Name: | ibandronate |
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Name (isomeric): | DB00710 |
Drug Type: | small molecule |
Synonyms: |
Ibandronate sodium monohydrate; R484; Ibandronic Acid; Ibandronate sodium
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Brand: | Boniva, Bondronat, Bonviva |
Category: | Antihypocalcemic Agents, Bisphosphonates, Bone Density Conservation Agents, Antiresorptives |
CAS number: | 114084-78-5 |
Indication: | For the treatment and prevention of osteoporosis in postmenopausal women. |
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Pharmacology: |
Ibandronate is a nitrogen-containing bisphosphonate in the same class as alendronate and risedronate. Ibandronate inhibits osteoclast-mediated bone resorption. All of the bisphosphonates prevent the breakdown of bone by bone cells called osteoclasts. In persons who are at high risk for osteoporosis, bisphosphonates not only result in increased amou...
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Mechanism of Action: |
The action of ibandronate on bone tissue is based partly on its affinity for hydroxyapatite, which is part of the mineral matrix of bone. Nitrogen-containing bisphosphonates (such as pamidronate, alendronate, risedronate, ibandronate and zoledronate) appear to act as analogues of isoprenoid diphosphate lipids, thereby inhibiting farnesyl pyrophosph...
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Absorption: | Poorly absorbed (mean bioavailability following a 2.5 mg oral dose is about 0.6% compared to intravenous dosing). Absorption is impaired by any kind of food or drink other than plain water. |
Protein binding: | 90.9 to 99.5% over an ibandronate concentration range of 2 to 10 ng/mL |
Biotransformation: | No evidence of ibandronate being metabolized in humans. |
Route of elimination: | Ibandronate is eliminated by renal excretion. Unabsorbed ibandronate is eliminated unchanged in the feces. |
Half Life: | 10-60 hours |
Clearance: | 84 to 160 mL/min [IV administration] |
Toxicity: | LD50 = 811 mg/kg (rat, oral), side effects include bronchitis, pneumonia and urinary tract infections. |
Affected organisms: | Humans and other mammals |
Food interaction: |
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Drug interaction: |
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