The syntheses and structures of ammonium salts of the active pharmaceutical agent (4-aminium-1-hydroxybutylidine)-1,1-bisphosphonic acid (alendronic acid, LH 5 ) have been examined. Three deprotonation states of the parent acid were achieved i. e. LH 4 À , LH 3 2À and LH 2 3À , and crystallisation gave a total of six different structural phases including [NH 4 ][LH 4 ] • 2(H 2 O) as two polymorphs 1 a and 1 b, two hydrates of [NH 4 ] 2 [LH 3 ] • x(H 2 O), x = 3 (2), x = 6 (3), [NH 4 ] 5 [LH 3 ][LH 2 ] • 8(H 2 O) (4) and [NH 4 ] 3 [LH 2 ] • 3(H 2 O) (5). The crystal structures obtained, along with that of the parent acid, enable a direct comparison of competing supramolecular synthons, involving phosphonatephosphonate OÀ H•••O and ammonium-phosphonate NÀ H•••O hydrogen bonds, in a series displaying progressively decreasing P-OH with concomitantly increasing RNH 3 + moieties. Indeed, the structures show some consistent connectivity patterns of the alendronate units, which thus assemble into substructures such as 2-D sheets (LH 5 • H 2 O, 1 a), zig-zag chains (2, 5) or ladderlike arrays (3, 4). The occurrence of these motifs appears to correlate with the ionisation level of the parent acid.