Tymlos blood pressure side effects etc. very nervous! Help…

Posted by osteopatient2026 @osteopatient2026, Nov 11, 2025

I wanted to know if anyone has some info on these specific topics.
We are in a small town one Rheumatologist…has connections with Dartmouth, which isn’t bad.

1. 90/60 blood pressure (10-20% drop with Tymlos)
2. Can you start with smaller dosing first few days to start? He says no others say yes. Tymlos company rep says no, but I see others have said they did that.
3. Can you use Ibuprofen to raise low blood pressure?
4. Phenegran or Zofran for Nausea? What other meds since these can low BP also.
5. Calcium Vitamin supplement schedule?
6. How soon should a Blood test follow up be?

Any other experience with Tymlos would be helpful…supposed to start Thursday

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

Profile picture for osteopatient2026 @osteopatient2026

@gently
Has anyone had severe “blood pressure drop” since my baseline is 90/60 blood pressure and a 10-20% drop with Tymlos could be significant …an emergency.

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@osteopatient2026 the clinical trials indicated significant drop in 1%, none result in emergency, but risking dizziness and falling.
I haven't read any in patient reports of hospitalization, except one person who hand an allergic reaction to the preservative in Tymlos.
Do you have a home bp cuff. In your situation I'd go four clicks and measure the drop.
Your blood pressure might be elevated now with all this last minute scare.

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Really so your diastolic drops to 38…wow…I would think you would be unconscious. I start tomorrow with a Tymlos Clinician…
Will keep everyone posted on my first experience with Tymlos.

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@osteopatient2026
you'll find the daily injections ridiculously easy. But it you don't like Tymlos, you can go to Forteo.

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@gently
Because of some bone loss in my lower 3 front teeth (not visible without X-ray) I have to use caution to not use a drug that won’t allow treatment of the teeth if I needed it. Tymlos doesn’t have any issues there. It’s after wards 18-24 months I will have to be careful.

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@osteopatient2026
my baseline is 100/60. My drop is 20 on the systolic and 22 on the diastolic. I never feel it but used the blood pressure cuff obsessively my first week. It starts to rise as soon as it drops. But takes four to five hours to return to 100/60. For the first few days I didn't do anything requiring balance. I like to have tea on the roof in the mornings, so I change my activity a little. Now I don't even think about it. Be careful for a while until understand your response. Are you injecting now? Did you have some tea or coffee and maybe a coctail olive.

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@gently
Thank you…what part of the world are you in? I am in northeast

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Profile picture for osteopatient2026 @osteopatient2026

@gently
Because of some bone loss in my lower 3 front teeth (not visible without X-ray) I have to use caution to not use a drug that won’t allow treatment of the teeth if I needed it. Tymlos doesn’t have any issues there. It’s after wards 18-24 months I will have to be careful.

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@osteopatient2026, I'd heard that Tymlos rebuilds jawbone. I'm taking Forteo which is very similar. The dentist I see remarked that dental x-rays comparing last year and this year indicated thickening bone. He was unfamiliar with Forteo.
I think this will happen for you with Tymlos maybe faster.
The danger for you would be after stopping Tymlos?
I'm in California in the middle of the state 218 miles to LA 186 miles to SF.
We're expecting an atmospheric river.

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@osteopatient2026, I'd heard that Tymlos rebuilds jawbone. I'm taking Forteo which is very similar. The dentist I see remarked that dental x-rays comparing last year and this year indicated thickening bone. He was unfamiliar with Forteo.
I think this will happen for you with Tymlos maybe faster.
The danger for you would be after stopping Tymlos?
I'm in California in the middle of the state 218 miles to LA 186 miles to SF.
We're expecting an atmospheric river.

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@gently
Use to live in Carmel area…and at one time…near Suisun….lots of other places…Orange County.
Hard to get much medical care where I am at …thx for your input.

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osteopatient2026,
well, you get around. I usually go north or south for medical care. My cardiologist is at Stanford. My general practitioner at USC. The endocrinologis here beats all. He's just a dream. I'm happiest in warm weather.

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Profile picture for osteopatient2026 @osteopatient2026

Thank you to you both. I am suppose to start for the first time Thursday night (11-13-tomorrow)
When I asked Tymlos and my doctor they both said not to
“lower the dose by listening for the clicks when you turn the dial. Each click is 10mcg of PTH 1-34.”
I am not sure why. Many other drugs allow to start slow and acclimate except antibiotics some pain meds etc.
There does not seem to be any published safety guidance on this approach…it sure seems like it would be easier. Hoping to hear from the “Tymlos Nurse” today and or speak with the specialty pharmacy before I start.
Thank you for taking the time to respond.

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@osteopatient2026 Sending you my best today. 🌺 I’ve read here that women do experience success and relief by titrating down if the side effects become too uncomfortable, as well as starting at a low dose and titrating up as side effects are better tolerated.

It just makes perfect sense to me to give those parathyroid glands a gentle nudge by starting low and moving up as your body adjusts.

Why put the meds in a titrating pen if we can’t do that?

Personally, I think there’d be a higher rate of success if we were able to maintain control over the dosage, so long as we commit to getting to the 80 mg dose for optimum results. We all WANT the medicine to work, for heaven’s sake, right?

If no study has been done on titration, I’d honestly wonder why (though we’re smart cookies. We know why.)

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Osteoporosis treatment seems to fall into the "one-size-fits all" category. It is a battle to get lower dose ReClast and patients often have to take matters in hand to adjust the dosage of Tymlos.

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Profile picture for beachesanddreams @beachesanddreams

@osteopatient2026 Sending you my best today. 🌺 I’ve read here that women do experience success and relief by titrating down if the side effects become too uncomfortable, as well as starting at a low dose and titrating up as side effects are better tolerated.

It just makes perfect sense to me to give those parathyroid glands a gentle nudge by starting low and moving up as your body adjusts.

Why put the meds in a titrating pen if we can’t do that?

Personally, I think there’d be a higher rate of success if we were able to maintain control over the dosage, so long as we commit to getting to the 80 mg dose for optimum results. We all WANT the medicine to work, for heaven’s sake, right?

If no study has been done on titration, I’d honestly wonder why (though we’re smart cookies. We know why.)

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@beachesanddreams, I'd bet they'd change the pen if they ever found out patients are titrating.

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