Agalsidase beta

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Agalsidase beta[edit | edit source]

Agalsidase beta is a medication used for the treatment of Fabry disease, a rare genetic disorder. It is a form of enzyme replacement therapy (ERT) that helps to replace the deficient enzyme in individuals with Fabry disease. In this article, we will explore the details of Agalsidase beta, its mechanism of action, indications, dosage, side effects, and more.

Mechanism of Action[edit | edit source]

Agalsidase beta is a recombinant form of the enzyme alpha-galactosidase A. This enzyme is responsible for breaking down a fatty substance called globotriaosylceramide (Gb3) in the body. In individuals with Fabry disease, there is a deficiency of this enzyme, leading to the accumulation of Gb3 in various organs and tissues.

Agalsidase beta works by replacing the missing or deficient alpha-galactosidase A enzyme. It is administered intravenously and travels through the bloodstream to reach the affected organs and tissues. Once there, it breaks down the accumulated Gb3, reducing its levels and preventing further damage.

Indications[edit | edit source]

Agalsidase beta is indicated for the treatment of Fabry disease in both males and females. Fabry disease is an X-linked genetic disorder that primarily affects males, but can also manifest in females. It is characterized by the accumulation of Gb3 in various organs, leading to a wide range of symptoms including pain, kidney dysfunction, heart problems, and skin abnormalities.

Dosage[edit | edit source]

The dosage of Agalsidase beta is determined based on the patient's weight. It is administered as an intravenous infusion over a period of time. The recommended dosage is 1 mg/kg of body weight, given every two weeks. The infusion should be administered under the supervision of a healthcare professional experienced in the management of Fabry disease.

Side Effects[edit | edit source]

Like any medication, Agalsidase beta can cause side effects. The most common side effects include infusion-related reactions such as fever, chills, headache, nausea, and fatigue. These reactions are usually mild to moderate in severity and can be managed with premedication and slowing down the infusion rate.

In rare cases, severe allergic reactions may occur, including anaphylaxis. Signs of an allergic reaction may include difficulty breathing, swelling of the face or throat, and hives. If any of these symptoms occur, immediate medical attention should be sought.

Precautions[edit | edit source]

Before starting Agalsidase beta, it is important to inform your healthcare provider about any allergies or medical conditions you may have. It is also important to disclose all medications you are currently taking, as they may interact with Agalsidase beta.

Agalsidase beta is not recommended for use during pregnancy or breastfeeding, as its safety in these situations has not been established. It is important to discuss the potential risks and benefits with your healthcare provider if you are pregnant or planning to become pregnant.

Conclusion[edit | edit source]

Agalsidase beta is an important medication for the treatment of Fabry disease. It helps to replace the deficient enzyme alpha-galactosidase A, reducing the accumulation of Gb3 and improving symptoms. It is administered intravenously and requires regular monitoring by a healthcare professional. If you or a loved one has been diagnosed with Fabry disease, consult with your healthcare provider to determine if Agalsidase beta is an appropriate treatment option.

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Contributors: Prab R. Tumpati, MD