Anyone take new drug Camzyos (mavacamten) for HCM?
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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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.
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.
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?
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.
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.
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
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...
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.
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!
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! 🙂