“As a result of mavacamten decreases coronary heart muscle contraction, there’s a chance that the center muscle might overreact to it, growing the chance of the center turning into too weak,” Makkiya says.
Mavacamten is just accessible as a part of a threat analysis and mitigation technique (REMS) program, which requires ongoing monitoring to make sure you aren’t growing coronary heart failure. This makes getting a prescription extra complicated, because it requires you and your heart specialist to be enrolled within the REMS program.
- Consider your coronary heart failure threat with an echocardiogram
- Assess your current medicines to rule out interactions with mavacamten. Taking diltiazem, disopyramide (Norpace), ranolazine, rifampin, or verapamil with a beta-blocker can improve your threat of coronary heart failure or heart-rhythm issues, for instance.
- Verify your coronary heart operate with echocardiograms repeatedly. These are required to proceed or improve mavacamten dosages.
“When prescribed appropriately inside [REMS], mavacamten could be very protected, and dose changes can stop long-term issues,” Makkiya says.