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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.
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.
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.
No 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 dialysis
Not 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.
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.