{"id":6655,"date":"2021-01-11T13:30:25","date_gmt":"2021-01-11T13:30:25","guid":{"rendered":"https:\/\/zeepedia.com\/?p=6655"},"modified":"2021-06-11T15:08:38","modified_gmt":"2021-06-11T15:08:38","slug":"cerezyme","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/cerezyme\/","title":{"rendered":"Cerezyme &#8211; Imiglucerase uses, dose and side effects"},"content":{"rendered":"\n<p>\n\n400 units&nbsp;powder for concentrate for&nbsp;infusion&nbsp;solution&nbsp;<br>Imiglucerase<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Cerezyme is and what it is used for<\/h2>\n\n\n\n<p>Cerezyme contains the active substance imiglucerase and is used to treat patients who have a confirmed diagnosis of&nbsp;Gaucher disease&nbsp;type 1 or type 3, and who show the following signs of the disease:&nbsp;anemia&nbsp;(&nbsp;anemia&nbsp;), a tendency to bleed easily (due to low numbers)&nbsp;platelets&nbsp;&#8211; a type of blood cell), enlargement of the&nbsp;spleen&nbsp;or liver, or skeletal disease.<br><\/p>\n\n\n\n<p>People with&nbsp;Gaucher disease&nbsp;have low levels of an&nbsp;enzyme&nbsp;called acidic \u03b2-glucosidase.&nbsp;This&nbsp;enzyme&nbsp;helps the body control the levels of glucosylceramide.&nbsp;Glucosylceramide is a natural substance in the body and consists of sugar and fat.&nbsp;In&nbsp;Gaucher&#8217;s disease, glucosylceramide levels may be too high.<\/p>\n\n\n\n<p>Cerezyme is an artificial&nbsp;enzyme&nbsp;called imiglucerase.&nbsp;It can replace the natural&nbsp;enzyme&nbsp;an acidic \u03b2-glucosidase that is missing or not sufficiently active in patients with&nbsp;Gaucher disease.<br><\/p>\n\n\n\n<p>The information in this leaflet applies to all patient groups including children, adolescents, adults, and the elderly.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before you use Cerezyme<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Cerezyme<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to imiglucerase or any of the other ingredients of this medicine (see 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 using Cerezyme:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are being treated with Cerezyme you may have an&nbsp;allergic reaction&nbsp;while receiving the medicine or shortly afterward.&nbsp;If you get such a reaction, you must&nbsp;<strong>tell<\/strong>&nbsp;your&nbsp;<strong>doctor immediately<\/strong>.&nbsp;Your doctor may test if you have an&nbsp;allergic reaction&nbsp;to imiglucerase.<\/li><li>Some patients with&nbsp;Gaucher disease&nbsp;have high&nbsp;blood pressure&nbsp;in the lungs (&nbsp;pulmonary&nbsp;hypertension&nbsp;).&nbsp;The cause may be unknown, or it may be due to heart, lung or liver problems.&nbsp;It may occur whether the patient is being treated with Cerezyme or not.&nbsp;However, if you suffer from&nbsp;<strong>shortness<\/strong>&nbsp;of&nbsp;<strong>breath<\/strong>, you must tell your doctor.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Cerezyme<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<br><\/p>\n\n\n\n<p>Cerezyme must not be given mixed with other medicines in the same&nbsp;infusion&nbsp;(drip).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.&nbsp;Careful use of Cerezyme during pregnancy and lactation is recommended.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Cerezyme contains sodium<\/h2>\n\n\n\n<p>The drug contains&nbsp;sodium&nbsp;and is administered in 0.9% sodium chloride&nbsp;intravenous solutions.&nbsp;This should be considered by patients on a low-salt diet.&nbsp;This medicine contains 280 mg of&nbsp;sodium&nbsp;(the main ingredient in common salt\/table salt) per&nbsp;vial.&nbsp;This corresponds to 14% of the maximum recommended daily intake of&nbsp;sodium&nbsp;for adults.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How Cerezyme is given<\/h2>\n\n\n\n<p><em>Instructions for proper use<br><\/em>Cerezyme is given via a drip into a vein (by&nbsp;intravenous&nbsp;infusion&nbsp;).<br><\/p>\n\n\n\n<p>It is delivered as a powder which must be mixed with sterile water before it is given.<br><\/p>\n\n\n\n<p>Cerezyme should only be used under the supervision of a doctor who is knowledgeable in the treatment of&nbsp;Gaucher&#8217;s disease&nbsp;.&nbsp;Your doctor may recommend that you receive treatment at home, provided you meet certain criteria.&nbsp;Contact your doctor if you want to receive treatment at home.<br><\/p>\n\n\n\n<p>Your&nbsp;dose&nbsp;is specific to you.&nbsp;Your doctor will calculate&nbsp;dose&nbsp;one based on how severe your symptoms are and other factors.&nbsp;The recommended&nbsp;dose&nbsp;is 60 units\/kg body weight once every two weeks.<br><\/p>\n\n\n\n<p>The doctor carefully monitors how you react to the treatment, and can change&nbsp;someone (increase or decrease) until he \/ she finds the best&nbsp;dose&nbsp;to control your symptoms.<br><\/p>\n\n\n\n<p>Once the doctor has found the right&nbsp;dose, he\/she will still check your reactions to make sure you are using the right&nbsp;dose.&nbsp;This can be done every 6 to 12 months.<br><\/p>\n\n\n\n<p>There is no information on the effect of Cerezyme on brain-based symptoms in patients with&nbsp;chronic&nbsp;neuronopathic&nbsp;Gaucher disease.&nbsp;Therefore, no specific dosing regimen can be recommended.<br><\/p>\n\n\n\n<p><em>ICGG Gaucher Registry<br><\/em>You can ask your doctor to register your patient information in the &#8220;ICGG Gaucher Registry&#8221;.&nbsp;The purpose of this registry is to increase understanding of&nbsp;Gaucher&#8217;s disease&nbsp;and to check how well enzyme replacement therapy, such as Cerezyme, works.&nbsp;This should lead to an improvement in the safety and efficacy of Cerezyme.&nbsp;Your patient data is registered anonymously &#8211; no one gets to know that the information is about you.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you use more Cerezyme than you should<\/h2>\n\n\n\n<p>No cases of overdose of Cerezyme have been reported.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to use Cerezyme<\/h2>\n\n\n\n<p>If you have missed an&nbsp;infusion, consult your doctor.<br><\/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\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects,&nbsp;although not everybody gets them.<br><\/p>\n\n\n\n<p><strong>Common<\/strong>&nbsp;(may affect up to 1 in 10 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>shortness of breath<\/li><li>cough<\/li><li>hives \/ local swelling of the skin or inside the mouth or throat<\/li><li>itching<\/li><li>rash<\/li><\/ul>\n\n\n\n<p><strong>Uncommon<\/strong>&nbsp;(may affect up to 1 in 100 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>dizziness<\/li><li>headache<\/li><li>a feeling of skin tingling, stinging, stinging, or numbness<\/li><li>increased heart rate<\/li><li>bluish skin<\/li><li>redness<\/li><li>drop in blood pressure<\/li><li>vomiting<\/li><li>nausea<\/li><li>stomach cramps<\/li><li>diarrhea<\/li><li>joint pain<\/li><li>discomfort at the infusion site<\/li><li>burning at the infusion site<\/li><li>swelling at the infusion site<\/li><li>abscess at the injection site<\/li><li>chest discomfort<\/li><li>fever<\/li><li>stiffness<\/li><li>fatigue<\/li><li>back pain<\/li><\/ul>\n\n\n\n<p><strong>Rare<\/strong>&nbsp;(may affect up to 1 in 1,000 people):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>severe&nbsp;hypersensitivity reaction<\/li><\/ul>\n\n\n\n<p>Some&nbsp;side effects&nbsp;were seen mainly while patients were receiving the drug or shortly after.&nbsp;These were&nbsp;itching,&nbsp;redness, hives \/ local swelling in the skin or inside the mouth or throat, chest discomfort, increased heart rate, bluish skin, shortness of breath, a feeling of skin tingling, stinging, stinging or numbness, drop in blood pressure and back pain.&nbsp;If you get any of these symptoms,&nbsp;<strong>tell your doctor immediately<\/strong>.&nbsp;You may need additional medicines to prevent an&nbsp;allergic reaction&nbsp;(eg&nbsp;antihistamines&nbsp;and\/or&nbsp;corticosteroids&nbsp;).<br><\/p>\n\n\n\n<p><em>Reporting of side effects<\/em><\/p>\n\n\n\n<p>If you get any side effects, talk to your doctor, pharmacist, or nurse.&nbsp;This includes any possible side effects not listed in this leaflet.&nbsp;You can also report side effects directly to the Medical Products Agency,&nbsp;www.lakemedelsverket.se.&nbsp;By reporting side effects, you can help increase drug safety information.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Cerezyme<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<br><\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the label and carton after \u201cEXP\u201d.&nbsp;The expiration date is the last day of the specified month.<br><\/p>\n\n\n\n<p><strong>Unopened vials:<\/strong>&nbsp;<br>Store in a refrigerator (2 \u00b0 C &#8211; 8 \u00b0 C)<br><\/p>\n\n\n\n<p><strong>Diluted solution:<\/strong><\/p>\n\n\n\n<p>Cerezyme should be used immediately after&nbsp;mixing&nbsp;with sterile water.&nbsp;The reconstituted solution in the vial cannot be saved but should be immediately diluted in an infusion bag;&nbsp;an only diluted solution can be stored for up to 24 hours if stored cool (2 \u00b0 C \u2013 8 \u00b0 C) and dark.<br><\/p>\n\n\n\n<p>The medicine 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\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is imiglucerase.&nbsp;Imiglucerase is a modified form of the human&nbsp;enzyme&nbsp;an acidic \u03b2-glucosidase and is produced by&nbsp;recombinant DNA technology.&nbsp;One&nbsp;vial&nbsp;contains 400 units of imiglucerase.&nbsp;After&nbsp;reconstitution&nbsp;, the solution contains 40 units of imiglucerase per ml.<\/li><li>The other ingredients are mannitol, sodium citrate, citric acid monohydrate, polysorbate 80.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Cerezyme, 400 units, is supplied as a powder for concentrate for&nbsp;solution&nbsp;for&nbsp;infusion(in a pack of 1, 5, or 25 vials).&nbsp;Not all pack sizes may be marketed.<br><\/p>\n\n\n\n<p>Cerezyme is supplied as a white to off-white powder.&nbsp;After&nbsp;reconstitution, it is a clear, colorless liquid, free from particles.&nbsp;The reconstituted solution must be further diluted.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><strong>Marketing Authorization Holder<\/strong>&nbsp;<br>Genzyme Europe BV, Paasheuvelweg 25, 1105 BC Amsterdam, The Netherlands<br><\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Genzyme Ireland Limited, IDA Industrial Park, Old Kilmeaden Road, Waterford, Ireland<br><\/p>\n\n\n\n<p>Contact the representative of the marketing authorization holder to find out more about this medicine:<br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cerezyme contains the active substance imiglucerase and is used to treat patients who have a confirmed diagnosis of Gaucher disease type 1 or type 3, and who show the following signs of the disease: anemia ( anemia ), a tendency to bleed easily (due to low numbers) platelets &#8211; a type of blood cell), enlargement of the spleen or liver, or skeletal disease.<\/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":[2203,2200],"tags":[7449,7453,7451,7452,7445,7448,7447,2212,2328,7450,7446],"class_list":["post-6655","post","type-post","status-publish","format-standard","hentry","category-c","category-medicines","tag-cerezyme","tag-cerezyme-dosage","tag-cerezyme-side-effects","tag-cerezyme-uses","tag-imiglucerase","tag-imiglucerase-powder","tag-imiglucerase-side-effects","tag-medicine","tag-powder","tag-what-is-cerezyme","tag-what-is-imiglucerase"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6655","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=6655"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6655\/revisions"}],"predecessor-version":[{"id":11517,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6655\/revisions\/11517"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=6655"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=6655"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=6655"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}