Enzyme replacement therapy

Alglucosidase alfa (ألجلوكوزيداز ألفا)

Alglucosidase alfa is a man-made copy of the enzyme acid alpha-glucosidase, which is missing in Pompe disease, a rare inherited condition in which glycogen builds up in the muscles, including the heart and breathing muscles. It is given as a drip into a vein long term and can cause severe allergic reactions.

This medicine is used under close medical supervision, usually by a specialist. Never start, stop or change it without your doctor.

What it is used for

  • Long-term treatment of confirmed Pompe disease in infants, children and adults
  • Helping to improve or maintain muscle strength, breathing and heart function

How it is used

  • It is given as a drip into a vein by a trained team with emergency equipment at hand
  • It is given at regular intervals set by your specialist, and treatment is usually long term
  • Medicines may be given before the drip, and you will be watched during and after it

Possible side effects

  • Infusion reactions: rash, fever, flushing and a fast heartbeat
  • Headache, nausea or vomiting
  • Tiredness
  • Rarely, a severe allergic reaction or immune reactions affecting the skin or kidneys

Who should not use it

  • A previous life-threatening allergic reaction to it, unless a specialist decides to try again under close supervision

Before and while using it

  • It can cause a severe allergic reaction; tell the team at once about breathlessness, facial swelling or a rash
  • Infants with weak heart or breathing are at higher risk during the drip and need close monitoring
  • The body can make antibodies that reduce how well it works; your doctor monitors this
  • Tell the team if you are unwell or have a fever on the day of the drip

Medicine interactions

  • No important drug interactions are known, but tell your doctor about all your medicines

Pregnancy and breastfeeding

  • Information is limited; your specialist decides about continuing it in pregnancy or breastfeeding

How to store it

  • Vials are kept in the fridge and prepared in hospital

Get medical help straight away if

  • Your face, lips or tongue swell, or you find it hard to breathe.
  • You get a severe rash, blistering or peeling skin.
  • A side effect worries you or doesn’t go away: contact your doctor or pharmacist.

Questions about this medicine?

Talk to a doctor by video, or send your question by text.

Source: Standard international medicine references

This guide is general information and doesn’t replace advice from your doctor or pharmacist. Don’t start, stop or change a medicine without asking them, and always read the leaflet in the pack.