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Prescription medicine

Galsulfase Brand names: Naglazyme

Galsulfase (Naglazyme) is a prescription medicine with an FDA approval on record since 2005. No generic is listed in FDA's NDC Directory.

  • No generic listed
  • Boxed warning

Check it at the source: the galsulfase FDA label on DailyMed (effective September 18, 2024, BioMarin Pharmaceutical Inc.); the BLA 125117 record on Drugs@FDA; every galsulfase label on DailyMed.

Highlights of the record

FDA label of September 18, 2024; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026

Boxed warning

HYPERSENSITIVITY REACTIONS INCLUDING ANAPHYLAXIS.

Patients treated with enzyme replacement therapies have experienced life-threatening hypersensitivity reactions, including anaphylaxis. Anaphylaxis has occurred during the early course of enzyme replacement therapy and after extended duration of therapy. Initiate NAGLAZYME in a healthcare setting with appropriate medical monitoring and support measures, including access to cardiopulmonary resuscitation equipment. If a severe hypersensitivity reaction (e.g., anaphylaxis) occurs, discontinue NAGLAZYME and immediately initiate appropriate medical treatment, including use of epinephrine. Inform patients of the symptoms of life-threatening hypersensitivity reactions, including anaphylaxis and to seek immediate medical care should symptoms occur [see Warnings and Precautions (5.1) ]. WARNING: HYPERSENSITIVITY REACTIONS INCLUDING ANAPHYLAXIS See full prescribing information for complete boxed warning. Anaphylaxis has occurred during the early course of enzyme replacement therapy and after extended duration of therapy. ( 5.1 ) Initiate NAGLAZYME in a healthcare setting with appropriate medical monitoring and support measures, including access to cardiopulmonary resuscitation equipment. […]

Used for

From the label: indications and usage

NAGLAZYME is indicated for patients with Mucopolysaccharidosis VI (MPS VI, Maroteaux-Lamy syndrome).

Forms and strengths

  • 5 mg/5ml

Solution.

On the market

Earliest approval on file
May 31, 2005 Naglazyme, Biomarin; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
No generic approved
Labelers listed (NDC)
1 of which 0 under generic applications, 1 under brand applications, repackagers included

Supply and safety

Pharmacy cost (NADAC)
Not in the survey
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
No recall recorded
FAERS reports
3,826 through July 30, 2026

What is galsulfase used for?

From the label: indications and usage

NAGLAZYME is indicated for patients with Mucopolysaccharidosis VI (MPS VI, Maroteaux-Lamy syndrome). NAGLAZYME has been shown to improve walking and stair-climbing capacity. NAGLAZYME is a hydrolytic lysosomal glycosaminoglycan (GAG)-specific enzyme indicated for patients with Mucopolysaccharidosis VI (MPS VI; Maroteaux-Lamy syndrome). NAGLAZYME has been shown to improve walking and stair-climbing capacity.

FDA pharmacologic class: Hydrolytic Lysosomal Glycosaminoglycan-specific Enzyme.

Source: FDA drug label (NAGLAZYME), BioMarin Pharmaceutical Inc., effective September 18, 2024 (SPL set 59341250-deac-ed71-3823-a4f5d64dbd77), via openFDA; the full label on DailyMed

Is there a generic for galsulfase (Naglazyme)?

No generic galsulfase is approved (Drugs@FDA, October 8, 2026).

  • 2005 earliest approval on file

Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)

What does the galsulfase label say about other medicines?

The galsulfase label names 1 other medicine in its interaction, contraindication or warning sections. The sentences are the labels' own; a label lists what its studies and reports found, not every interaction.

Medicine namedSectionWhat the label says
Epinephrineboxed warning… anaphylaxis) occurs, discontinue NAGLAZYME and immediately initiate appropriate medical treatment, including use of epinephrine.

Check galsulfase against other medicines

Source: FDA drug label (NAGLAZYME), BioMarin Pharmaceutical Inc., effective September 18, 2024 (SPL set 59341250-deac-ed71-3823-a4f5d64dbd77), via openFDA; the full label on DailyMed

What do FAERS reports show for galsulfase?

The FDA Adverse Event Reporting System holds 3,826 reports that list galsulfase among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 348 are coded as a death and 1,414 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.

Reports received each year

The most reported reactions

  • Pyrexia (named in the label)414
  • Pneumonia303
  • Cough (named in the label)226
  • Dyspnoea (named in the label)193
  • Spinal Cord Compression160
  • Vomiting (named in the label)132
  • Oxygen Saturation Decreased129
  • Fatigue110

Side effects: the label's list and every FAERS reaction

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026

What next?

Other hydrolytic lysosomal glycosaminoglycan-specific enzymes
the pharmacologic class, with prices and generics
Galsulfase side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other