and complex form of gastritis, it is not necessary to take Bonviva medicine. Reviews from doctors show that neglect of this recommendation can lead to serious side effects.
The medication Bonviva has age restrictions. Doctors' reviews show that studies on the use of the drug by minors have not been conducted. In most cases, the medication is used to treat older women with osteoporosis. Before starting therapy, the patient is recommended to examine kidney function. The medicine is not prescribed for people with severe renal failure.
In rare cases, women may develop hypersensitivity to one of the components of the drug. It is not recommended to use tablets or Bonviva solution for people with a tendency to allergic reactions. Reviews show that the medication often leads to the development of a rash or swelling of the limbs.
special instructions
Before starting treatment, the patient is recommended to correct hypocalcemia, as well as other bone disorders. Patients with osteoporosis, in parallel with other medicines, must take calcium, as well as vitamin D. Treatment will have a more pronounced effect if the patient begins to eat fully and spend enough time in the fresh air.
The main active ingredient can be irritating to the mucous membranes of the gastrointestinal tract. This must be taken into account. During the treatment period, it is advisable to abandon products that provoke increased acidity. This includes citrus fruits, alcoholic beverages, and foods high in vitamin C. People with gastritis and stomach ulcers cannot be prescribed Bonviva tablets. Reviews show that the medicine only contributes to the aggravation of the disease.
Dosage
As a maintenance therapy, Bonviva tablets can be used. The doctors' reviews show that for the normal functioning of the bone apparatus, it is enough to take one pill per month (150 mg). It is advisable to do this at the same number. The medication is taken on an empty stomach, an hour before meals. The tablet must be washed down with plenty of water. Chewing or dissolving it is strictly prohibited. The contents may adversely affect the mucous membrane of the gastrointestinal tract.
For intravenous administration, Bonviva injections are used. Reviews of experts show that the solution has a more pronounced effect. Avoid getting medication into the tissues surrounding the artery. The medication is administered in an amount of 3 mg for 30 seconds. It is recommended to use the drug no more than once every three months. In parallel, it is recommended to take medicines containing calcium and vitamin D.
Side effects
The drug Bonviva can cause side effects. The drug has negative reviews if the patient does not comply with the dosage prescribed by the doctor. When using the medication in an increased volume, a temporary decrease in the level of calcium in the blood may be observed. However, this phenomenon is temporary. Reduce the situation helps to reduce the dosage of the drug.
On the part of the nervous system, patients may develop such unpleasant symptoms as dizziness, migraine, and sleep disturbance. Failures in the gastrointestinal tract may occur. Some patients complain of nausea and abdominal pain on the day of taking the pills. This is due to the negative effect of the main components on the mucosa.
How to replace?
If the necessary medicine was not found in the pharmacy, the specialist will be able to offer an alternative. Bondronat tablets are popular. The main active ingredient, as in the previous case, is sodium ibandronate monohydrate. Crospovidone, lactose monohydrate, stearic acid, povidone, colloidal silicon dioxide are used as auxiliary elements. The medicine has the same indications as Bonviva tablets. Reviews of doctors, price, a small number of side effects - all this can not but rejoice. Bondronat tablets cost 200-300 rubles cheaper than Bonviva, for which you will have to pay about 1700 rubles (1 tablet) or about 5400 rubles (1 syringe with a solution).
The drug can be prescribed to prevent hypercalcemia in older women. Contraindication is pregnancy, childhood, as well as diseases of the gastrointestinal tract.
Patient Reviews
The medicine produces a good therapeutic effect with prolonged use. It is worth adjusting to the fact that patients with disorders of the musculoskeletal system will have to take Bonviva for years. Injection reviews are more optimistic. The drug in the form of a solution can significantly improve the condition of the bones.
The drug has many side effects. Experts recommend the use of tablets or solution on weekends. If you believe the reviews of patients, a few minutes after taking significantly worse health. Many feel a breakdown, joint pain and migraine. However, these phenomena are only temporary. If unpleasant symptoms last for several days, you should consult a doctor.