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abaloparatide

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Brand names: Tymlos

PTHrP Analog Rx

Tymlos is a medicine to treat osteoporosis. It helps make your bones stronger and less likely to break.

Drug Pricing (NADAC)

Brand Price

$1646.36/unit

Generic Available

No

RADIUS

Pricing data from NADAC (CMS), effective January 1, 2024. Compare all drug costs →

What it does

Tymlos treats osteoporosis in women after menopause and in men.

Common side effects

High calcium in your urine, Feeling dizzy, Feeling sick to your stomach

Key warnings

Tymlos may increase the risk of bone cancer (osteosarcoma).

How It Works

Tymlos is similar to a natural hormone in your body. It helps your body build new bone. This makes your bones stronger and less likely to break.

How to Take It

You will inject 80 mcg of Tymlos under your skin once a day. Inject it into the skin around your belly button. Use a different spot each day, but inject it around the same time each day. If you don't get enough calcium and vitamin D from food, take supplements.

Pregnancy & Breastfeeding

Tymlos is not for women who could get pregnant. It is not known if Tymlos can harm an unborn baby or pass into breast milk.

Missed Dose

If you miss a dose, take it as soon as you remember that day. If you don't remember until the next day, skip the missed dose and take your next dose as usual.

Storage

Before first use, keep Tymlos in the refrigerator. After first use, you can keep it at room temperature for up to 30 days. Do not freeze or expose to heat.

Side Effects (from patient reports)

Based on 22,964 FDA adverse event reports.

Headache
4,180
Feeling sick to your stomach
3,222
Feeling dizzy
3,122
Feeling tired
2,742
Increased heart rate
2,139
Joint pain
1,802
Feeling your heart beat fast or irregularly
1,785
Bone pain
1,414
Back pain
1,289
Pain
1,269

FDA Adverse Event Report Analysis

Detailed analysis of 24,667 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2015–2025.

Total Reports

24,667

Death-Related Reports

266

Hospitalization Reports

1,677

Top Indication

Osteoporosis Postmenopausal

Gender Distribution

Female 22,772 (95%)
Male 1,168 (5%)

Age Distribution

0–17 17
18–44 147
45–64 4,118
65–74 3,460
75+ 2,472

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 HEADACHE 4,180
2 NAUSEA 3,222
3 DIZZINESS 3,122
4 FATIGUE 2,742
5 HEART RATE INCREASED 2,139
6 ARTHRALGIA 1,802
7 PALPITATIONS 1,785
8 BONE PAIN 1,414
9 BACK PAIN 1,289
10 PAIN 1,269
11 PRODUCT DOSE OMISSION ISSUE 1,103
12 INJECTION SITE BRUISING 976
13 PAIN IN EXTREMITY 958
14 PRODUCT DOSE OMISSION 940
15 PRODUCT QUALITY ISSUE 914

Reactions in Death Reports

DEATH 206
PNEUMONIA 11
OFF LABEL USE 8
CARDIAC FAILURE CONGESTIVE 7
RESPIRATORY FAILURE 5
SEPSIS 5
CEREBROVASCULAR ACCIDENT 4
FALL 4
MYOCARDIAL INFARCTION 4
COVID-19 3

Reactions in Hospitalization Reports

FALL 201
HOSPITALISATION 126
DIZZINESS 119
INTENTIONAL DOSE OMISSION 110
HEADACHE 106
NAUSEA 103
PRODUCT DOSE OMISSION ISSUE 99
PNEUMONIA 98
FATIGUE 86
THERAPY INTERRUPTED 81

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Tymlos may increase the risk of bone cancer (osteosarcoma). You should not take this medicine if you have certain conditions that increase this risk. These include Paget's disease, bone cancer, radiation treatment to your bones, or certain hereditary disorders. If you have symptoms of feeling dizzy, palpitations, tachycardia, or nausea, you should sit or lie down.

Common Questions

How long can I use Tymlos?
It is not recommended to use Tymlos for more than 2 years in your lifetime.
What if I have kidney problems?
You can still use Tymlos if you have mild, moderate, or severe kidney problems. But your doctor should watch you for side effects.
Can Tymlos cause low blood pressure?
Yes, Tymlos can cause a drop in blood pressure when you stand up, especially after the first few doses.
What should I do if I feel dizzy after taking Tymlos?
Sit or lie down if you feel dizzy after taking Tymlos. The symptoms should go away.
Can Tymlos cause high calcium levels?
Yes, Tymlos can cause high calcium levels in your blood and urine.
What if I have a history of kidney stones?
Tell your doctor if you have a history of kidney stones. Tymlos may make this condition worse.
Are there any drug interactions with Tymlos?
No specific drug interactions have been studied with Tymlos.
How should I dispose of the Tymlos pen?
Follow your doctor's instructions for disposing of the Tymlos pen and needles safely.
What does Tymlos look like?
Tymlos is a clear and colorless solution.
What if the Tymlos solution has particles or is discolored?
Do not use Tymlos if it has solid particles or is cloudy or colored.
What are the common side effects of abaloparatide?
The most commonly reported side effects of abaloparatide include High calcium in your urine, Feeling dizzy, Feeling sick to your stomach, Headache, Feeling your heart beat fast or irregularly. Based on 22,964 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
What drug class is abaloparatide?
abaloparatide belongs to the PTHrP Analog drug class. It requires a prescription (Rx). Tymlos treats osteoporosis in women after menopause and in men.
Is abaloparatide safe during pregnancy?
Tymlos is not for women who could get pregnant. It is not known if Tymlos can harm an unborn baby or pass into breast milk. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

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What the FDA Data Shows for abaloparatide

The FDA label for abaloparatide (sold under brand names such as Tymlos) classifies it as a prescription-only medication in the PTHrP Analog class. Tymlos treats osteoporosis in women after menopause and in men. Official labeling lists 16 commonly reported side effects, including High calcium in your urine, Feeling dizzy, Feeling sick to your stomach.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 22,964 voluntary reports. Interaction data is drawn directly from FDA-approved prescribing information. NADAC pricing from CMS.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: April 4, 2025

All federal data sources used on this page