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Molecule

Etripamil

Available on request
Presentations
1
Brands
1
Manufacturers
1
Available from stock
0

Etripamil is a prescription medicine indicated for the conversion of acute symptomatic episodes of paroxysmal supraventricular tachycardia (PSVT) to sinus rhythm in adults. It is available as nasal spray. MedsAcross supplies Etripamil for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

US FDA first approval
12 December 2025
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Nasal
Dosage forms
Nasal spray
Identifiers
UNII S82A18Y42PCAS 1593673-23-4DrugBank DB12605Q27289030

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

CARDAMYST is indicated for the conversion of acute symptomatic episodes of paroxysmal supraventricular tachycardia (PSVT) to sinus rhythm in adults. CARDAMYST is a calcium channel blocker indicated for the conversion of acute symptomatic episodes of paroxysmal supraventricular tachycardia (PSVT) to sinus rhythm in adults.

Source: US FDA prescribing information

How it works

Etripamil is an L-type calcium influx inhibitor (slow channel blocker or calcium ion antagonist). Etripamil exerts its pharmacologic effect by modulating the influx of ionic calcium across the cell membrane of the AV nodal cells as well as arterial smooth muscles and contractile myocardial cells. By interrupting reentry at the AV node, etripamil can restore sinus rhythm in patients with PSVT.

Source: US FDA prescribing information

Dosing overview

For intranasal use only. Initial dosage: A dose of 70 mg is administered as two nasal sprays, one spray into each nostril. Each nasal spray device delivers two sprays. The two sprays together contain a total of 70 mg etripamil. Repeat dosage (if needed): Should symptoms persist for 10 minutes after administration of CARDAMYST, take a second dose of 70 mg administered as two nasal sprays, one spray into each nostril. Do not exceed 140 mg in a 24-hour period.

Source: US FDA prescribing information

Contraindications

CARDAMYST is contraindicated in patients with: Hypersensitivity to CARDAMYST or any of its components. Heart failure – New York Heart Association (NYHA) Class II to IV. Wolff-Parkinson-White (WPW), Lown-Ganong-Levine (LGL) syndromes, or manifest pre-excitation (delta wave) on a 12-lead electrocardiogram (ECG). Sick sinus syndrome without a permanent pacemaker. Second degree atrioventricular (AV) Mobitz 2 block or higher degree of AV block. Hypersensitivity to CARDAMYST or any of its components. Wolff-Parkinson-White (WPW), Lown-Ganong-Levine (LGL) syndromes, or manifest pre-excitation (delta wave) on a 12-lead ECG. Sick sinus syndrome (except in patients with a permanent pacemaker).

Source: US FDA prescribing information

Warnings and precautions

Syncope: May cause dizziness and/or syncope, especially in patients with a history of syncope. Administer in a sitting position. Syncope Related to Hemodynamic Effects Because of effects on blood pressure, heart rate, and cardiac conduction, CARDAMYST may cause dizziness and/or syncope, especially in patients with a history of syncope and high-grade AV block or sinus node dysfunction, or those with a history of syncope during an episode of PSVT. In clinical trials, a small percentage of patients (0.4%) experienced clinically significant hypotension during test dosing prior to randomization, which precluded further participation in the study. Patients with a history of hypotensive episodes or those at increased risk for hemodynamic instability should be monitored appropriately when initiating CARDAMYST.

Source: US FDA prescribing information

Side effects

The following clinically significant adverse reactions are described elsewhere in the labeling: Risk of syncope Most common adverse reactions (incidence > 5%) are nasal discomfort, nasal congestion, rhinorrhea, throat irritation, and epistaxis.

Source: US FDA prescribing information

Storage

Store at 20°C to 25°C (68°F to 77°F), with excursions permitted from 15°C to 30°C (59°F to 86°F).

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

1 presentations of Etripamil, sorted by availability.

MedicineManufacturerRegisterAvailability
Cardamyst 70 mg/0.2 mL nasal sprayNasalMilestone PharmaceuticalsUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 12 December 2025Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Etripamil available for export from India?

Yes, on request. MedsAcross lists 1 presentations of Etripamil and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Etripamil have?

The catalogue lists 1 brand names for Etripamil, including Cardamyst.

Is Etripamil approved by the US FDA?

Yes. The US FDA first approved Etripamil on 12 December 2025, according to Drugs@FDA.

Does Etripamil need cold chain shipping?

No listed presentation of Etripamil is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

References

  1. Cardamyst prescribing information (Milestone Pharmaceuticals). U.S. National Library of Medicine, DailyMed. Retrieved 29 October 2026

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