KEFORT 150MG FILM-COATED TABLETS
Active substance(s): SODIUM IBANDRONATE MONOHYDRATE / SODIUM IBANDRONATE MONOHYDRATE / SODIUM IBANDRONATE MONOHYDRATE
150 mg film-coated tablets
Read all of this leaflet carefully before you start taking this medicine.
- Keep this leaflet. You may need to read it again.
- If you have any further questions, ask your doctor or pharmacist.
- This medicine has been prescribed for you. Do not pass it on to others. It may harm them,
even if their symptoms are the same as yours.
- If any of the side effects gets serious, or if you notice any side effects not listed in this
leaflet, please tell your doctor.
In this leaflet:
1. What Kefort is and what it is used for
2. Before you take Kefort
3. How to take Kefort
4. Possible side effects
5. How to store Kefort
6. Further information
1. WHAT KEFORT IS AND WHAT IT IS USED FOR
Kefort belongs to a group of medicines called bisphosphonates. It contains
ibandronic acid. It does not contain hormones.
Kefort may reverse bone loss by stopping more loss of bone and increasing bone
mass in most women who take it, even though they won’t be able to see or feel a difference.
Kefort may help lower the chances of breaking bones (fractures). This reduction in
fractures was shown for the spine but not for the hip.
Kefort is prescribed to you to treat osteoporosis because you have an increased
risk of fractures. Osteoporosis is a thinning and weakening of the bones, which is common in
women after the menopause. At the menopause, a woman’s ovaries stop producing the female
hormone, oestrogen, which helps to keep her skeleton healthy.
The earlier a woman reaches the menopause, the greater her risk of fractures in osteoporosis.
Other things that can increase the risk of fractures include:
- not enough calcium and vitamin D in the diet
- smoking, or drinking too much alcohol
- not enough walking or other weight-bearing exercise
- a family history of osteoporosis
Many people with osteoporosis have no symptoms. If you have no symptoms you may not
know if you have the condition. However, osteoporosis makes you more likely to break bones if
you fall or hurt yourself. A broken bone after the age of 50 may be a sign of osteoporosis.
Osteoporosis can also cause back pain, height loss and a curved back.
Kefort prevents loss of bone from osteoporosis, and helps to rebuild bone. Therefore
Kefort makes bone less likely to break.
A healthy lifestyle will also help you to get the most benefit from your treatment. This includes
eating a balanced diet rich in calcium and vitamin D; walking or any other weight-bearing
exercise; not smoking; and not drinking too much alcohol.
2. BEFORE YOU TAKE KEFORT
Do not take Kefort
- If you are allergic (hypersensitive) to ibandronic acid, or to any of the other ingredients of
- If you have certain problems with your oesophagus (the tube connecting your mouth with
your stomach) such as narrowing or difficulty swallowing.
- If you can’t stand or sit upright for at least one hour (60 minutes) at a time.
- If you have, or had in the past low blood calcium. Please consult your doctor.
Do not give Kefort to children or adolescents.
Take special care with Kefort
Some people need to be especially careful while they’re taking Kefort. Check with
- If you have any disturbances of mineral metabolism (such as vitamin D deficiency).
- If your kidneys are not functioning normally.
- If you have any swallowing or digestive problems.
- If you are under dental treatment or will undergo dental surgery, tell your dentist that you
are being treated with Kefort.
Irritation, inflammation or ulceration of the oesophagus (the tube connecting your mouth with
your stomach) often with symptoms of severe pain in the chest, severe pain after swallowing
food and/or drink, severe nausea, or vomiting may occur, especially if you do not drink a full
glass of plain water and/or if you lie down within an hour of taking Kefort. If you
develop these symptoms, stop taking Kefort and tell your doctor straight away.
Taking other medicines
Please tell your doctor or pharmacist if you are taking, or have recently taken any other
medicines, including medicines obtained without prescription. Especially:
Supplements containing calcium, magnesium, iron or aluminium, as they could
possibly influence the effects of Kefort.
Aspirin and other non-steroidal anti-inflammatory medicines (NSAIDs) (including
ibuprofen, diclofenac sodium and naproxen) may irritate the stomach and intestine.
Bisphosphonates (like Kefort) may also do so. So be especially careful if you
take painkillers or anti-inflammatories while you’re taking Kefort.
After swallowing your monthly Kefort tablet, wait for 1 hour before taking any
other medication, including indigestion tablets, calcium supplements, or vitamins.
Taking Kefort with food and drink:
Do not take Kefort with food. Kefort is less effective if it’s taken with
You can drink plain water but no other drinks (see 3. HOW TO TAKE KEFORT).
Pregnancy and breast feeding
Ask your doctor or pharmacist for advice before taking any medicine.
There are no adequate data from the use of Kefort in pregnant women. Studies in
animals have shown that Kefort could be toxic to reproduction. Kefort
should therefore not be used during pregnancy.
It is not known if the medicine is excreted in human milk. Studies in animals have shown low
levels of the active substance in milk. Kefort should therefore not be used during
Driving and using machines
You can drive and use machines as it’s very unlikely that Kefort will affect your
ability to drive and use machines.
Important information about some of the ingredients of Kefort
Kefort contains an ingredient called lactose. If you have been told by your doctor that
you have an intolerance to some sugars, contact your doctor before taking this medicinal
3. HOW TO TAKE KEFORT
Always take Kefort exactly as your doctor has told you. If you’re not sure about
anything, ask your doctor or pharmacist.
The usual dose of Kefort is one tablet once a month.
Taking your monthly tablet
It’s important to follow these instructions carefully. They are designed to help your Kefort
tablet reach your stomach quickly, so it’s less likely to cause irritation.
Take one Kefort 150 mg tablet once a month.
Choose one day of the month that will be easy to remember. You can choose either the
same date (such as the 1st of each month) or the same day (such as the first Sunday of each
month) to take your Kefort tablet. Choose the date that best fits your routine.
Take your Kefort tablet at least 6 hours after you last had anything to eat or
drink except plain water.
Take your Kefort tablet
- after you first get up for the day, and
- before you have anything to eat or drink (on an empty stomach)
Swallow your tablet with a full glass of plain water (at least 180 ml). Do not take your
tablet with mineral water, fruit juice or any other drinks.
Swallow your tablet whole — do not chew it, crush it or let it dissolve in your mouth.
For the next hour (60 minutes) after you’ve taken your tablet
- do not lie down; if you do not stay upright (standing or sitting), some of the medicine
could leak back into your oesophagus
- do not eat anything
- do not drink anything (except plain water if you need it)
- do not take any other medicines
After you’ve waited for an hour, you can have your first food and drink of the day. Once
you’ve eaten, it’s OK to lie down if you wish, and to take any other medication you need.
Do not take your tablet at bedtime or before you get up for the day.
Continuing to take Kefort
It’s important to keep taking Kefort every month, as long as your doctor prescribes it
Kefort can treat osteoporosis only as long as you keep taking it.
If you take too much Kefort
If you’ve taken more than one tablet by mistake, drink a full glass of milk and talk to your
doctor straight away.
Do not make yourself vomit, and do not lie down — this could cause Kefort to
irritate your oesophagus.
If you forget a dose
If you forget to take your tablet on the morning of your chosen day, do not take a tablet later
in the day. Instead, consult your calendar and find out when your next scheduled dose is:
If your next scheduled dose is only 1 to 7 days away…
You should wait until the next scheduled dose is due and take it as normal; then, continue taking
one tablet once a month on the scheduled days you’ve marked on your calendar.
If your next scheduled dose is more than 7 days away…
You should take one tablet the next morning after the day you remember; then, continue taking
one tablet once a month on the scheduled days you’ve marked on your calendar.
Never take two Kefort tablets within the same week.
4. POSSIBLE SIDE EFFECTS
Like all medicines, Kefort can cause side effects, although not everybody gets them.
These side effects may occur with certain frequencies, which are defined as follows:
- very common: affects more than 1 user in 10
- common: affects 1 to 10 users in 100
- uncommon: affects 1 to 10 users in 1,000
- rare: affects 1 to 10 users in 10,000
- very rare: affects less than 1 user in 10,000
- not known: frequency cannot be estimated from the available data.
Common side effects are heartburn, indigestion, diarrhoea, stomach ache, and nausea.
Kefort can also irritate the oesophagus, although you can usually avoid this by
taking your dose as described in this leaflet. If you develop symptoms such as severe pain
in the chest, severe pain after swallowing food or drink, severe nausea, or vomiting, tell
your doctor straightaway.
Other common side effects include rash, cramps in the muscles, pain in the muscles and joints,
It also includes flu-like symptoms (aches and pains, feeling of discomfort, fatigue) which are
usually mild, are short-lasting and disappear soon after you have taken the first dose. So you
should be able to carry on taking Kefort. Talk to your doctor if any effects become
troublesome or last a long time.
Uncommon side effects are dizziness, back pain and flatulence.
Rare side effects are swelling and itching of the face, lips and mouth.
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet,
please tell your doctor or pharmacist.
5. HOW TO STORE KEFORT
Keep out of the reach and sight of children.
Do not use after the expiry date which is stated on the carton after “EXP”.
There are no special storage instructions.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist
how to dispose of medicines no longer required. These measures will help to protect the
6. FURTHER INFORMATION
What Kefort contains
The active substance is ibandronic acid. One tablet contains 150 mg ibandronic acid (as
ibandronate sodium hydrate).
The other ingredients are:
tablet core: lactose monohydrate, cellulose microcrystalline, croscarmellose sodium,
magnesium stearate, silica colloidal anhydrous
tablet coat: hydroxypropylcellulose, titanium dioxide (E171), macrogol 6000
What Kefort looks like and contents of the pack
Kefort 150 mg film-coated tablets are white film-coated tablets of oblong shape and
scored “LC” on one side.
Kefort 150 mg film-coated tablets is available in pack sizes of 1 and 3 film-coated
tablets. The tablets are supplied in blisters containing 1 or 3 tablets.
Not all pack sizes may be marketed.
Marketing Authorisation Holder:
Crescent Pharma Limited
Units 3 & 4, Quidhampton Business Units,
Polhampton Lane, Overton,
Hants RG25 3ED
Laboratorios LICONSA, S.A.
Avda. Miralcampo, Nº 7, Polígono Industrial Miralcampo
19200 Azuqueca de Henares (Guadalajara),
This medicinal product is authorised in the Member States of the EEA under the following names:
Austria: Kefort 150 mg Filmtabletten
Bulgary: Kefort 150 mg Филмирана таблетка
Czech Republic: Kefort 150 mg potahované tablety
Estonia: Kefort 150 mg
France: Kefort 150 mg Comprimés pelliculés
Germany: Kefort 150 mg Filmtabletten
Greece: Kefort 150 mg Επικαλυμμένο με λεπτό υμένιο δισκίο
Ireland: Kefort 150 mg Film-coated tablets
Italy: Kefort 150 mg Compressa rivestita con film
Latvia: Kefort 150 mg Apvalkotās tabletes
Lithuania: Kefort 150 mg Plėvele dengtos tabletės
Norway: Kefort 150 mg Tablett, filmdrasjert
Poland: Kefort Portugal: Kefort 150 mg
Slovenia: Kefort 150 mg Filmsko obložene tablete
Slovak Republic: Kefort 150 mg
United Kingdom: Kefort 150 mg Film-coated tablets
This leaflet was last approved in:
Source: Medicines and Healthcare Products Regulatory Agency
Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.