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mavacamten will lower the level or effect of ethinylestradiol by influencing hepatic/intestinal enzyme CYP3A4 metabolism. Prevent or Use Alternate Drug. Progestin and ethinyl estradiol are CYP3A4 substrates. Mavacamten may well minimize systemic exposures of ethinyl estradiol and progestin, which may result in contraceptive failure or an increase i