I am afraid of trying Tymlos and other drugs due to side effects

Posted by mkav2023 @mkav2023, May 7, 2023

How do others handle the fear of side effects, as well as the very real side effects, from Tymlos and other osteoporosis drugs?

I am 68, physically active, and feel fine with no fracture history. When I began developing osteopenia years ago, I was put on Fosomax and large amounts of calcium and D for about five years with no positive results, and sure enough, my osteopenia became osteoporosis.

My doctor now is recommending Tymlos due to my worsening Dexascan scores (worse T-score is -3.3 spine, and other T-scores are in -3.0 range). I have read a great deal (pro and con) about Tymlos and its side effects, and I know that even if Tymlos helps, after two years on Tymlos, then I have to go on another drug. I believe the odds are I will encounter a drug sooner or later with serious side effects that will drastically hurt my quality of life.

Any advice from those of you who have been on Tymlos and other drugs with side effects is greatly appreciated. Thank you!

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

@lhankins

@gravity3
My apologies to the forum for sharing ‘negative thoughts’, that was not my intent. I should have not allowed emotions into my response to a question. I appreciate all of the great information on this forum. Again, apologies to all.

Jump to this post

You definitely are allowed to express your fears and concerns here. That is what a support group is for. However, it is wise to not let fear get out of hand.

REPLY
@lhankins

@gravity3
My apologies to the forum for sharing ‘negative thoughts’, that was not my intent. I should have not allowed emotions into my response to a question. I appreciate all of the great information on this forum. Again, apologies to all.

Jump to this post

I probably did make myself clear. I don't think anyone should suppress their feelings positive or "negative". I was simply referring to how any of us could get stuck trying to put all of the information together in order to make a decision about meds. I have found it exhausting in ever possible way. So many of us are struggling to find the path that we hope is best.

REPLY

@gravity3
Exhausting indeed. As a single issue osteoporosis is challenging; when combined with other significant health issues it becomes an enormous jigsaw puzzle with little room for mistakes. I appreciate all of the shared information here and will take the time to make the best sense of it all. First and foremost I do believe I need to find a new medical team.

REPLY
@oopsiedaisy

I was on Tymlos for 4.5 months and I did experience side effects but they did not impact my quality of life greatly. They included elevated heart rate that lasted about 30 minutes, some constipation (which I believe may have also been due to my not drinking enough water throughout the day), and sporadic pain in my extremities which some people attribute to "bone pain". The pains felt like electric "zaps" that came and went very quickly. They were worse some days than others and many days I did not feel them at all.

I was switched to Forteo (generic) due to insurance coverage issues and have not experienced the same side effects at all. I did switch my injection time to the morning from the evening and perhaps that made a difference.

I will be on it for another 18 months to 2 years so will not know how much improvement there is until then. I am unsure of what comes after as my doctor didn't bother to discuss that with me. I had no idea I might need to take something after or that I may need to be on medication for a good portion (or most) of the rest of my life. I plan to have a follow up conversation with my current doctor next month and will also see an endocrinologist for a second opinion in April.

I had a T8 compression fracture last year after being on Fosamax for five years. I had an improvement in my DEXA after two years on Fosamax and it appeared to remain stable for another 3 years but then I had the fracture which was quite unexpected as I had a lumbar T-score in the osteopenia range. Of course, I have no idea what shape my thoracic spine was in. I had an accident in 2017 where I broke a transverse process on T1 and I wonder if the impact somehow contributed to the later fracture. I had a lot of pain in the same area as the fracture but the MRI at the time of the accident didn't show any issues.

I will do whatever it takes to avoid another compression fracture. The pain was terrible and the rehab from the fracture took months as it really affected my back muscles from nerve root compression. It quite honestly messed up my entire year in so many ways.

At any rate, I only have experience with three medications: Fosamax, Tymlos, and Forteo. I am sure others can perhaps chime in with their experiences.

Jump to this post

This is so helpful. Thank you.

REPLY
@windyshores

@laoaca70 and @susanjohnston I miss Tymlos! I have several spinal fractures and felt safe on it. Doing the shots every day really is no big deal. It just becomes routine. The needle is small.

One advantage to Tymlos is that the dosing is adjustable with clicks on the pen. Full dose is 8 clicks. I had trouble with even a half dose so went down to 1/4 dose and moved up slowly. I landed at 7/8 dose long term and by 18 months had a 19+% gain in spine, 9% gain in hip, going from severe osteoporosis in spine to borderline.

I switched to morning and that eliminated headaches. I also found that moving around rather than resting seemed to help. I have low blood pressure so perhaps movement raised it. At first I had a blood pressure cuff and if my bp was lowish before the shot I hydrated and ate something salty. After while I found that was not necessary.

I have occasional atrial fibrillation and was afriad the rise in heart rate might be a trigger but I didn't have a single episode the entire two years I was on it.

I did 4 months of Evenity afterwards though noone else in my doctor's practice did Evenity after Tymlos. Now I am on Reclast. Hoping to do more of an anabolic. Forteo can now be taken more than two years for certain patients. I didn't do well with Forteo perhaps because it is not adjustable.

All of these meds have some side effects. But for me, fractures have been 1,000 times worse. With Tymlos I lived pretty normally and had a good quality of life. But yeah, some fatigue at times. No fractures since 2021.

Jump to this post

This is so helpful. Thank you!

REPLY

The fear is overcome by getting information. I am very drug sensitive so I had problems. I also had problems because I needed, my bones needed the medication. As I have found over a lifetime I am 68 to an active when things happen to my body, I have a negative reaction to medication when my body needs the medication. The more I actually need it the more of a reaction I have. The reason being is your body is mounting a reaction to the need. Therefore, I think you must in your mind decide that your bones are important enough and your health is important enough to go on this journey. This group was super important when I started my TYMLOS journey! My doctors and team did not inform me of what was about to happen. I learned on my own. That’s why this group is very important because I found comfort in knowing I wasn’t alone. Get tested before you start the medication’s. That way in a few months you can get tested again and you can start seeing the results.. I started seeing the results at my orthopedic surgeon between two different x-rays over six months the second one was more opaque, dense. That was enough to me. I had been in a surgery where my bones literally fell apart, and every one was shocked because my DEXA scans of 20 years implied that I was only in osteopenia. The good news is exactly what my doctors implied which was that the side effects only last for two months on the TYMLOS. My doctor’s nurse said it’s like magic her patients report. She only told me that after I was miserable. However, it was true at two months. I didn’t even know I was taking the medication anymore. My suggestion is to wait till you can clear your schedule so you can deal with any fatigue, headaches, nausea, let the medicine might bring about. And that you also have a good support system to get you through that first two months.
I was able to have necessary dental work done on the TYMLOS. One thing I had to do was start over and titrate up, which means that you start at two clicks and every week you move up a clicker too until you get to the eight clicks. I did that like a champ. Also the belly injections made my belly plump out, so I just kept my injections in the leg and tried a few under my arms. At this point, I’m coming upon my first year and none of it matters anymore. I went from Injecting in the morning to injecting in the evening so if I’m tired, I don’t even notice. The scans and tests after three months told me everything I need to know six months might be the standard. I forget then there is the RECLAST infusion. I had one injection before starting the TYMLOS. No one prepared me for that one either! I had two problems that one was started too close to a huge surgery, which I would never do again, and they didn’t prepare me by having me dose with NSA IDs before coming in for the infusion. 10% of people have severe reactions and I was one of those. But again that reaction is due to needing the medicine to do its work it ramps up your immune system and I felt like crap for about three days. After reading up on the rec class a few months after I had it, I learned that if you have a really bad response, you can expect that for the first time and then the other infusions you sail through. So after I finish the TYMLOS with much trepidation and fear I will go back WILLGOBACK and finish two or three rounds of the RECLAST. And then I think I’m done for life is what the doctor said. here’s the deal, my friend. You can always stop. You can always stop. Since you can always stop you might as well try. There were a couple times I considered stopping, but I said just a little more… Just try again… Just find some support… just hang with it because I’m seeing the results… Just call the doctor… Just see the nurse… Just come back here ask questions. And now I’m on my first year and a half of this journey with major results! I hope you do it because you can always stop.

REPLY
@lhankins

@gravity3
My apologies to the forum for sharing ‘negative thoughts’, that was not my intent. I should have not allowed emotions into my response to a question. I appreciate all of the great information on this forum. Again, apologies to all.

Jump to this post

@ Hankins, You do not need to apologize! I personally am terrified of medications because they all are unnatural to the way our bodies should function if normal!

I have never had any success with drugs. For example, the drug (pantaprozole) that was supposed to treat LPR (a more serious form of GERD), and in fact taking proton pump inhibitors for a while is what I believe sent my Dexa scores into a downward cycle. Drugs for nerve pain like Gabapentin, did nothing for my nerve pain- only made me feel like a zombie. Same with any antidepressant drugs and I've tried nearly a dozen of them. Was prescribed Xanax years ago for anxiety, only to find out that a psychologist recently told me they predispose you to Alzheimer's disease if taken for a long period, which my mother had! Would never have started had I known that.

You assumed your doctor was taking the precautions so that you would not end up with high hypercalcemia, yet here you are. I would be upset, too. And I would never take Prolix, either.

Doctors are great at prescribing medicine. It is up to us to do the research to make sure that we are not going to run into problems down the road from taking them. I picked up my first prescription for Tymlos yesterday. Didn't have the heart to take it, after reading what Susan wrote about needing to go on something else afterwards. I will never, ever take an anti-resorptive drug because I have had dental problems all my life. That leaves only Forteo, and so that leaves me at risk to develop possible bone cancer since I've had radiation. Not a wonderful situation to be in.

So your fears about medication are not unfounded and you are not alone. Check out the reviews about these medications on Drugs. com. They are not good! If we cannot come on this site and voice our concerns , then we have no voice for them, which is sad.

In the end we have to make our own decisions, and this group on this site is very supportive. I would not even consider trying Tymlos if it were not for the positive comments and support on this site. Good luck with your decision!

REPLY

I am on my second week of Tymlos with no ill effects yet.
My endo thought Tymlos would be best for me but it scared me. The administration, side effects and follow up with other drugs and I am 65. I would like to think I have many years ahead of me.
Just before my follow up appointment and beginning Tymlos I fractured my L3.
I wanted to believe that diet and exercise would be enough but my painful experience has turned my thinking around. Tymlos is now my friend, I am grateful for it and am hopeful for a supportive outcome.
This group and the information I have found here has been a huge factor in turning my thinking around to an accepting, realistic one.
I don’t even feel afraid of side effects. If I could cope with life through this recent fracture I can handle taking medication and finding a silver lining.

REPLY
@mundy

I am on my second week of Tymlos with no ill effects yet.
My endo thought Tymlos would be best for me but it scared me. The administration, side effects and follow up with other drugs and I am 65. I would like to think I have many years ahead of me.
Just before my follow up appointment and beginning Tymlos I fractured my L3.
I wanted to believe that diet and exercise would be enough but my painful experience has turned my thinking around. Tymlos is now my friend, I am grateful for it and am hopeful for a supportive outcome.
This group and the information I have found here has been a huge factor in turning my thinking around to an accepting, realistic one.
I don’t even feel afraid of side effects. If I could cope with life through this recent fracture I can handle taking medication and finding a silver lining.

Jump to this post

I am so happy to read your post. I may have to start Tymlos and I’ve been petrified with some of the posts. I’m on Prolia now and may have to come off. I know it’s not as successful once you’ve been on Prolia. Unfortunately, I may not have a choice. It’s Tymlos or fractures. The cost also concerns me. I have been approved by my plan. I’m not sure of the deductible. When I get my final diagnosis I’ll call and see.

REPLY

Minor side effects and improved bone density especially in my spine. I too am active and healthy at 66. I do not want to stay on this drug for two years… it’s been a year but endo wants two, even though she says there will be very little improvement. Deciding now what to do.

REPLY
Please sign in or register to post a reply.