Long-term replacement therapy for patients with confirmed Type 1 Gaucher disease.
Prevents the accumulation of glucocerebrosides in cells. Replaces glucocerebrosidases that are deficient in type 1 Gaucher's disease.
Improvement in symptoms of Gaucher disease (anemia, thrombocytopenia, bone disease, splenomegaly, and hepatomegaly)
Absorption: IV administration results in complete bioavailability
Metabolism and Excretion: Unknown.
Half-life: 18.9–28.7 min
end of infusion
Use Cautiously in:
OB: Use during pregnancy only if clearly needed
Lactation: Use cautiously in nursing women
Pedi: Safety and effectiveness not established
Adverse Reactions/Side Effects
Misc: hypersensitivity reactions including anaphylaxis, infusion reactions
* CAPITALS indicate life-threatening. Underline indicate most frequent.
IV (Adults and Children) ≥4 yr) 60 units/kg every other wk (range 11–73 units/kg).
Lyophilized powder for IV injection (requires reconstitution): 200 units/vial
Monitor for an improvement in symptoms including hepatomegaly, splenomegaly, anemia, thrombocytopenia, bone demineralization, and increased appetite and energy level periodically throughout therapy. Assess liver and spleen size every 6 mo to determine effectiveness of therapy.
Assess for signs and symptoms of anaphylaxis (angioedema, dyspnea, wheezing, coughing, cyanosis, hypotension). Stop infusion immediately and treat symptomatically. Reducing infusion rate and/or premedication may prevent subsequent reactions.
Monitor for signs and symptoms of infusion reactions (headache, chest pain, asthenia, fatigue, urticaria, erythema, increased BP, back pain, flushing). Treat by slowing infusion or with antihistamines or antipyretics. Pretreatment with antihistamines and/or corticosteroids may be used.
Patients treated with imiglucerase can be switched to taliglucerase at the same dose.
Remove required vials from refrigerator; use immediately, if not possible, can be stored in refrigerator for up to 24 hr or at room temperature for 4 hrs. Reconstitute each vial with 5.1 mL of Sterile Water for Injection for a volume of 5.3 mL. Mix gently; do not shake. Solution is clear and colorless; do not administer solutions that are discolored or contain particulate matter. Vials are for single use; discard solution. Diluent: Withdraw 5 mL from each vial and dilute with 100–200 mL 0.9% NaCl.Mix gently; do not shake.
Rate:Initial infusion rate should be 1.2 mL/min for adults or 1 mL/min for pediatric patients; if tolerated, may increase to 2.2 mL/min and 2 mL/min respectively. Infuse over 60–120 min through an in-line low protein-binding 0.2 µm filter; total infusion should be administered over at least 1 hr.
Inform patient of the purpose of this medication and the importance of treatment every 2wk. Taliglucerase helps control the symptoms but does not cure Gaucher's disease. Lifelong therapy may be required.
Instruct patient to notify health care professional if signs and symptoms of anaphylaxis or infusion reactions occur.
Advise female patient to notify health care professional if pregnancy is planned or suspected or if breastfeeding.
Emphasize the importance of follow-up examinations and lab tests.
Increasing hemoglobin and platelet counts and decreasing acid phosphatase levels, hepatomegaly, and splenomegaly. In pediatric patients, cachexia and wasting should diminish.
taliglucerase alfa is a sample topic from the Davis's Drug Guide.
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