Taking Galafold® (migalastat)

Alex, an actual Galafold patient.

Fitting Galafold into your routine.

Every other day is Galafold day.

Galafold is taken every other day at the same time of day and building Galafold into your routine can make it easier to remember.

“There was a component with incorporating a window of fasting before and after taking Galafold that I needed to become accustomed to. I found it very simple to fast once I started. For me, I stop eating two hours before I go to bed. I don’t even think about it after the medication because I’m asleep.”

- Rebecca, on her Galafold routine

Rebecca Patient Ambassador | Night Galafold

You pick a pill time that's convenient for you.

Because Galafold needs to be taken at the same time of day on an empty stomach, pick a time that works best for you and your eating schedule. The time doesn’t matter, as long as you are consistent.

If a dose is missed you should take the missed dose of Galafold if it is within 12 hours of your normal schedule. If more than 12 hours have passed, do not make up the missed dose. You should resume taking Galafold at your next scheduled day and time according to your every-other-day dosing schedule.

Alex Patient Ambassador | Smiling

“I put my Galafold package right next to my toothbrush. I see it at night as I am about to go to bed as I am brushing my teeth.”

- Alex, on his Galafold routine

You can have clear liquids around pill time.

Foods and certain liquids must be avoided at least 2 hours before and after pill time—but that doesn’t mean you have to avoid coffee, sodas, or juices. See below for the list of clear liquids you can have.

Patient Ambassador | Pill Time
  • Water Plain, carbonated, or flavored
  • Juices No-pulp fruit juices like apple and grape
  • Sodas
  • Tea and Coffee No milk or cream
Patient Ambassador | Pill Time

Packaging designed to help you take Galafold on schedule.

When life gets hectic, it can be hard to remember pill time—especially if Galafold is a new step in your routine. That’s why each Galafold pack is made to help you keep track.

Joyce Patient Ambassador | Close-up

“When I start a new package of Galafold, I like to write the day of the week above the capsule. I keep the package by my easy chair and it has become a habit to check it as the last thing I do before bed.”

- Joyce, on her Galafold tracking

Learn how to take Galafold with this step-by-step guide.

How to Take Galafold | Remove a Capsule | Lift

Remove the adhesive seal holding the cover. Lift the cover of your Galafold carton.

How to Take Galafold | Remove a Capsule | Press

Press and continue holding down the purple tab with your thumb at the left side of the carton.

How to Take Galafold | Remove a Capsule | Pull

Now GRASP the tab on the right side where it says “PULL OUT HERE” and pull out the folded blister card.

How to Take Galafold | Remove a Capsule | Unfold

Unfold the blister card.
Tip: Press hard to allow the blister card to come out.

How to Take Galafold | Taking Capsules | Record

On your first day of taking this medicine from a new blister card, record the date on the blister card.
Tip: It is important to take Galafold on an empty stomach. Do not eat at least 2 hours before and 2 hours after taking Galafold.

How to Take Galafold | Taking Capsules | Turn Over

TURN the card OVER showing the back of the card. LOCATE capsule to remove. BEND the card as shown.
Note: Bending the card helps raise the oval perforated cardboard.

How to Take Galafold | Taking Capsules | Remove Cardboard

REMOVE the oval perforated cardboard.
Note: After removing the cardboard, the white backing of the foil may be present, which is ok.

How to Take Galafold | Taking Capsules | Push Capsule

TURN the card OVER showing the front of the card. PUSH the capsule out.
Tip: To avoid damaging the pill, press the bottom of the pill at an angle. Do not press the center of the capsule, as it may crush the pill. The pill should only be taken whole.

How to Take Galafold | Taking Capsules | Next Day

On the next day, move to the perforated white cardboard circle on the top row labeled Day 2. Press down on the white cardboard circle removing it.
Note: Removing this circle will help you remember which day you do not take the medicine. Take 1 Galafold capsule every other day. Close package and store after each use.

How to Take Galafold | Taking Capsules | Repeat Cycle

After Day 2, move to Day 3 on the blister card. Alternate daily between taking the capsule and pushing out the perforated white cardboard circles, up to and including day 28.

Replace the blister card back in the carton after each use.

Galafold MyDay App | Phone Screen

The Galafold MyDay App was designed to help you keep track of your Galafold routine.

Available on the App Store and Google Play

App Store | Badge Google Play | Badge

Apple, the Apple logo, and iPhone are trademarks of Apple Inc., registered in the U.S. and other countries and regions. App Store is a service mark of Apple Inc.
Google Play and the Google Play logo are trademarks of Google LLC.


Before taking Galafold® (migalastat), tell your healthcare provider about all of your medical conditions, including if you:

  • have kidney problems.
  • are pregnant or plan to become pregnant. It is not known if Galafold will harm your unborn baby.
  • have kidney problems.
  • are pregnant or plan to become pregnant. It is not known if Galafold will harm your unborn baby.
  • are breastfeeding or plan to breastfeed. Galafold may pass into breast milk. Talk to your healthcare provider
    about the best way to feed your baby if you take Galafold.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

What are the possible side effects of Galafold?

The most common side effects of Galafold include headache, stuffy or runny nose and sore throat, urinary tract infection, nausea, and fever.

These are not all the possible side effects of Galafold. Call your healthcare provider for medical advice about side effects.

What is Galafold?

Galafold is a prescription medicine used to treat adults with Fabry disease who have a certain genetic change (variant) in the galactosidase alpha gene (GLA) that is responsive (amenable) to Galafold.

It is not known if Galafold is safe and effective in children.

You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects to Amicus Therapeutics at 1-877-4AMICUS.

Please click here for Full Prescribing Information, including Patient Information and Instructions for Use.