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Tafamidis (Oral)

Generic Name: tafamidis (ta-FAM-id-is)

Medically reviewed by Last updated on Sep 13, 2020.

Commonly used brand name(s)

In the U.S.

  • Vyndamax
  • Vyndaqel

Available Dosage Forms:

  • Capsule, Liquid Filled

Therapeutic Class: Cardiovascular Agent

Uses for tafamidis

Tafamidis is used to treat cardiomyopathy (enlarged and thickened heart muscle) of wild type or hereditary transthyretin-mediated amyloidosis (ATTR-CM) in adults to reduce death and hospitalization related to heart problems.

Tafamidis is available only with your doctor's prescription.

Before using tafamidis

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For tafamidis, the following should be considered:


Tell your doctor if you have ever had any unusual or allergic reaction to tafamidis or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.


Appropriate studies have not been performed on the relationship of age to the effects of tafamidis in the pediatric population. Safety and efficacy have not been established.


Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of tafamidis in the elderly.


There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Interactions with food/tobacco/alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Proper use of tafamidis

Take tafamidis only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered.

Tafamidis should come with a patient information leaflet. Read and follow these instructions carefully. Ask your doctor if you have any questions.

Swallow the capsule whole. Do not cut, crush, or chew it.

Use only the brand of tafamidis that your doctor prescribed. Vyndamax™ and Vyndaqel® have different dosage strengths.


The dose of tafamidis will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of tafamidis. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For oral dosage form (capsules):
    • For cardiomyopathy:
      • Adults—
        • Vyndamax™: 61 milligrams (mg) (1 capsule) once a day.
        • Vyndaqel®: 80 mg (four 20 mg capsules) once a day.
      • Children—Use and dose must be determined by your doctor.

Missed dose

If you miss a dose of tafamidis, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions while using tafamidis

It is very important that your doctor check your progress at regular visits to make sure that tafamidis is working properly and to check for unwanted effects.

Using tafamidis while you are pregnant can harm your unborn baby. Use an effective form of birth control to keep from getting pregnant during treatment with tafamidis. If you think you have become pregnant while using tafamidis, tell your doctor right away.

Patients who use tafamidis may register for the Transthyretin Amyloidosis Outcome Survey (THAOS), which may be used to inform and educate patients and healthcare professionals about the disease and its management. This may involve long-term follow-up.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

Tafamidis side effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Incidence not known

  • Cough
  • difficulty swallowing
  • dizziness
  • fast heartbeat
  • hives, itching, skin rash
  • puffiness or swelling of the eyelids or around the eyes, face, lips or, tongue
  • tightness in chest
  • unusual tiredness or weakness

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.