Priming Tymlos pen?

Posted by jopat @jopat, 1 day ago

Hi, I've read through lots of posts about starting Tymlos at a lower dose and that's what I'm going to try. One question I can't find the answer to: the directions say to prime the for the full dose. Is that ok to do if I plan to start with 4 clicks? Or should I also prime with only 4 clicks? Thanks in advance for any advice!!

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gently | @gently | 19 hours ago

In reply to @njx58 "Just do the full dose. You're talking about a drop of liquid vs. a slightly smaller..." + (show)

@njx58, if this were so, why would anyone ever take a full dose.

gently | @gently | 19 hours ago

In reply to @bharris202 "@gently I have a syncope issue…meaning if I get mildly dehydrated, I pass out. So I..." + (show)

@bharris202
we are all different. For most healthy adults the time frame from drinking a glass of water to the stretching of the bladder resulting in urge is 60 to 90 minutes.
Drinking the water is advised in the interest of mitigating the low blood pressure effect of this medication in order to mitigate the cardiac workload and the vascular headaches.

osteopatient2026 | @osteopatient2026 | 18 hours ago

In reply to @bharris202 "@gently I have a syncope issue…meaning if I get mildly dehydrated, I pass out. So I..." + (show)

@bharris202
Have you had your sodium checked? Also drinking just water (a lot) actually can flush the electrolytes (which includes sodium) right out of your system causing dizziness, headaches and…syncope (fainting).
Gently offered a great tip, at least it worked for me…drink some water and have a salty pretzels or crackers 45minutes before to have some “fluids on hand” for your system so it doesn’t get over taxed like your kidneys…

jopat | @jopat | 17 hours ago

In reply to @osteopatient2026 "@bharris202 Have you had your sodium checked? Also drinking just water (a lot) actually can flush..." + (show)

@osteopatient2026 Yes, I read through lots of advice over the last few weeks and I'm so thankful for how much I've learned here. I did do 4 clicks last nite--my B/P was actually fine, no dizziness, but a horrible headache and nausea all night so I didn't sleep much. I'm going to try it at the same time tonight and see how it goes. Maybe try the am if the nausea continues.

I normally do drink tons of water so that's easy enough, but I'll definitely try the salty snack if I switch to the ams.

Thanks so much for the input!

bharris202 | @bharris202 | 17 hours ago

In reply to @osteopatient2026 "@bharris202 Have you had your sodium checked? Also drinking just water (a lot) actually can flush..." + (show)

@osteopatient2026 My sodium is fine. My syncope issue is neurological in nature (hereditary), my brother has it too. My trigger is mild dehydration, my brother’s trigger is severe cold.

I guess I’m not like others. I can drink 8-12oz of water just before bed, take my Tymlos, also take my trazadone for insomnia and not have any issue with needing to pee nor getting up dizzy or drowsy. No two people are the same.

osteopatient2026 | @osteopatient2026 | 16 hours ago

In reply to @bharris202 "@osteopatient2026 My sodium is fine. My syncope issue is neurological in nature (hereditary), my brother has..." + (show)

@bharris202
I can see with the trazadone why you don’t need to wake to urinate. Do you actually faint or just feel dizzy?

bharris202 | @bharris202 | 16 hours ago

In reply to @osteopatient2026 "@bharris202 I can see with the trazadone why you don’t need to wake to urinate. Do..." + (show)

@osteopatient2026 With the syncope? I go completely out…no dizziness, but I can feel it coming so I can sit or lie down first. As soon as I go out (get prone), I come to because the blood comes back to my head. I’ve seen an actual doctor (cardiologist) for it. It’s benign…neurological…not caused by a physiological or cardiology issue. My brain tells my heart to restrict blood and when the heart restricts it, it restricts it from the brain too…out I go. It’s genetic/familial given that my brother has it too.

osteopatient2026 | @osteopatient2026 | 15 hours ago

In reply to @bharris202 "@osteopatient2026 With the syncope? I go completely out…no dizziness, but I can feel it coming so..." + (show)

@bharris202
That’s no fun…my husband has it but for other reasons.

bharris202 | @bharris202 | 13 hours ago

In reply to @osteopatient2026 "@bharris202 That’s no fun…my husband has it but for other reasons." + (show)

@osteopatient2026 For me, it’s pretty easily managed…hydrate, hydrate, hydrate. I’ve dealt with it for about 15 years. I kayak, hike, exercise lots and ride a bike. Careful management of it keeps me safe.