Common side effects include headache, joint pain, and
injection site reactions including pain. though this was not found in a trial of romosozumab vs placebo. The drug has an FDA
boxed warning on its labeling stating that it may increase the risk of heart attack, stroke and cardiovascular death and should not be used in patients who have had a heart attack or stroke within the previous year. In a large real-world study, prescription of romosozumab was associated with less adverse cardiovascular events compared to other osteoanabolic therapies. ==History==