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Eliglustat is a small molecule oral medication used for the long-term treatment of type 1 Gaucher disease in adults who are CYP2D6 extensive, intermediate, or poor metabolizers. It acts as a glucosylceramide synthase inhibitor, reducing the synthesis of glucosylceramide—a fatty substance that accumulates in organs and tissues due to deficient acid β-glucosidase activity in Gaucher disease. By inhibiting this enzyme, eliglustat decreases substrate accumulation and helps improve symptoms such as hepatosplenomegaly (enlarged liver/spleen), anemia, thrombocytopenia (low platelets), and bone complications. Eliglustat was discovered at the University of Michigan and developed by Genzyme Corp; it was approved by the FDA in August 2014 as an alternative to enzyme replacement therapy for eligible patients[5][6][1].
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