Cerezyme (Imiglucerase)

Complete patient guide for uses, dosage, side effects, and safety information

Prescription Required

Quick Facts

Generic Name
imiglucerase
Drug Class
enzyme replacement therapy
Used For
Type I or Type 3 Gaucher disease
How Taken
intravenous infusion by healthcare professional, frequency determined by doctor

What Is Cerezyme Used For?

Cerezyme is an enzyme replacement therapy designed to treat a rare genetic condition called Gaucher disease.

Primary Uses

Cerezyme treats patients with confirmed Type I or Type 3 Gaucher disease who show symptoms such as anemia (low red blood cells), low platelet counts that can cause bleeding tendencies, enlarged spleen or liver, or bone disease.

How It Works

Gaucher disease occurs when the body doesn’t produce enough of an enzyme called β-glucocerebrosidase, causing a fatty substance called glucocerebroside to build up in the body. Cerezyme replaces this missing enzyme to help remove the built-up substance and prevent further accumulation.

How to Take Cerezyme

Cerezyme is given as an intravenous infusion (through a drip into your vein) by trained healthcare professionals in a hospital or clinic setting.

Dosage Instructions

Your doctor will determine the appropriate dose and frequency of infusions based on your individual needs. The infusion typically takes 1 to 2 hours. The medication comes as a powder that is mixed with sterile water before administration. Your doctor may approve home treatment if you meet certain criteria.

Important: Only use Cerezyme under supervision of a doctor experienced in treating Gaucher disease. Never stop treatment without consulting your healthcare professional.

Available Tablet Strengths

400 U
400 U Tablet White to off-white, Powder • powder for solution for infusion

Side Effects

Like all medications, this medicine can cause side effects. Most are mild and temporary, but some require medical attention.

Common Side Effects

These side effects occur relatively frequently and usually don’t require emergency care:

  • nausea
  • vomiting

Seek immediate medical attention if you experience:

  • shortness of breath, wheezing or difficulty breathing
  • swelling of face, lips, tongue or other body parts
  • local injection site reactions (redness, itchiness, tenderness, pain, warmth, burning, stinging, swelling, hard lumps or scars)
  • flushing or skin redness
  • headaches
  • stomach ache or cramps
  • diarrhea
  • rash or hives
  • tiredness
  • dizziness
  • temporary high blood pressure
  • itching and swelling of mouth/throat
  • chest discomfort
  • fall in blood pressure

Important Warnings

Before starting Cerezyme, it’s crucial to discuss your medical history and any allergies with your healthcare provider.

Who Should Not Take Cerezyme

Do not use Cerezyme if you have ever had a severe, life-threatening allergic reaction to Cerezyme or any of its ingredients. Signs of allergic reactions include shortness of breath, wheezing, difficulty breathing, swelling of face, lips, tongue or other body parts, skin rash, itching, or hives.

Medical Conditions to Discuss

Tell your doctor if you have previously received Cerezyme or another drug and experienced life-threatening allergic reactions or breathing difficulties, have allergies to other medicines or substances like foods, preservatives or dyes, or have previously had surgery to remove your spleen.

Pregnancy and Breastfeeding

There is no information available about using Cerezyme during pregnancy. Your doctor will discuss the possible risks and benefits if you are pregnant or planning to become pregnant. It’s unknown whether Cerezyme passes into breast milk, so discuss the risks and benefits with your doctor if you are breastfeeding.

Infusion Reactions: You may experience infusion-associated reactions (IARs) or allergic reactions during or shortly after receiving Cerezyme. Your doctor may modify the administration and add medications to prevent these reactions.

Drug Interactions

Always inform your healthcare provider about all medications you are taking, including over-the-counter medicines, vitamins, and supplements.

Limited Studies: No formal drug interaction studies have been conducted with Cerezyme. Check with your doctor about any medicines you are taking.

Alcohol & Driving

Cerezyme is unlikely to affect your ability to drive or operate machinery, but you should be cautious until you know how it affects you.

Driving and Operating Machinery

Be careful before driving or using machines until you know how Cerezyme affects you. Make sure you know how you react to the medication before driving or doing anything that could be dangerous if you feel dizzy, light-headed, tired, or drowsy.

Storage

Cerezyme is typically stored in hospital or clinic pharmacy refrigeration at 2°C – 8°C. Once reconstituted and diluted, it should be protected from light. Keep all medications away from children. If you no longer need the medicine or it’s expired, take it to any pharmacy for safe disposal.

Overdose Information

No overdoses of Cerezyme have been reported. Your healthcare professional is trained to calculate the correct dose. If you think you’ve received too much Cerezyme, seek immediate medical attention by calling the Poisons Information Centre (13 11 26 in Australia or 0800 764 766 in New Zealand), contacting your doctor, or going to the nearest hospital emergency department.

Frequently Asked Questions

Cerezyme works as enzyme replacement therapy to gradually remove built-up glucocerebroside and prevent further accumulation. Your doctor will monitor your response through regular tests to ensure the treatment is working effectively.

Your doctor may approve home treatment if you meet certain criteria. A Home Infusion Guide for Patients/Carers is available. Contact your doctor to discuss if home treatment is suitable for you.

Your treating physician will decide on the dose and frequency of infusions that is most suitable for your individual condition. It’s important to keep all scheduled appointments for optimal treatment effectiveness.

Inform your healthcare provider immediately if you experience any side effects during the infusion. Your doctor may modify the administration and add medications to prevent infusion-associated reactions.

Never stop using Cerezyme without speaking to your healthcare professional. It’s important to continue treatment as prescribed to maintain enzyme levels and prevent the buildup of glucocerebroside.

Your treating physician may wish to test your body’s response to Cerezyme to make sure it’s working effectively. Keep all appointments and have tests done when your doctor recommends them.

There is no information available about using Cerezyme during pregnancy. Your doctor will discuss the possible risks and benefits if you are pregnant or planning to become pregnant.

Important Disclaimer

This information is intended for general educational purposes only and should not be considered medical advice. Always consult your healthcare provider or pharmacist before starting, stopping, or changing any medication.

If you think you may have a medical emergency, call your doctor or emergency services immediately.