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Prescription medicine

Vestronidase alfa Brand names: Mepsevii

Vestronidase alfa (Mepsevii) is a prescription medicine. No generic is listed in FDA's NDC Directory.

  • No generic listed
  • Boxed warning

Check it at the source: the vestronidase alfa FDA label on DailyMed (effective November 18, 2025); every vestronidase alfa label on DailyMed.

Highlights of the record

FDA label of November 18, 2025; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026

Boxed warning

ANAPHYLAXIS Anaphylaxis has occurred with MEPSEVII administration, as early as the first dose [see Warnings and Precautions ( 5.1 )], therefore appropriate medical support should be readily available when MEPSEVII is administered. Closely observe patients during and for 60 minutes after MEPSEVII infusion [see Dosage and Administration ( 2.2 ), Warnings and Precautions ( 5.1 )]. Immediately discontinue the MEPSEVII infusion if the patient experiences anaphylaxis [see Dosage and Administration ( 2.2 ), Warnings and Precautions ( 5.1 )]. WARNING: ANAPHYLAXIS See full prescribing information for complete boxed warning. Anaphylaxis has occurred with MEPSEVII administration, as early as the first dose ( 5.1 ), therefore appropriate medical support should be readily available when MEPSEVII is administered. Closely observe patients during and for 60 minutes after MEPSEVII infusion ( 2.2 , 5.1 ). Immediately discontinue the MEPSEVII infusion if the patient experiences anaphylaxis ( 2.2 , 5.1 ).

Used for

From the label: indications and usage

MEPSEVII is indicated in pediatric and adult patients for the treatment of Mucopolysaccharidosis VII (MPS VII, Sly syndrome).

Forms and strengths

  • 2 mg/ml

Injection.

On the market

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
63 through July 30, 2026

What is vestronidase alfa used for?

From the label: indications and usage

MEPSEVII is indicated in pediatric and adult patients for the treatment of Mucopolysaccharidosis VII (MPS VII, Sly syndrome). Limitations of Use The effect of MEPSEVII on the central nervous system manifestations of MPS VII has not been determined. MEPSEVII is a recombinant human lysosomal beta glucuronidase indicated in pediatric and adult patients for the treatment of Mucopolysaccharidosis VII (MPS VII, Sly syndrome). Limitations of Use The effect of MEPSEVII on the central nervous system manifestations of MPS VII has not been determined.

FDA pharmacologic class: Lysosomal beta Glucuronidase.

Source: FDA drug label (MEPSEVII), Ultragenyx Pharmaceutical Inc., effective November 18, 2025 (SPL set 925d4e21-fd98-474d-a34d-a0b3558ed750), via openFDA; the full label on DailyMed

Is there a generic for vestronidase alfa (Mepsevii)?

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

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

What do FAERS reports show for vestronidase alfa?

The FDA Adverse Event Reporting System holds 63 reports that list vestronidase alfa among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 6 are coded as a death and 22 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.

The most reported reactions

  • Product Dose Omission Issue (a use or a product term, not a reaction)5
  • Vomiting5
  • Cough4
  • Rash (named in the label)4
  • Fall3
  • Pneumonia3
  • Respiratory Failure3
  • Acute Respiratory Failure2

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

What next?

Vestronidase alfa side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other