Anyone take new drug Camzyos (mavacamten) for HCM?

Posted by captainterry @captainterry, May 25, 2022

Since FDA approval in April has anyone (non-clinical trial patient) actually obtained a prescription and had it filled? If so, when and where was the cardiologist located? Is the registration process for doctor/patient/Rx taking a long time for this much anticipated drug?
Thanks from a fellow patient!

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@karukgirl

How wonderful you live in an area with such great access to HCM experts! And you have an inside track with your husband's expertise. There are several others in this community from Canada as well, who have recently started Camzyos. @hansj for example has done really well. If you get some time, read the posts on here. Hopefully you will learn more from people who are on the same pathway as you.
Viral myocarditis? Yikes!! That must have been very scary 😮 I hope you are doing well now except for HOCM. Has your cardiologist been impressed with your test results? Did your LVOT pressures normalize?

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In reply to your question, I have only had one follow-up echocardiogram. It showed no change in gradient, if that is what you are referring to. She is glad that my symptoms have improved, and does not expect to see a change in the gradient so soon, especially in an older patient (I'm 74). Next echo is end of the this month. My expectation is no change in gradient for a few months, and perhaps will have to go on a higher does of Camzyos after the 4-month mandatory period on the lowest dose.

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@nanakpm

Thanks for your reply and encouragement, especially about open heart surgery. Like several others on this site, I was shocked when my cardiologist suddenly blurted out "you need open heart surgery" when I went to talk to her about Camzyos. I am sure there is a better way to share that opinion. She did not recommend Camzyos because it is new. Yes - it does take courage to be in the forefront of trying a new drug. And it is an adjustment for physicians to embrace a new paradigm of treating HOCM. If indeed my kids have inherited the gene, I am happy to contribute to knowledge about a non-surgical intervention. Not everyone has access to surgeons who have the experience and track record of doing myectomies successfully so Camzyos may be a safer treatment for many. I was diagnosed about 7 years ago, having had a bout of viral myocarditis 3 years earlier. Managed on a calcium channel blocker and then added Rythmodan. I am fortunate that I live in a place with world class expertise in HCM (Toronto) including an excellent surgeon who specializes in myectomy. And even more fortunate that my husband, a professor of medicine, saw reference to mavacamten in the literature, and encouraged me to explore it as an option. The doctors at the HCM clinic here were not offering it a few months ago (January), and recommended open heart surgery. but I think they are now offering Camzyos as an option. I don't know how patients find out about it unless they read medical literature, or have doctors who are open to trying it.

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I was blessed to have been referred to a cardiologist who specializes in HCM and is an advocate of Camzyos. That said, when I followed up with my regular cardiologist, who referred me to the specialist, she told that she didn’t know anything about the drug, didn’t understand how it worked, and thought I was headed to open heart surgery. It made a scary decision about whether to take the drug even scarier.

This group gave me the comfort to move forward. I am on 5 day. So far so good. I have not noticed a change yet-positive or negative.

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@jaymaysea

I was blessed to have been referred to a cardiologist who specializes in HCM and is an advocate of Camzyos. That said, when I followed up with my regular cardiologist, who referred me to the specialist, she told that she didn’t know anything about the drug, didn’t understand how it worked, and thought I was headed to open heart surgery. It made a scary decision about whether to take the drug even scarier.

This group gave me the comfort to move forward. I am on 5 day. So far so good. I have not noticed a change yet-positive or negative.

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I'm glad you are feeling good after five days...and thank you for sharing that information about your regular cardiologist being honest about not knowing or understanding anything about Camzyos. It was the right thing to do to get you in to see a specialist. Will you be able to stay in contact with the cardiologist over the weekend should any situations come up?

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Unfortunately, probably not. I can send an email using the portal. I can also send a message to the nurse navigator. But, I doubt I will get a response over the weekend.

Can you give me some examples of situations that could could up? I have been on the lookout for dizziness. But, I am not sure what else could occur.

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@jaymaysea

Unfortunately, probably not. I can send an email using the portal. I can also send a message to the nurse navigator. But, I doubt I will get a response over the weekend.

Can you give me some examples of situations that could could up? I have been on the lookout for dizziness. But, I am not sure what else could occur.

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Dang.
Well, I wish I could give you an example, but I have no experience with Camzyos. @kelliw and @hansj have a few months on you and I know they have been so willing to share their experiences...let's see if we get them to chime in about what to look out for in the first week. I think @starbuck41 was pretty active his first couple of weeks as well. It seems that we all are so unique and individual, no two people are alike and therefore probably we can't say "this is what to expect" the first week or so. I hope you are feeling calm, resolving to keep your positive attitude, and know you are already stronger than you thought you were!
It's a journey you are on...and each day may be different. Praying for peace and only good effects @jaymaysea.

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@karukgirl

Dang.
Well, I wish I could give you an example, but I have no experience with Camzyos. @kelliw and @hansj have a few months on you and I know they have been so willing to share their experiences...let's see if we get them to chime in about what to look out for in the first week. I think @starbuck41 was pretty active his first couple of weeks as well. It seems that we all are so unique and individual, no two people are alike and therefore probably we can't say "this is what to expect" the first week or so. I hope you are feeling calm, resolving to keep your positive attitude, and know you are already stronger than you thought you were!
It's a journey you are on...and each day may be different. Praying for peace and only good effects @jaymaysea.

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Sorry guys for the lengthy delay in updating my Camzyos journey.
So here it is
Weight 266.4
Ht 6’3
Age 59
So a couple things happened, the VA failed to get an echo cardiogram done on time so they didn’t send medication, that has since been remedied I received a 5 day dose after not taking it for several days, I will once again start my daily routine tomorrow;
Echo revealed that my gradient had decreased slightly even after not taking the meds for about 4 days. Cardiologist exam revealed nothing abnormal (side effects) I have not had any dietary changes
My blood pressure was 137/88..
Update; a few days ago I had lasik surgery done, results seem to be good but it’s gonna be a few weeks on that:
Still without taking meds for several days, no out of breath moments, and still I must admit my daily quality of life is better, did take a trip up to the mountains 10,ooo feet, no shortness of breath, dizziness or heart palpitations, I will start my 5mg dose tomorrow. My loyal sidekick Murphy is doing his best to be a “good boy “ lol.
I have also been prescribed
50mg motropolol daily
And a cholesterol med
Metformin 500mg daily
Oxycodone 10/325 as needed

I promise I’ll be doing the daily update now that it’s going to be a non issue with refills. I’m headed to Texas next week for a funeral but I’ll make time.
Until tomorrow my friends
David

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@starbuck41

Sorry guys for the lengthy delay in updating my Camzyos journey.
So here it is
Weight 266.4
Ht 6’3
Age 59
So a couple things happened, the VA failed to get an echo cardiogram done on time so they didn’t send medication, that has since been remedied I received a 5 day dose after not taking it for several days, I will once again start my daily routine tomorrow;
Echo revealed that my gradient had decreased slightly even after not taking the meds for about 4 days. Cardiologist exam revealed nothing abnormal (side effects) I have not had any dietary changes
My blood pressure was 137/88..
Update; a few days ago I had lasik surgery done, results seem to be good but it’s gonna be a few weeks on that:
Still without taking meds for several days, no out of breath moments, and still I must admit my daily quality of life is better, did take a trip up to the mountains 10,ooo feet, no shortness of breath, dizziness or heart palpitations, I will start my 5mg dose tomorrow. My loyal sidekick Murphy is doing his best to be a “good boy “ lol.
I have also been prescribed
50mg motropolol daily
And a cholesterol med
Metformin 500mg daily
Oxycodone 10/325 as needed

I promise I’ll be doing the daily update now that it’s going to be a non issue with refills. I’m headed to Texas next week for a funeral but I’ll make time.
Until tomorrow my friends
David

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Oh shoot! That must have been super frustrating, David.
@hansj had a similar experience and he started going backwards. I am so glad to hear you didn't suffer any terrible effects of falling through the cracks with the VA. Grrr.😡
I'm really glad to get an update on Murphy too. Good boy!
And you made a trip up over 10,000 feet too!
Side note: I had lasik surgery too. But a long time ago. It was like a miracle. But I needed reading glasses right away. Then I had a stroke last May and lost my sight in my left eye...so for about 20 years I was happy to see far away so clearly.
I'm sorry you have to attend a memorial service. You have a lot going on. Hope you are taking care of your mental/emotional side too. I know guys are not real keen on feelings and such. But it is important. Your HCM group is here for you 🙂
Take care Sir.
Keep in touch...

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@karukgirl

Dang.
Well, I wish I could give you an example, but I have no experience with Camzyos. @kelliw and @hansj have a few months on you and I know they have been so willing to share their experiences...let's see if we get them to chime in about what to look out for in the first week. I think @starbuck41 was pretty active his first couple of weeks as well. It seems that we all are so unique and individual, no two people are alike and therefore probably we can't say "this is what to expect" the first week or so. I hope you are feeling calm, resolving to keep your positive attitude, and know you are already stronger than you thought you were!
It's a journey you are on...and each day may be different. Praying for peace and only good effects @jaymaysea.

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Thank you Debra. I am feeling positive. After I got your note, I immediately sent my cardiologist a note asking what to do if I was having any side effects and what, besides dizziness and fainting, were some of the other things I should watch out for. Just another example of how helpful our Mayo Connect community is. I did not think to do that until you raised it.

FYI for those taking Camzyos. I put a drug interaction app on my phone. The list that BMS provides is extensive. But there are drugs which may have an interaction that are not on the list. For example, I used Astepro for my allergies yesterday thinking it was fine. Then I checked it. Turns out it can have an interaction with Camzyos, albeit it moderate. So Camzyos users I recommend before you take any drug look up whether it could potentially interact with Camzyos.

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@jaymaysea

Thank you Debra. I am feeling positive. After I got your note, I immediately sent my cardiologist a note asking what to do if I was having any side effects and what, besides dizziness and fainting, were some of the other things I should watch out for. Just another example of how helpful our Mayo Connect community is. I did not think to do that until you raised it.

FYI for those taking Camzyos. I put a drug interaction app on my phone. The list that BMS provides is extensive. But there are drugs which may have an interaction that are not on the list. For example, I used Astepro for my allergies yesterday thinking it was fine. Then I checked it. Turns out it can have an interaction with Camzyos, albeit it moderate. So Camzyos users I recommend before you take any drug look up whether it could potentially interact with Camzyos.

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Super good information @jaymaysea!
Thank you for sharing that with others...you never know who you could have helped 🙂
Today is a brand new day, and it is a blessing to be here, I hope you have something fun planned that brings you joy, so you can focus on that and get a little break from the stress of HCM and Camzyos!

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@jaymaysea

Unfortunately, probably not. I can send an email using the portal. I can also send a message to the nurse navigator. But, I doubt I will get a response over the weekend.

Can you give me some examples of situations that could could up? I have been on the lookout for dizziness. But, I am not sure what else could occur.

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Good morning! The only side effect I had was dizziness. It happened about 2 weeks in, for a couple of weeks, then went away. I have been lowered from 5mg to 2.5mg, because my gradient went down so much in the first 60 days-which is a good thing! I was worried a few weeks ago because my blood pressure got really high-like 190/105! It was a Saturday and I thought I couldn't reach anyone but then I decided to call my cardiologist's office and got his answering service and he called me, so I would recommend that if there is an urgent problem. There is also a 24/7 line for problems through the specialty pharmacy I think. I accidentally drank something with grapefruit peel extract in it, so called and the answering service put me through to a pharmacist. I hope you feel great and don't need to call anyone! 🙂

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