{"id":17963,"date":"2022-02-05T11:12:53","date_gmt":"2022-02-05T11:12:53","guid":{"rendered":"https:\/\/zeepedia.com\/?p=17963"},"modified":"2022-02-07T07:22:49","modified_gmt":"2022-02-07T07:22:49","slug":"miglustat-bluefish","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/miglustat-bluefish\/","title":{"rendered":"Miglustat Bluefish &#8211; Miglustat uses, dose and side effects"},"content":{"rendered":"\n<p>100 mg&nbsp;hard capsules<br>miglustat<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Miglustat Bluefish is and what it is used for<\/h2>\n\n\n\n<p>Miglustat Bluefish contains the active substance miglustat, which belongs to a group of medicines that affect\u00a0metabolism.\u00a0It is used to treat two diseases.<\/p>\n\n\n\n<p><strong>Miglustat Bluefish is used to treat mild to moderate Gaucher type 1 disease in adults.<\/strong><\/p>\n\n\n\n<p>For\u00a0Gaucher\u00a0type 1 disease, a substance called glucosylceramide is not removed from your body.\u00a0It begins to be stored in certain cells that belong to the body&#8217;s immune system.\u00a0This can lead to liver and spleen enlargement, changes in the blood, and skeletal disease.<\/p>\n\n\n\n<p>Gaucher&#8217;s&nbsp;type 1 disease is normally treated with enzyme replacement therapy.&nbsp;Miglustat Bluefish is used only if the patient is not considered suitable for treatment with enzyme replacement therapy.<\/p>\n\n\n\n<p><strong>Miglustat Bluefish is also used to treat the growing neurological symptoms of Niemann-Pick type C in adults and children<\/strong><\/p>\n\n\n\n<p>If you have Niemann-Pick type C disease, fats, such as glycosphingolipids, are stored in your brain cells.\u00a0This can lead to disturbances in neurological functions such as slow eye movements, balance, swallowing ability, memory, and to seizures.<\/p>\n\n\n\n<p>Miglustat Bluefish acts by&nbsp;inhibiting&nbsp;an&nbsp;enzyme&nbsp;called &#8220;glucosylceramide synthetase&#8221;, which is responsible for the first step in the production of most glycosphingolipids.<\/p>\n\n\n\n<p>Miglustat contained in Miglustat Bluefish may also be approved for the treatment of other diseases not mentioned in this leaflet.\u00a0Ask your doctor, pharmacist, or other healthcare professionals if you have any further questions, and always follow their instructions.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you take Miglustat Bluefish<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Miglustat Bluefish<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to miglustat or any of the other ingredients of this medicine (listed in section 6).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before taking Miglustat Bluefish<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have any kidney disease<\/li><li>if you have any liver disease<\/li><\/ul>\n\n\n\n<p>Your doctor will perform the following checks before and during treatment with Miglustat Bluefish:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>examination to check the nerves in your arms and legs<\/li><li>measurement of&nbsp;vitamin&nbsp;B12 value<\/li><li>monitor your growth if you are a child or adolescent with Niemann-Pick type C disease<\/li><li>check the number of&nbsp;platelets<\/li><\/ul>\n\n\n\n<p>The reason for these controls is that some patients have had tingling or numbness in their hands and feet or lost weight during treatment with Miglustat Bluefish.&nbsp;The checks make it easier for the doctor to determine if these problems are due to your illness or something you have had in the past, or if they are due to&nbsp;side effects&nbsp;of Miglustat Bluefish (for more information see section 4).<\/p>\n\n\n\n<p>If you get diarrhea, your doctor may ask you to change your diet so that you reduce your intake of milk sugar, and carbohydrates such as sucrose (regular sugar).\u00a0Your doctor may also ask you not to take Miglustat Bluefish with food.\u00a0In some cases, your doctor may temporarily lower your\u00a0dose\u00a0or prescribe a medicine for diarrhea (such as loperamide).\u00a0If your diarrhea does not respond to these measures, or if you have any other stomach problems, consult your doctor.\u00a0In this case, your doctor may decide on further investigations.<\/p>\n\n\n\n<p>Male patients should use reliable contraception during treatment with Miglustat Bluefish and for 3 months after stopping treatment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Do not give this medicine to children and adolescents (under 18 years of age) with&nbsp;Gaucher&nbsp;type 1 disease because it is not known if it works against that disease.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Miglustat Bluefish<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<\/p>\n\n\n\n<p>Tell your doctor if you are taking medicines containing imiglucerase, which are sometimes used at the same time as Miglustat Bluefish.&nbsp;They can lower the amount of Miglustat Bluefish in your body.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding and fertility<\/h2>\n\n\n\n<p>You should not take Miglustat Bluefish if you are pregnant or planning to become pregnant.\u00a0Your doctor can give you more information.\u00a0You must use safe contraception when taking Miglustat Bluefish.\u00a0Do not breastfeed while taking Miglustat Bluefish.<\/p>\n\n\n\n<p>Male patients should use reliable contraception during treatment with Miglustat Bluefish and 3 months after stopping treatment.<\/p>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Miglustat Bluefish can make you feel dizzy.&nbsp;Do not drive or use any tools or machines if you feel dizzy.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0The description of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Miglustat Bluefish contains sodium<\/h2>\n\n\n\n<p>This medicine contains less than 1 mmol (23 mg)&nbsp;sodium&nbsp;per 100 mg capsules, ie essentially &#8216;sodium-free&#8217;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to take Miglustat Bluefish<\/h2>\n\n\n\n<p>Always take this medicine exactly as your doctor has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>For&nbsp;Gaucher disease&nbsp;type 1:<\/strong>&nbsp;for adult patients, the usual&nbsp;dose&nbsp;is one hard capsule (100 mg) three times a day (morning, afternoon and evening).&nbsp;This means a maximum daily dose of three hard capsules (300 mg).<\/li><li><strong>For Niemann-Pick type C disease:<\/strong>&nbsp;For adults and adolescents (over 12 years of age), the usual&nbsp;dose&nbsp;is one two capsules (200 mg) three times a day (morning, afternoon and evening).&nbsp;This means a daily maximum dose of 6 capsules (600 mg).<\/li><\/ul>\n\n\n\n<p>For children under the age of 12 who have Niemann-Pick type C disease, your doctor will adjust the&nbsp;dose&nbsp;one.<\/p>\n\n\n\n<p>If you have kidney problems, you may receive a lower starting dose.\u00a0Your doctor may reduce your\u00a0dose\u00a0e.g.\u00a0to a hard capsule (100 mg) once or twice a day if you suffer from diarrhea during treatment with Miglustat Bluefish (see section 4).\u00a0Your doctor will tell you how long you will be treated.<\/p>\n\n\n\n<p>Miglustat Bluefish can be taken with or without food.&nbsp;You should swallow the whole capsule with a glass of water.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Miglustat Bluefish than you should<\/h2>\n\n\n\n<p>Miglustat Bluefish has been used in\u00a0clinical trials\u00a0at\u00a0doses\u00a0ten times higher than the recommended\u00a0dose: this caused a decrease in the number of\u00a0white blood cells\u00a0and other\u00a0side effects\u00a0similar to those described in section 4.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Miglustat Bluefish<\/h2>\n\n\n\n<p>Take the next hard capsule at the usual time.\u00a0Do not take a double\u00a0dose\u00a0to make up for a forgotten\u00a0dose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop taking Miglustat Bluefish<\/h2>\n\n\n\n<p>Do not stop taking Miglustat Bluefish without talking to your doctor.<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p><em>Most serious side effects:<\/em><\/p>\n\n\n\n<p><strong>Some patients have experienced tingling or numbness in the hands and feet (common).&nbsp;<\/strong>This may be a sign of peripheral neuropathy due to side effects of Miglustat Bluefish or due to pre-existing conditions.&nbsp;Your doctor will perform some checks before and during treatment with Miglustat Bluefish to evaluate this (see section 2).<\/p>\n\n\n\n<p><strong>If you experience any of these symptoms, consult your doctor as soon as possible.<\/strong><\/p>\n\n\n\n<p><strong>If you experience mild tremors<\/strong>, usually in\u00a0your hands, consult your doctor\u00a0as soon as possible.\u00a0These tremors usually disappear without the need to interrupt treatment.\u00a0Sometimes your doctor will need to reduce the\u00a0dose\u00a0one or discontinue treatment with Miglustat Bluefish for you to get rid of the tremors.<\/p>\n\n\n\n<p><strong>Very common&nbsp;<\/strong>&nbsp;<em>(may affect more than 1 user in 10):<\/em><\/p>\n\n\n\n<p>The most common\u00a0side effects\u00a0are diarrhea, gas, abdominal (stomach) pain, weight loss, and decreased appetite.\u00a0Do not worry\u00a0<strong>if you lose any weight<\/strong>\u00a0when starting treatment with Miglustat Bluefish.\u00a0You usually stop losing weight when the treatment continues.<\/p>\n\n\n\n<p><strong>Common&nbsp;<\/strong>&nbsp;<em>(may affect up to 1 in 10 people):&nbsp;<\/em><\/p>\n\n\n\n<p>Common\u00a0side effects\u00a0of treatment include headache, dizziness,\u00a0paresthesia\u00a0(tingling or numbness), abnormal coordination, hypoesthesia (decreased sensation), acid regurgitation (heartburn), nausea, constipation and vomiting, swelling or discomfort from the abdomen (stomach), and thrombocytopenia (decreased\u00a0platelet\u00a0level\u00a0).\u00a0The neurological symptoms and thrombocytopenia may be caused by the underlying disease.<\/p>\n\n\n\n<p>Other possible\u00a0side effects\u00a0are muscle spasms or weakness, fatigue, chills and general malaise, depression, difficulty sleeping, forgetfulness, and decreased\u00a0libido.<\/p>\n\n\n\n<p>Most patients experience one or more of these\u00a0side effects, usually at the beginning of treatment or periodically during treatment.\u00a0In most cases, the\u00a0side effects\u00a0are mild and disappear fairly quickly.\u00a0If any of these\u00a0side effects\u00a0occur, consult your doctor.\u00a0He or she can then reduce the dose of Miglustat Bluefish or suggest other medications that can help reduce the\u00a0side effects.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Miglustat Bluefish<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton after \u201cEXP\u201d.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the pack and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p>The active substance is miglustat.&nbsp;Each capsule contains 100 mg miglustat.<\/p>\n\n\n\n<p>Other ingredients are:<\/p>\n\n\n\n<p>Capsule contents: sodium starch glycolate type A, povidone, magnesium stearate<\/p>\n\n\n\n<p>Capsule shell: titanium dioxide (E171), gelatin<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and contents of the pack<\/h2>\n\n\n\n<p>White hard gelatin capsules, filled with homogeneous white to off-white&nbsp;granules&nbsp;in perforated Aclar-Alu blisters (PVC \/ PE \/ PCTFE-Alu blisters).<\/p>\n\n\n\n<p>Miglustat Bluefish 100 mg hard capsules are available in packs of 84 hard capsules.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder<\/h2>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>GL Pharma GmbH<\/p>\n\n\n\n<p>Schlossplatz 1, Lannach 8502<\/p>\n\n\n\n<p>Austria<\/p>\n\n\n\n<p><strong>This medicinal product is authorized under the European Economic Area under the names:<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Germany<\/td><td>Miglustat Bluefish 100 mg Heart Capsule<\/td><\/tr><tr><td>Denmark<\/td><td>Miglustat Bluefish<\/td><\/tr><tr><td>France<\/td><td>Miglustat Bluefish 100 mg g\u00e9lules<\/td><\/tr><tr><td>Norway<\/td><td>Miglustat Bluefish 100 mg hard capsules<\/td><\/tr><tr><td>Sweden<\/td><td>Miglustat Bluefish 100 mg hard capsules<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Miglustat Bluefish contains the active substance miglustat, which belongs to a group of medicines that affect metabolism . It is used to treat two diseases.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,15580],"tags":[17547,17557,17542,17553,17556,17546,17543,17554,17555,17544],"class_list":["post-17963","post","type-post","status-publish","format-standard","hentry","category-medicines","category-m","tag-benefits-of-miglustat","tag-benefits-of-miglustat-bluefish","tag-miglustat","tag-miglustat-bluefish","tag-miglustat-bluefish-side-effects","tag-miglustat-side-effects","tag-what-is-miglustat","tag-what-is-miglustat-bluefish","tag-what-miglustat-bluefish-is-used-for","tag-what-miglustat-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/17963","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=17963"}],"version-history":[{"count":3,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/17963\/revisions"}],"predecessor-version":[{"id":17986,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/17963\/revisions\/17986"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=17963"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=17963"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=17963"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}