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Prescribed Tymlos after Evenity
Osteoporosis & Bone Health | Last Active: 2 hours ago | Replies (58)Comment receiving replies
I’ve read every post on this thread and still don’t understand if anyone in this group started Tymlos after Evenity without waiting period and what was the outcome. My doctor suggested to stop Evenity after 7 shots due to allergic reaction and go to Tymlos. I am very confused by him saying no waiting time just start right away. He doesn’t give any tests or anything else. I am so afraid that this somehow make my back pain or bone density even worse .
Replies to "I’ve read every post on this thread and still don’t understand if anyone in this group..."
@sunny65 I don't know if you've been approved for Tymlos yet, but that process usually takes a while. Perhaps that in and of itself will be a major factor contributing to your decision. I'd also like to mention that when I started Tymlos, my metabolic bone specialist instructed me to start with a lower dose. The Tymlos pen has a delivery system that allows you to very easily adjust your dose. I started with 20mcg, and increased the dose by 20mcg every three days until I reached the full dose of 80mcg every day. This decision was based on my medical history, but I think it's worth noting. So far, I'm tolerating the Tymlos very well and will have my next DEXA in March and will report my results here. I would guess that any testing done for your response to Evenity would be inconclusive as you didn't complete the full course, but that's certainly something to discuss with your doctor. Best wishes to you.
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@sunny65 my doctor wanted me to wait, as I said. I assume your doctor is at least having you wait a month after your Evenity shot. Is that right?
Bottom line would seem to be avoiding interaction between the two. Half life of Evenity is 12.8 days so waiting a month after the shot would be good based on that- so that Evenity is out of the system, but confirm with MD.
ps Just remembered that Evenity can be taken with an interval of up to 6 weeks! So 6 weeks from the last shot should be okay. You can discuss this with your doctor!
My world class endo said it takes awhile for Evenity to mineralize so he okayed waiting two months after the last shot, before doing Reclast. Since Evenity is new (2019) and the transition to Tymlos is unusual, it seems noone really knows for sure.
Bottom line: Tymlos worked well for me and I hope it works well for you regardless of timing. If it were me, I would split the difference (Don't you have another provider suggesting longer?) and do Tymlos 5-6 weeks after the last Evenity but that is NOT medical advice. I hope you can ask your endo what consequences they see from waiting an additional week or two. Let us know because we are all learning!