Brand name: BONMAX (Evista, Raloxifene)
Pronounced: Eve-IST-ah
Generic name: Raloxifene hydrochloride
Why is BONMAX (Evista, Raloxifene) prescribed?

BONMAX (Evista, Raloxifene) is prescribed to treat and prevent osteoporosis, the brittle-bone disease that strikes some women after menopause. A variety of factors promote osteoporosis. The more factors that apply to you, the greater your chances of developing the disease. These factors include:

Caucasian or Asian descent
Slender build
Early menopause
Smoking
Drinking
A diet low in calcium
An inactive lifestyle
Osteoporosis in the family
Most important fact about BONMAX (Evista, Raloxifene) without prescriptions.

Like estrogen, BONMAX (Evista, Raloxifene) reduces bone loss and increases bone density. However, BONMAX (Evista, Raloxifene) does not have estrogen-like effects on the uterus and breasts, and therefore is unlikely to increase the risk of cancer, as estrogen therapy sometimes can do.

Although BONMAX (Evista, Raloxifene) has been shown to increase bone density over the course of a two-year study, its longer-term ability to prevent bone fractures has not yet been proven.
How should you use BONMAX (Evista, Raloxifene)?

Take BONMAX (Evista, Raloxifene) once daily, at any time, with or without food. Take calcium and vitamin D supplements as well, if you do not get enough in your diet. Avoid alcohol and tobacco. Do weight-bearing exercises to strengthen your bones.

If you miss a dose BONMAX (Evista, Raloxifene)

Take it as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Never take a double dose.

Storage instructions

Store at room temperature.
BONMAX (Evista, Raloxifene) side effects

BONMAX (Evista, Raloxifene) has one very positive side effect: It lowers total cholesterol and LDL ("bad") cholesterol. It does not affect HDL ("good") cholesterol or triglyceride levels.

The unwanted side effects of BONMAX (Evista, Raloxifene) cannot be predicted. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking BONMAX (Evista, Raloxifene).

* Side effects may include:
Abdominal pain, arthritis, breast pain, bronchitis, chest pain, depression, diarrhea, dizziness, fever, flu symptoms, gas, gynecological problems, headache, hot flashes, increased cough, indigestion, infection, insomnia, joint pain, leg cramps, muscle ache, nasal inflammation, nausea, rash, sinusitis, sore throat, stomach and intestinal problems, sweating, swelling, tendon soreness, uterine discharge, urinary tract infection, vomiting, weight gain

Why should BONMAX (Evista, Raloxifene) not be prescribed?

BONMAX (Evista, Raloxifene) is not for use by women who are--or could become--pregnant. You should also avoid BONMAX (Evista, Raloxifene) if you have a history of blood clot formation, including deep vein thrombosis (blood clot in the legs), pulmonary embolism (blood clot in the lungs), and retinal vein thrombosis (blood clot in the retina of the eye), since BONMAX (Evista, Raloxifene) increases the risk of clots. Avoid the drug, too, if it gives you an allergic reaction.
Special warnings about BONMAX (Evista, Raloxifene)

Because of BONMAX (Evista, Raloxifene)'s tendency to promote clots, you should not take it during long periods of immobilization such as recovery from surgery or prolonged bed rest, or for 72 hours beforehand. If you are scheduled for surgery, make sure the doctor is aware that you are taking BONMAX (Evista, Raloxifene).

For the same reason, if you are going on a trip where your movement will be restricted, make a point of periodically getting up and walking around.

BONMAX (Evista, Raloxifene) is not needed prior to menopause and shouldn't be taken until menopause has passed. It has not been studied in premenopausal women and its use is not recommended.

Use BONMAX (Evista, Raloxifene) with caution if you have congestive heart failure, a liver condition, or cancer. Be cautious, too, if you've had breast cancer in the past; the drug's effect in this situation is unknown.

If you develop unusual uterine bleeding or breast problems while taking BONMAX (Evista, Raloxifene), tell your doctor immediately.

BONMAX (Evista, Raloxifene) will not cure hot flashes. (In fact, it may cause them.) Nevertheless, never combine BONMAX (Evista, Raloxifene) with estrogen hormones.

If you've had a problem with high blood triglyceride levels when taking estrogen, BONMAX (Evista, Raloxifene) may cause the same problem. However, it tends to lower cholesterol levels by 6 to 11 percent.
Possible food and drug interactions when taking BONMAX (Evista, Raloxifene)

If BONMAX (Evista, Raloxifene) is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining BONMAX (Evista, Raloxifene) with the following:

Cholestyramine (Questran)
Clofibrate (Atromid-S)
Diazepam (Valium)
Diazoxide (Proglycem)
Ibuprofen (Advil, Motrin, Nuprin)
Indomethacin (Indocin)
Naproxen (Aleve, Anaprox, Naprosyn)
Warfarin (Coumadin)
Special information if you are pregnant or breastfeeding

BONMAX (Evista, Raloxifene) can harm a developing baby. Do not use if you are or may become pregnant. Also avoid breastfeeding while taking BONMAX (Evista, Raloxifene).
Recommended dosage for BONMAX (Evista, Raloxifene)

POSTMENOPAUSAL WOMEN
Overdosage

There have not been any reports of overdose with BONMAX (Evista, Raloxifene). However, any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.