Minor side effects are relatively uncommon but can occur. Headaches, dizziness, tiredness, or flu-like symptoms (such as fever, chills, muscle/joint aches) may occur. If any of these effects last or get worse, please inform your treating physician.
Serious side effects are rare but can occur. If you experience any of the following, please alert your treating physician immediately: new or unusual hip/thigh/groin pain, jaw or ear pain (osteonecrosis of the jaw has been reported in the literature), increased or severe bone/joint/muscle pain, vision problems, numbness or tingling, muscle spasms, irregular heartbeat, signs of kidney problems (such as change in the amount of urine), seizures.
A very serious allergic (anaphylactic) reaction to this drug is very rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including:
“Hives” / rash, itching/swelling (especially of the face/tongue/throat), severe dizziness or any trouble breathing.