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What the FDA labels say about taking them together

Aficamten and rifampin

Aficamten's FDA label of December 16, 2025 names rifampin in its contraindications section; the rifampin label PlainMeds reads does not name aficamten. The aficamten label: “CONTRAINDICATIONS MYQORZO is contraindicated with concomitant use of rifampin.”

Check it at the source: the aficamten FDA label on DailyMed (effective December 16, 2025, Cytokinetics Inc.); the rifampin FDA label on DailyMed (effective February 11, 2026, Lupin Pharmaceuticals, Inc.).

What does the aficamten label say about rifampin?

Aficamten label, contraindications

CONTRAINDICATIONS MYQORZO is contraindicated with concomitant use of rifampin [see Warnings and Precautions (5.3) and Drug Interactions (7.1) ].

Aficamten label, drug interactions

CYP Inducers Rifampin Clinical Impact Rifampin is a strong CYP3A inducer, strong CYP2C19 inducer, and moderate CYP2C9 inducer. Coadministration of rifampin decreases aficamten exposure, which may reduce the effectiveness of MYQORZO [see Contraindications (4) and Clinical Pharmacology (12.3) ]. Prevention of Management Concomitant use with rifampin is contraindicated.

Aficamten label, warnings and precautions

Conversely, initiation of medications that induce P450 pathways of MYQORZO (e.g., rifampin, moderate-to-strong CYP3A inducers) may lead to decreased blood concentrations of aficamten and potential loss of effectiveness [see Contraindications (4) and Drug Interactions (7.1) ].

Source: FDA drug label (MYQORZO), Cytokinetics Inc., effective December 16, 2025 (SPL set fd778507-1274-4d1a-a659-5431d55c543a), via openFDA; the full label on DailyMed

What does the rifampin label say about aficamten?

Rifampin's label (effective February 11, 2026) does not name aficamten in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (rifampin), Lupin Pharmaceuticals, Inc., effective February 11, 2026 (SPL set b56004f0-f23d-47f6-80c7-39884fccbccc), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

0Aficamten generic labelers
13Rifampin generic labelers
AficamtenRifampin
Labeled forn/an/a
Boxed warningYesNo
Pharmacy cost (NADAC)n/a$0.679 per capsule 300 mg capsule
Shortage nowNo current entryIn shortage

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?