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!

Interested in more discussions like this? Go to the Hypertrophic Cardiomyopathy (HCM) Support Group.

@karukgirl

Thank you Debra. I did read the article but found no mention of percentages. My % was 79 before going on to Camzyos. Would like to know what that measures and what is ‘normal’. Thanks again.

REPLY
@susanml

Thank you Debra. I did read the article but found no mention of percentages. My % was 79 before going on to Camzyos. Would like to know what that measures and what is ‘normal’. Thanks again.

Jump to this post

Per the article I found this:
"A normal ejection fraction is 50% to 70%. This means that between 50% and 70% of the blood in the heart is pumped out with each heartbeat. When that number falls, especially below 40%, it can indicate a significant problem with the heart muscle. Learn more about ejection fraction."
I know before I had my septal myectomy my EF was 76%, which is high. 79% is very high too! It means your heart is working hard to keep your EF up.
Hope this helps!

REPLY
@andyherman3

I went Lahey as well and was very pleased. Did you see Dr. Rowin or Maron? My results were similar to yours and my dose was lowered to 2.5mg. Did your symptoms improve with the decreasing numbers? Hoping mine will improve more over time. 🤞

Jump to this post

Hi ! I saw Dr. Rowin. I have done 1 month on 5mg. First echo results were so good, they dropped me to 2.5mg. Second echo #s were such that I STAYED on 2.5mg, even though I had a gut feeling I should be on 5mg. Had 3rd echo and results were still really good, but in the range such that I could go back to 5mg. Just started that dosage Dec. 22. No extreme changes in symptoms yet, but I feel like I have to give the 5mg a multi month test first. Again, my symptoms weren't too bad to begin with. The doctors have stated that they think I'll never be on 10mg due to the fact that I am a "super responder" to Camzyos. That analysis was based on my gradients being reduced by nearly 2/3 during the first 30 days !

REPLY
@williampconley

Hi ! I saw Dr. Rowin. I have done 1 month on 5mg. First echo results were so good, they dropped me to 2.5mg. Second echo #s were such that I STAYED on 2.5mg, even though I had a gut feeling I should be on 5mg. Had 3rd echo and results were still really good, but in the range such that I could go back to 5mg. Just started that dosage Dec. 22. No extreme changes in symptoms yet, but I feel like I have to give the 5mg a multi month test first. Again, my symptoms weren't too bad to begin with. The doctors have stated that they think I'll never be on 10mg due to the fact that I am a "super responder" to Camzyos. That analysis was based on my gradients being reduced by nearly 2/3 during the first 30 days !

Jump to this post

This was exactly what happened to me! I was decreased to 2.5mg after being a “super responder” as well (Dr. Rowins words). Unfortunately, I haven’t noticed a great improvement so far but no down side to date. I’m hopeful this Weill improve over time. Keep us posted.

REPLY
@boatsforlife

Hello again Camzyos family. An update at the 6 week mark. I feel ... GREAT! Noticed some possible positive effects after the first couple days then a bit of a wobble around days 10-12, and since that time it has been the most amazingly smooth sailing I could have hoped for. Sometimes I forget and start walking a little too briskly and feel some minor effects - just exactly what one might expect from being 15 years without any real kind of exercise. I have no idea what my numbers are from my pre-Camzyos echo and my 4 week echo, and I'm intentionally not finding out. I know how easily I can psych myself out trying to understand all the stuff in anything like an echo report - especially with my medical degree from the School of Google. My cardiologist has been asking how I am feeling, and is replying with positive comments and has not changed my dosage yet, so I am content to let him do his job at this point. Saw my family doctor last week and told her how great I am feeling. She said it was probably too early to see much in the numbers yet, and then it was fun watching her jaw hit the floor when she compared the 2 echos. So I'm just riding a high for now.

Jump to this post

Update after the 12 week echo... I've been on 5mg since the start and had only good results. Probably one day in 6 or 8 weeks I suddenly feel the old symptoms again but they are not nearly as severe, they clear up in seconds rather than hours, and they are completely gone again by the next day. Just had an MRI which was inconclusive, and my 12 week echo. My cardiologist seems really happy with the way the echo reports read but he wants to increase my Camzyos from 5mg to 10mg. Considering that the 5mg dose basically made everything go away completely, I can't imagine what 10mg would do but I'm more than happy to let him do his thing when it's having such a positive impact. And reference our conversation of a couple months ago @karukgirl, we just came off a week of -35F. Just why I insist on living in a place where the air hurts my face is a question I will eventually need to consider. Happy 2024 everyone.

REPLY
@boatsforlife

Update after the 12 week echo... I've been on 5mg since the start and had only good results. Probably one day in 6 or 8 weeks I suddenly feel the old symptoms again but they are not nearly as severe, they clear up in seconds rather than hours, and they are completely gone again by the next day. Just had an MRI which was inconclusive, and my 12 week echo. My cardiologist seems really happy with the way the echo reports read but he wants to increase my Camzyos from 5mg to 10mg. Considering that the 5mg dose basically made everything go away completely, I can't imagine what 10mg would do but I'm more than happy to let him do his thing when it's having such a positive impact. And reference our conversation of a couple months ago @karukgirl, we just came off a week of -35F. Just why I insist on living in a place where the air hurts my face is a question I will eventually need to consider. Happy 2024 everyone.

Jump to this post

@boatsforlife, I had to read twice... -35... as in 'minus' 35.
That does not even compute in my brain! And we were all complaining how cold it was here last week, our low was 30, our high was 43. Brrr! But yesterday, after lots of rain, some slushy stuff and closed Interstate over the weekend, it was a glorious 62, sunny and beautiful clear day! We are total flatlanders! Can't drive in the snow, a few flakes and we all lose our minds!
I am so glad to hear about your results. I would be confused too as to why your dose would be 'tweaked' when all is well, but I didn't go to medical school, or even stay at a Holiday Inn Express. I hope you keep us updated on your results with the new higher dosage. In the meantime, stay warm! I just can't even imagine that kind of cold...

REPLY
@boatsforlife

Update after the 12 week echo... I've been on 5mg since the start and had only good results. Probably one day in 6 or 8 weeks I suddenly feel the old symptoms again but they are not nearly as severe, they clear up in seconds rather than hours, and they are completely gone again by the next day. Just had an MRI which was inconclusive, and my 12 week echo. My cardiologist seems really happy with the way the echo reports read but he wants to increase my Camzyos from 5mg to 10mg. Considering that the 5mg dose basically made everything go away completely, I can't imagine what 10mg would do but I'm more than happy to let him do his thing when it's having such a positive impact. And reference our conversation of a couple months ago @karukgirl, we just came off a week of -35F. Just why I insist on living in a place where the air hurts my face is a question I will eventually need to consider. Happy 2024 everyone.

Jump to this post

I am not sure why they would increase your dose if you are doing so well on just 5 mg of Camzyos. I responded very little to 5 mg, but when they bumped me up to 10 mg., I had an amazing response to the increase and feel better than I have in years! I hope you have great results as well! joy!

REPLY
@whidbey

I am not sure why they would increase your dose if you are doing so well on just 5 mg of Camzyos. I responded very little to 5 mg, but when they bumped me up to 10 mg., I had an amazing response to the increase and feel better than I have in years! I hope you have great results as well! joy!

Jump to this post

I should clarify - I *FEEL* fantastic - especially when I compare it to the decline over the past 17 years. So from my own point of view, 5mg seems GREAT. So why would my cardiologist increase the dose? Well, he is looking at the objective test data and measurements and sees room for even further improvement in that area. That's his area of expertise, not mine. Given the improvement so far under his care, I'm very happy to let him lead me along that path. And who knows - maybe at 10mg I will feel even better! Worst case scenario from this decision is to return to 5mg. (That said, if he wanted to pull me off Camzyos after it gave me my life back - I'm sure I would fight like he** about that!)

REPLY

Does anyone have any information on getting CAMZYOS overseas? My son would like to spend some time in Japan, he has been on the drug for 18 months with an excellent response. I would need to get him an echo every three months there and ship the drug to him.

REPLY
@lagunadoc

Does anyone have any information on getting CAMZYOS overseas? My son would like to spend some time in Japan, he has been on the drug for 18 months with an excellent response. I would need to get him an echo every three months there and ship the drug to him.

Jump to this post

Im not sure about that particular drug but if you talk with his doctor he may be able to get a longer supply for the trip. I get most of my meds via mail order and I'm thinking maybe the doctor could send a scrip to a mail order pharmacy. I know mine is called Express Scrip. Its one the military uses so I'm thinking they may ship worldwide. As a retired military I'm pretty sure a moder country like Japan probably may even be able to get the medication if your son contacted maybe a local pharmacy in country? As for the echo I'm pretty sure even that could be done in Japan also. I know for instances mayo Clinic has provided medical services to foreign patients, so it seems possible for anyone to get treatment overseas.
As a side note I remember asking a travel service in Israel if being a Heart Transplant patient if it would be a problem to come to Israel on vacation if something happen could I get treatment in Israel and the answer was a Yes and in my case, Israel does transplants in TelAvive so no problem. I'm guessing the same is possible in a country like Japan also. Please let us know what you find out? it may help others deciding on travel overseas.

REPLY
Please sign in or register to post a reply.