GETTING STARTED > TAKING MAYZENT

TAKING
ONCE-DAILY
MAYZENT

TAKING
ONCE-DAILY
MAYZENT

READY TO START TAKING MAYZENT?

Once your doctor submits a Start Form, you’ll be enrolled in our support program and paired with a dedicated Alongside MAYZENT® Coordinator who will help you start and stay on treatment.

Alongside MAYZENT members receive continued one-on-one support, personalized to their treatment journey and preferences. Your Coordinator helps keep things simple as you start and continue with MAYZENT.

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Taking MAYZENT but not yet an
Alongside MAYZENT member?

You can always enroll by calling
1-877-MAYZENT
(1-877-629-9368)
, or by
completing this online form.

ENROLL NOW

THERE ARE 2 STEPS TO COMPLETE BEFORE STARTING MAYZENT

STEP 1: PRETESTS

BLOOD TESTS

Before beginning MAYZENT, a few simple blood tests are needed.

  • Identify your genotype* to determine if MAYZENT is right for you, and which dose to take

  • Check for antibodies to varicella zoster virus (VZV)

  • Check your liver function

  • Obtain a complete blood count

To make these blood tests as easy as possible, you can complete all of the testing at your doctor’s office or at a single in-home visit. Genotype testing is also available at any local LabCorp or Quest Diagnostic location.

No matter which option you choose, Novartis will cover the cost of genetic type testing.

EYE EXAM

An eye exam will look for preexisting conditions and help monitor potential changes

ECG

An electrocardiogram (ECG) will test whether you will need to take extra care if you have certain heart conditions

STEP 2: START TAKING MAYZENT

STARTER PACK

Next, you’ll start

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titration

Slowly increasing the dose of your medication to help your body adjust.

. That means you’ll slowly increase your dose to help your body adjust.

MAINTENANCE DOSE

Then, you’ll take your regular once-daily oral MAYZENT dose as prescribed.

Titration is important so do not skip this step. Your doctor will walk you through this process, and your Coordinator can help with any questions you might have.

Thumbnail of MAYZENT titration guide

Get information on titration with MAYZENT—how it works and what it’s for.

A few notes:

  • MAYZENT can be taken with or without food

  • Although most people starting MAYZENT will not need to be monitored after taking their first dose, it’s required for some people. Your doctor will tell you if it’s necessary.

  • If you miss 1 or more doses of MAYZENT during titration, you’ll need to restart titration

  • If you miss a dose of MAYZENT after titration is complete, take it as soon as you remember

  • If you stop taking MAYZENT for 4 or more days in a row, you’ll need to restart titration

Always follow your doctor’s instructions, and do not change your dose or stop taking MAYZENT unless your doctor tells you to.

“I have my morning routine, and MAYZENT fits right in. It’s just one
small pill,
once a day, and that means a lot to me.”

JAMYE P.,
A MAYZENT Mentor

Individual results may vary.

ALONGSIDE MAYZENT SUPPORT PROGRAM MEMBERS RECEIVE A STARTER KIT INCLUDING:

A starter pack and maintenance doses for the first month for commercially-insured patients. Restrictions apply.

A step-by-step guide to titration and instructions for scheduling a supplemental video chat demonstration with your Coordinator

*A CYP2C9 genotype blood test is available at no cost. Limitations may apply. The cost of the test may not be billed to any third-party payer. No purchase required. Program subject to termination or modification at any time.

Listed services provided at home may be free for commercially insured and uninsured patients starting MAYZENT. Offer not valid for services (i) performed in RI, (ii) for which payment may be made in whole or in part under federal or state health care programs, including, but not limited to, Medicare or Medicaid, or (iii) where prohibited by law. There is a cash-pay option for residents of RI. No purchase required. The Program is subject to termination or modification at any time. For questions regarding covered services, please contact your Alongside Coordinator.

For certain cardiac risk factors, for example a history of heart attacks or heart failure, you may have to be monitored for a period of 6 hours after taking your first dose of MAYZENT. An ECG should be conducted at the end of the observation period.

READ THE DETAILS ABOUT
GETTING STARTED ON MAYZENT

Learn more about patient support and getting started on MAYZENT in the Ready to Start MAYZENT Brochure.

Thumbnail of the Ready to Start MAYZENT brochure.

Learn more about patient support and getting started on
MAYZENT in the Ready to Start MAYZENT Brochure.

Thumbnail of the Ready to Start MAYZENT brochure.

$0 CO-PAY OFFER

The Alongside MAYZENT support program will help navigate financial options, including $0 co-pay. See if you’re eligible.

QUESTIONS? FIND ANSWERS HERE

Check out our FAQ page to find answers to questions that people commonly have about MAYZENT.

THANKS!

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IMPORTANT SAFETY INFORMATION AND INDICATION

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IMPORTANT SAFETY INFORMATION

Do not take MAYZENT if you:

  • have a CYP2C9*3/*3 genotype. Before starting treatment with MAYZENT, your CYP2C9 genotype should be determined by your health care provider. Ask your health care provider if you are not sure.

  • have had a heart attack, chest pain called unstable angina, stroke or mini-stroke (transient ischemic attack or TIA), or certain types of heart failure in the last 6 months

What is MAYZENT® (siponimod) tablets?

MAYZENT is a prescription medicine that is used to treat relapsing forms of multiple sclerosis, to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults.

It is not known if MAYZENT is safe and effective in children.

  • have certain types of heart block or irregular or abnormal heartbeat (arrhythmia), unless you have a pacemaker

MAYZENT may cause serious side effects, including:

  1. Slow heart rate (bradycardia or bradyarrhythmia) when you start taking MAYZENT. MAYZENT can cause your heart rate to slow down, especially after you take your first dose. You should have a test to check the electrical activity of your heart called an electrocardiogram (ECG) before you take your first dose of MAYZENT.

    During the initial updosing period (4 days for the 1-mg daily dose or 5 days for the 2-mg daily dose), if you miss 1 or more doses of MAYZENT, you need to restart the updosing. Call your health care provider if you miss a dose of MAYZENT.

  2. Infections. MAYZENT can increase your risk of serious infections that can be life-threatening and cause death. MAYZENT lowers the number of white blood cells (lymphocytes) in your blood. This will usually go back to normal within 3 to 4 weeks of stopping treatment. Your health care provider should review a recent blood test of your white blood cells before you start taking MAYZENT.

    Call your health care provider right away if you have any of these symptoms of an infection during treatment with MAYZENT and for 3 to 4 weeks after your last dose of MAYZENT:

    • fever

    • tiredness

    • body aches

    • chills

    • nausea

    • vomiting

    • headache with fever, neck stiffness, sensitivity to light, nausea, confusion (these may be symptoms of meningitis, an infection of the lining around your brain and spine)

  3. A problem with your vision called macular edema. Macular edema can cause some of the same vision symptoms as a multiple sclerosis (MS) attack (optic neuritis). You may not notice any symptoms with macular edema. If macular edema happens, it usually starts in the first 1 to 4 months after you start taking MAYZENT. Your health care provider should test your vision before you start taking MAYZENT and any time you notice vision changes during treatment with MAYZENT. Your risk of macular edema is higher if you have diabetes or have had an inflammation of your eye called uveitis.

    Call your health care provider right away if you have any of the following: blurriness or shadows in the center of your vision, a blind spot in the center of your vision, sensitivity to light, or unusually colored (tinted) vision.

Before taking MAYZENT, tell your health care provider about all of your medical conditions, including if you:

  • have an irregular or abnormal heartbeat

  • have a history of stroke or other diseases related to blood vessels in the brain

  • have breathing problems, including during your sleep

  • have a fever or infection, or you are unable to fight infections due to a disease or are taking medicines that lower your immune system. Tell your health care provider if you have had chickenpox or have received the vaccine for chickenpox. Your health care provider may do a blood test for chickenpox virus. You may need to get the full course of vaccine for chickenpox and then wait 1 month before you start taking MAYZENT.

  • have slow heart rate

  • have liver problems

  • have diabetes

  • have eye problems, especially an inflammation of the eye called uveitis

  • had or now have a type of skin cancer called basal cell carcinoma (BCC), melanoma, or squamous cell carcinoma

  • have high blood pressure

  • are pregnant or plan to become pregnant. MAYZENT may harm your unborn baby. Talk to your health care provider right away if you become pregnant while taking MAYZENT or if you become pregnant within 10 days after you stop taking MAYZENT.

    • If you are a woman who can become pregnant, you should use effective birth control during your treatment with MAYZENT and for at least 10 days after you stop taking MAYZENT.

  • are breastfeeding or plan to breastfeed. It is not known if MAYZENT passes into your breast milk. Talk to your health care provider about the best way to feed your baby if you take MAYZENT.

Tell your health care provider about all the medicines you take, including prescription medicines, over-the-counter medicines, vitamins, and herbal supplements. Especially tell your health care provider if you take medicines to control your heart rhythm (anti-arrhythmics), or blood pressure (antihypertensives), or heart beat (such as calcium channel blockers or beta-blockers); take medicines that affect your immune system, such as beta-interferon or glatiramer acetate, or any of these medicines that you took in the past.

Tell your health care provider if you have recently received a live vaccine. You should avoid receiving live vaccines during treatment with MAYZENT. MAYZENT should be stopped 1 week before and for 4 weeks after receiving a live vaccine. If you receive a live vaccine, you may get the infection the vaccine was meant to prevent. Vaccines may not work as well when given during treatment with MAYZENT.

MAYZENT may cause possible side effects, including:

  • increased blood pressure. Your health care provider should check your blood pressure during treatment with MAYZENT.

  • liver problems. MAYZENT may cause liver problems. Your health care provider should do blood tests to check your liver before you start taking MAYZENT. Call your health care provider right away if you have any of the following symptoms of liver problems:

    • nausea

    • vomiting

    • stomach pain

    • tiredness

    • loss of appetite

    • your skin or the whites of your eyes turn yellow

    • dark urine

  • breathing problems. Some people who take MAYZENT have shortness of breath. Call your health care provider right away if you have new or worsening breathing problems.

  • swelling and narrowing of the blood vessels in your brain. A condition called PRES (Posterior Reversible Encephalopathy Syndrome) has happened with drugs in the same class. Symptoms of PRES usually get better when you stop taking MAYZENT. However, if left untreated, it may lead to a stroke. Call your health care provider right away if you have any of the following symptoms: sudden severe headache, sudden confusion, sudden loss of vision or other changes in vision, or seizure.

  • severe worsening of multiple sclerosis after stopping MAYZENT. When MAYZENT is stopped, symptoms of MS may return and become worse compared to before or during treatment. Always talk to your doctor before you stop taking MAYZENT for any reason. Tell your health care provider if you have worsening symptoms of MS after stopping MAYZENT.

  • a type of skin cancer called basal cell carcinoma (BCC), melanoma, and squamous cell carcinoma. Tell your doctor if you have any changes in the appearance of your skin, including changes in a mole, a new darkened area on your skin, a sore that does not heal, or growths on your skin, such as a bump that may be shiny, pearly white, skin-colored, or pink. Your doctor should check your skin for any changes during treatment with MAYZENT. Limit the amount of time you spend in sunlight and ultraviolet (UV) light. Wear protective clothing and use a sunscreen with a high sun protection factor.

The most common side effects of MAYZENT include: headache, high blood pressure (hypertension), and abnormal liver tests.

These are not all of the possible side effects of MAYZENT. Call your doctor for medical advice about side effects.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

What is MAYZENT® (siponimod) tablets?

MAYZENT is a prescription medicine that is used to treat relapsing forms of multiple sclerosis, to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults.

It is not known if MAYZENT is safe and effective in children.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Please see full Prescribing Information, including Medication Guide.