Product image of Indium (111in) Dtpa Curium Netherlands B.V. (Pentetic Acid, Indium (111in) Pentetate) supplied by GNH India

Indium (111in) Dtpa Curium Netherlands B.V.

Active Ingredient:
Pentetic Acid, Indium (111in) Pentetate
Origin:
EU

Indium (111in) Dtpa Curium Netherlands B.V. (Pentetic Acid, Indium (111in) Pentetate)

Indium-111 pentetate, the active ingredient in Indium (111in) Dtpa Curium Netherlands B.V., is a radiopharmaceutical presented as a sterile solution for intrathecal use. It enables visualization of cerebrospinal fluid pathways and assists in detecting CSF leaks in diagnostic imaging procedures.

GNH India supplies Indium (111in) Dtpa Curium Netherlands B.V. as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide. The company adheres to stringent quality standards and provides regulatory documentation to support global distribution. Customers receive reliable logistics and technical support for radiopharmaceutical handling.

Manufacturer / TM Owner

Curium Netherlands B.V.

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Indications & Clinical Uses

  • Indium-111 pentetate is used in diagnostic imaging of the cerebrospinal fluid system.
  • Cerebrospinal fluid (CSF) imaging: visualizes CSF flow pathways and ventricular anatomy.
  • Detection of CSF leaks: identifies spinal or cranial cerebrospinal fluid leaks.
  • Intrathecal radionuclide cisternography: provides functional assessment of CSF circulation after intrathecal administration.

How It Works

  • Indium-111 pentetate consists of the radioisotope indium‑111 chelated by the pentetate (DTPA) ligand. After intrathecal injection, the complex remains within the cerebrospinal fluid, where indium‑111 emits gamma photons detectable by scintigraphy. The emitted photons allow high‑resolution imaging of CSF pathways, enabling clinicians to assess flow dynamics and locate leaks or blockages. The chelation stabilizes the radioisotope, preventing rapid systemic absorption and ensuring localized imaging signal.

Side Effects

Adverse reactions to Indium-111 pentetate are generally related to the intrathecal route and the radioisotope exposure.

Common Side Effects

  • Headache: mild to moderate headache following injection.
  • Nausea: transient nausea or upset stomach.
  • Injection site discomfort: mild pain or irritation at the injection site.

Serious or Rare Side Effects

  • Allergic reaction: anaphylaxis or severe hypersensitivity.
  • Severe headache: persistent or worsening headache indicating increased intracranial pressure.
  • Radiation‑induced myelosuppression: bone‑marrow suppression with prolonged exposure.

Precautions & Warnings

When using Indium-111 pentetate, specific safety measures should be observed.

  • Pregnancy: avoid unless diagnostic benefit outweighs risk; limited data on fetal exposure.
  • Breastfeeding: discontinue breastfeeding or ensure an adequate interval after administration.
  • Concomitant intrathecal agents: avoid simultaneous use of other intrathecal drugs to prevent chemical incompatibility.
  • Renal impairment: assess renal function as clearance of chelated indium may be reduced.
  • Radiation safety: follow radiation protection guidelines for staff and patient.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Indium-111 pentetate may interact with certain agents; monitoring is required.

Major Interactions (Avoid)

  • Other radiopharmaceuticals: concurrent administration may cause overlapping radiation fields.
  • Iodinated contrast agents: may interfere with imaging interpretation.
  • Intrathecal antibiotics or steroids: risk of chemical incompatibility.

Moderate Interactions (Monitor Closely)

  • Anticoagulants: monitor for bleeding at injection site.
  • Diuretics: may alter CSF dynamics affecting distribution.
  • CNS depressants: observe for additive sedation.

Frequently Asked Questions

Indium-111 pentetate is employed as a diagnostic imaging agent to visualize cerebrospinal fluid pathways, locate CSF leaks, and perform intrathecal radionuclide cisternography. The radiolabeled compound is injected into the spinal canal, allowing gamma‑camera imaging of CSF dynamics for neurological assessment.

The drug combines the gamma‑emitting isotope indium‑111 with the chelating agent pentetate (DTPA). After intrathecal injection, the complex stays within the cerebrospinal fluid and emits gamma photons that are captured by scintigraphic cameras, producing detailed images of CSF flow and potential leak sites.

The administered activity is determined by the prescribing physician or nuclear medicine specialist based on the specific diagnostic protocol, patient size, and imaging equipment. Dosing is individualized and documented in the patient’s medical record; no standard dose is provided in public literature.

Use during pregnancy is generally avoided unless the diagnostic benefit clearly outweighs potential fetal risk, as radiation exposure may affect the developing fetus. For breastfeeding mothers, the drug may be secreted in milk; discontinuation of nursing or a sufficient waiting period after administration is recommended.

Submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain if needed), and necessary import documentation.

The most common alternative is Technetium‑99m DTPA, which also images CSF but has a shorter half‑life and different photon energy. Indium‑111 provides longer imaging windows and higher resolution for delayed studies, while Technetium‑99m offers faster imaging but may be less suitable for prolonged assessments.

The product must be stored refrigerated at 2‑8 °C, protected from light, and kept in its original sealed container. It should not be frozen or shaken, and handling must follow radiation safety protocols, including use of shielding and personal protective equipment.

Administration is performed by a qualified healthcare professional via a sterile intrathecal injection, typically into the lumbar subarachnoid space. The procedure follows aseptic technique, and the patient is monitored for immediate adverse reactions before proceeding with imaging.

Serious risks include severe allergic reactions such as anaphylaxis, significant headache indicating increased intracranial pressure, and rare radiation‑induced bone‑marrow suppression. Prompt recognition and appropriate medical intervention are essential if any of these events occur.

Patients with known hypersensitivity to indium‑111, pentetate, or any component of the formulation should avoid the drug. It is also contraindicated in individuals where intrathecal injection is unsafe, such as those with active infection at the injection site, uncontrolled coagulopathy, or severe spinal abnormalities.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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