GlobalRPh Renal Dosing Masterv6.8
Source review / handoff

Migalastat oral capsules (Galafold)

One or two intact local summaries. No averaged regimen, patient-specific dose or automatic source preference.

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Clinical context remains essential

Independent clinical review is pending. Confirm indication, exact formulation/route, population, renal measure and units, kidney-function stability, dialysis prescription, interacting drugs, monitoring and source revision. An RX mirror and its original label are not independent corroboration. Missing disagreement notes do not certify agreement.

The official product label and its RX mirror are one underlying evidence family, not two independent clinical validations. Confirm the current exact product label before prescribing.

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Migalastat oral capsules (Galafold) - selected label sections

Product / population
US GALAFOLD 123 mg oral capsules for adults with Fabry disease and a qualifying amenable GLA variant; do not extrapolate to pediatric patients.
Renal method
Indexed eGFR, mL/min/1.73 m2; do not substitute unindexed CrCl.
Source revision
03/2025
Retrieved
2026-10-02
Local review status
Selected renal sections summarized locally. Not a complete monograph or independent clinical approval.

Documented differences and cautions on this drug

All record notes are retained here, including notes about sources not selected in this review.

Before use: Migalastat oral capsules (Galafold)

Use indexed eGFR and the qualifying genetic indication; this is not a daily or pediatric regimen.

What to reconcile: Confirm exact indication, indexed renal estimate and alternate-day schedule; use the newer primary label for full prescribing context.

Selected source reconciliation only; independent clinician adjudication pending.

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Official

Migalastat oral capsules (Galafold) - selected label sections

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DailyMed / GALAFOLD US labeling · US GALAFOLD 123 mg oral capsules for adults with Fabry disease and a qualifying amenable GLA variant; do not extrapolate to pediatric patients.

Renal method: Indexed eGFR, mL/min/1.73 m2; do not substitute unindexed CrCl.
Source date: 03/2025
Retrieved: 2026-10-02

Dose or interval guidance. Use only the product, indication, renal metric and population described in this source.
Before using this finding

Confirm exact indication, indexed renal estimate and alternate-day schedule; use the newer primary label for full prescribing context.

Dialysis evidence: Use is not recommended / excluded in the named dialysis population; not a dialysis dose

Selected renal sections summarized locally. Not a complete monograph or independent clinical approval.

Renal guidance and important limits

Limits that apply to these rows

Confirm the qualifying amenable GLA variant. Avoid food and caffeine for 2 hours before and 2 hours after the dose; swallow the capsule whole.

The RX mirror shows 06/2024 while this primary label shows 03/2025. Only the named renal sections were reconciled, not the complete monographs.

Migalastat oral capsules (Galafold) - selected renal instructions
Renal settingSource-specific action and limits
Mild/moderate renal impairment: eGFR >=30 mL/min/1.73 m2No renal dose adjustment. Labeled regimen: 123 mg orally every other day, not on consecutive days.
eGFR <30 mL/min/1.73 m2 or end-stage renal disease requiring dialysisNot recommended; severe renal impairment has not been studied.
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Renal settingSource-specific action and limits
Mild/moderate renal impairment: eGFR >=30 mL/min/1.73 m2No renal dose adjustment. Labeled regimen: 123 mg orally every other day, not on consecutive days.
eGFR <30 mL/min/1.73 m2 or end-stage renal disease requiring dialysisNot recommended; severe renal impairment has not been studied.

Confirm the qualifying amenable GLA variant. Avoid food and caffeine for 2 hours before and 2 hours after the dose; swallow the capsule whole.

The RX mirror shows 06/2024 while this primary label shows 03/2025. Only the named renal sections were reconciled, not the complete monographs.

RDM68-migalastat-galafold-207a6d9781 · Source locator: Sections 1, 2.1, 2.2 and 8.6

Source-specific limits

The official product label and its RX mirror are one underlying evidence family, not two independent clinical validations. Confirm the current exact product label before prescribing.

Source identity and provenance
Source family
product_label
Source
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=66dbd928-0f1c-48b1-a832-54e4abd9f1db
Retrieved
2026-10-02
DailyMed Set ID
66dbd928-0f1c-48b1-a832-54e4abd9f1db
Renal-function method
Indexed eGFR, mL/min/1.73 m2; do not substitute unindexed CrCl.
Source date/version
03/2025
Hash meaning
Local authored summary; not source HTML/XML/PDF bytes
Local summary SHA-256
207a6d9781e8cad5c992d992b0a7164bdaabb9602b01805f69ebdd26d593c3e8

Document the clinical decision separately

This reference does not select a regimen. Complete the indication, measured/estimated renal function and trend, dialysis setting, source rationale, monitoring and reassessment plan in your institution's approved documentation system. Confirm the complete current source before adopting its regimen.

GlobalRPh Renal Dosing Master v6.8. Review the retrieval and revision dates attached to each source. Selecting a reference does not imply clinical verification.

Pinned reference: https://globalrph.com/blogCalcs/renal-dosing-master/compare.php?id=migalastat-galafold&s1=RDM68-migalastat-galafold-official&h1=4d6fc7d0ca62db40bb6df76e202f8d4167245823e27da9cfde11ea5ae55f3005