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Prescription medicine · generic available

Miglustat

Drug class: Glucosylceramide Synthase Inhibitor, Enzyme Stabilizer

The FDA’s “Established Pharmacologic Class”: the group of medicines that work in a similar way.

Official FDA data, not advice

Everything here comes from the U.S. Food and Drug Administration (FDA): the drug label, the NDC Directory, Drugs@FDA, recall reports and the drug shortage list. Each fact shows its source and date.

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

In an emergency, call 911. If someone may have taken too much of a medicine, call Poison Help: 1‑800‑222‑1222.

Quick answers

What is Miglustat used for?
The FDA-approved label (Zavesca, Actelion Pharmaceuticals US, Inc., April 20, 2023) says: “ZAVESCA is a glucosylceramide synthase inhibitor indicated as monotherapy for treatment of adult patients with mild/moderate type 1 Gaucher disease for whom enzyme replacement therapy is not a therapeutic option. …” This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
Does Miglustat have a boxed warning?
No. None of the 7 FDA labels we found for this medicine has a boxed warning.
Is there a shortage of Miglustat?
No current shortage is listed by the FDA for the products of this medicine (FDA data from October 30, 2026).
Has Miglustat been recalled?
No recall linked to the products of this medicine appears in the FDA enforcement reports we use.
Who makes Miglustat?
7 companies list prescription products of Miglustat in the FDA NDC Directory, including Edenbridge Pharmaceuticals LLC., Actelion Pharmaceuticals US, Inc. and CoTherix, Inc..

What Miglustat is used for

Quoted from the “Indications and Usage” section of the FDA-approved label.

ZAVESCA is a glucosylceramide synthase inhibitor indicated as monotherapy for treatment of adult patients with mild/moderate type 1 Gaucher disease for whom enzyme replacement therapy is not a therapeutic option. …

— FDA label: Zavesca, Actelion Pharmaceuticals US, Inc., effective April 20, 2023. Read the full label on DailyMed →

The FDA has 7 labels for products of this medicine (different makers and forms); uses can differ between them. Check the label that comes with your own medicine.

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

Boxed warning

A boxed warning (“black box”) is the FDA’s strongest warning on a drug label, for serious or life-threatening risks.

The label quoted above has no boxed warning.

0 of 7 FDA labels for this medicine have a boxed warning.

Forms and how it is given

Dosage formsCapsule
RouteOral
Prescription products7 in the FDA NDC Directory
Brand namesYargesa, Zavesca, Opfolda

Companies that list this medicine

Labelers in the FDA NDC Directory: the company named on the package (maker or distributor), with the number of prescription products.

FDA approval history

  • NDA: New Drug Application: how a new (usually brand-name) medicine is approved.
  • ANDA: Abbreviated New Drug Application: how a generic version is approved.
Brand and biologic applications
ApplicationSponsorApprovedLater changes approved
NDA021348
ZAVESCA
ActelionJuly 31, 2003 7, latest December 8, 2020
2020: Labeling · 2019: Labeling · 2016: Manufacturing (CMC)
NDA215211
OPFOLDA
Amicus Therap UsSeptember 28, 2023 1, latest July 25, 2024
2024: Labeling

Generic approvals (3)

Shortage status

The FDA drug shortage list does not show these products.

FDA Drug Shortages database →

Recalls

No recall linked to these products (by their NDC code) appears in the FDA enforcement reports.

Official identifiers

RxCUI (RxNorm)401938, 541070, 2642350, 2667426, 2667432
SPL set ID of the quoted label817892d1-ee12-4632-85fc-57ccdf16d7b8
FDA labels (SPL)7
FDA applicationsNDA021348, NDA215211, 3 ANDA
Active ingredients (FDA)MIGLUSTAT

Sources

  1. FDA-approved label on DailyMed (National Library of Medicine) — Zavesca, Actelion Pharmaceuticals US, Inc., effective April 20, 2023; via openFDA, FDA data exported October 30, 2026, retrieved October 31, 2026
  2. NDC Directory (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  3. Drugs@FDA (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  4. Drug recall enforcement reports (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 27, 2026, retrieved October 31, 2026
  5. Drug shortages (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026

openFDA data is provided by the FDA as is; it may be incomplete. Always rely on the label that comes with your medicine. FDA Enforcement Report search →

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