Has anyone experienced back pain with Tymlos?

Posted by harryboy7 @harryboy7, Sep 25 9:35am

I have started Tymlos recently. So far I am only doing 3 clicks. I know doctors and the Tymlos folks do not want us do that. Also the injections are to be given only in the stomach. There are other sites for subq injections. Tymlos and doctor say only inject into stomach.
Regarding the clicks, I plan to slowly titrate to full dose. My decision. I know a lot of people are doing this.
The main question I posted was back pain. Has anyone experienced that with Tymlos? Thanks

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Profile picture for loriesco @loriesco

I’m sorry, but what you are saying is flat out incorrect. I don’t know where you got your information but I suggest you call the T YMLOS manufacturer or contact your doctor or look online! You can rotate your injections between your left and right leg and your left and right tummy — and even underneath your arm (but I can’t reach there). You have not received proper information. In addition, doctors WILL suggest titrating up if you aren’t tolerating the medicine well. Mine certainly did and it lessened the side effects I was experiencing. Just like they said after two months, the side effects disappeared. One aspect of having specific pain is that you have an area in need of treatment and your immune system is ramping up to address that area in need. I suggest calling your doctors office with your issues and calling the manufacturer as well.

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@loriesco I am a retired RN. Tymlos does Not recommend titrating the drug, but that is what I am doing. Tymlos only said stomach for injections. I agree, there are several SQ sites.
I think it depends on the information the Doc tells you. Plus call Tymlos.
Maybe they say stomach only because the medication absorbs better

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Profile picture for harryboy7 @harryboy7

@loriesco I am a retired RN. Tymlos does Not recommend titrating the drug, but that is what I am doing. Tymlos only said stomach for injections. I agree, there are several SQ sites.
I think it depends on the information the Doc tells you. Plus call Tymlos.
Maybe they say stomach only because the medication absorbs better

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@harryboy7 1) I called the manufacturer. Did you?
I read the instructions included in the box
3) all of which was then coordinated with my endocrine/infusion dept.
so I’m not sure what you are talking about.
Correct that the manufacturer doesn’t recommend titrations at the start but if one doesn’t tolerate the med they have no objections.

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Profile picture for harryboy7 @harryboy7

@loriesco I am a retired RN. Tymlos does Not recommend titrating the drug, but that is what I am doing. Tymlos only said stomach for injections. I agree, there are several SQ sites.
I think it depends on the information the Doc tells you. Plus call Tymlos.
Maybe they say stomach only because the medication absorbs better

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@harryboy7 everything need to know is right here: https://www.tymlos.com/taking-tymlos/

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Profile picture for loriesco @loriesco

@harryboy7 1) I called the manufacturer. Did you?
I read the instructions included in the box
3) all of which was then coordinated with my endocrine/infusion dept.
so I’m not sure what you are talking about.
Correct that the manufacturer doesn’t recommend titrations at the start but if one doesn’t tolerate the med they have no objections.

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@loriesco I called Tymlos. Injection only in stomach. No titration.
I had a long conversation with my Endocrinologist and his clinical pharm. No titration, shot in stomach.

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Profile picture for harryboy7 @harryboy7

@loriesco I called Tymlos. Injection only in stomach. No titration.
I had a long conversation with my Endocrinologist and his clinical pharm. No titration, shot in stomach.

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@harryboy7 I know the site well. I looked again. I even read the insert of the drug. Injections in stomach. Yes, its SubQ and there are different sites to do that. Tmylos and Endo say only in stomach. SubQ better absorption.

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Profile picture for harryboy7 @harryboy7

@harryboy7 I know the site well. I looked again. I even read the insert of the drug. Injections in stomach. Yes, its SubQ and there are different sites to do that. Tmylos and Endo say only in stomach. SubQ better absorption.

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@harryboy7

Maybe they are pushing the abdomen as the average woman weighs 167 lb, making it easier to find a spot to inject there.

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Profile picture for maymore @maymore

Yes, I have a lot of side effects with the Tymlos, but back pain was a major one. It would start 10 minutes after the injection, like a spasm. It wasn't very pleasant, but it has subsided to a degree. My doctor recommended taking extra magnesium and to be sure that I was well hydrated. Maybe that helped or maybe I’m just getting used to the medication.

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@maymore hello. I just started taking Tymlos 5 days ago. On the very first day that I took it, I had that exact same spasm in my lower back. I do have degenerative disc disease of the lumbar/sacral area (wear and tear of the spine from aging). I am 61. But that pain was real. It subsided in 30 mins or so. And also got better in the next few times. I told my Endocrinologist about it and his response was that he had never heard of this reaction from his other patients. Glad to know I was not just imagining it.
I plan on continuing with the med.

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Profile picture for loriesco @loriesco

@harryboy7 1) I called the manufacturer. Did you?
I read the instructions included in the box
3) all of which was then coordinated with my endocrine/infusion dept.
so I’m not sure what you are talking about.
Correct that the manufacturer doesn’t recommend titrations at the start but if one doesn’t tolerate the med they have no objections.

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@loriesco, I love the strength of your replies. This may be about Harry's Thighs. I wanted to make this a new post with that title.
Do you know who you are talking to when you call the manufacturer's help line. They aren't exactly experts.
So, in the thigh the drug is more slowly absorbed. The pth medications are rapidly absorbed anyway. The area around the stomach has more fat and that fat has attendant blood vessels.
This can make a difference with a drug like insulin unless it is the slow release version.
I don't think it matters with Tymlos. The endocrinologist I see says it makes no difference.
But imagine Harry without an ounce of fat on tight muscular thighs. Hard to even pinch the skin into an injectable lump.
Harry's package insert may only offer the area around the naval as an injection site.
(Don't forget that you are in California)

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I have. But it was only for the first 2-3 days and now it’s better. I’ve only started taking Tymlos for 5 days.

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