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Miglustat

Miglustat is an approved active ingredient.

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Chemical compound

Informational only — not medical advice. Ask a doctor or pharmacist; never change a dose on your own.

What it is used for

Miglustat is a glucosylceramide synthase inhibitor indicated as monotherapy for treatment of adult patients with mild/moderate type 1 Gaucher disease for whom enzyme replacement therapy is not a therapeutic option. 1.1 Type 1 Gaucher Disease Miglustat is indicated as monotherapy for the treatment…

US label

Opfolda (miglustat) is an enzyme stabiliser of cipaglucosidase alfa long-term enzyme replacement therapy in adults with late-onset Pompe disease (acid ?- glucosidase [GAA] deficiency).

EMA

How it works

Common side effects

The following serious adverse reactions are described below and elsewhere in the labeling: Peripheral Neuropathy Tremor Diarrhea and Weight Loss Reductions in Platelet Count The most common adverse reactions (incidence ≥5%) are: diarrhea, weight loss, stomach pain, gas, nausea and vomiting headache including…

US label

Pregnancy and breastfeeding

Based on findings from animal reproduction studies, miglustat may cause fetal harm when administered to a pregnant woman.

Excerpts from the US prescribing label (public domain), copied without changes.

Brand names

United States

Zavesca

European Union

Miglustat Dipharma · Veanibek (previously Miglustat Gen.Orph) · Yargesa · Zavesca

Canada

Sandoz Miglustat · Waymade-Miglustat · Zavesca

Other trade names

Miglustat gen.orph

Approval status

US Food and Drug Administration
prescription · since 2003
European Medicines Agency
authorised · since 2002
Health Canada
prescription · marketed
First approval anywhere
2002

Codes

ATC
A16AX06
RxNorm CUI
402316
ChEMBL
CHEMBL1029
PubChem CID
51634
UNII
ADN3S497AZ
Wikidata
Q425911

Frequently asked questions

What is Miglustat used for?

Miglustat is used for: Gaucher's disease, Glycogen storage disease II, and Niemann-Pick disease.

What are the brand names of Miglustat?

Brand names of Miglustat include Zavesca, Miglustat Dipharma, Veanibek (previously Miglustat Gen.Orph), Yargesa, Sandoz Miglustat, Waymade-Miglustat, and Miglustat gen.orph.

Medicines in the same class

Sources and licences

Updated November 15, 2026