Product image of Metajodobenzyloguanidyna-123i (Mibg-123i) Narodowe Centrum Badań Jądrowych (Iobenguane Sulfate I-123) supplied by GNH India

Metajodobenzyloguanidyna-123i (Mibg-123i) Narodowe Centrum Badań Jądrowych

Active Ingredient:
Iobenguane Sulfate I-123
Origin:
EU

Metajodobenzyloguanidyna-123i (Mibg-123i) Narodowe Centrum Badań Jądrowych (Iobenguane Sulfate I-123)

Iobenguane sulfate I-123, the active ingredient in Metajodobenzyloguanidyna-123i (Mibg-123i) Narodowe Centrum Badań Jądrowych, is a radiopharmaceutical presented as a sterile solution for injection for intravenous use. It is employed in nuclear medicine to image adrenergic tissue, aiding the detection of pheochromocytoma, neuroblastoma, and assessment of cardiac sympathetic innervation in adult patients.

GNH India supplies Metajodobenzyloguanidyna-123i (Mibg-123i) as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, nuclear medicine departments and diagnostic imaging clinics worldwide, ensuring regulatory‑approved quality and reliable cold‑chain logistics.

Manufacturer / TM Owner

Narodowe Centrum Badań Jądrowych

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Indications & Clinical Uses

Metajodobenzyloguanidyna-123i (Iobenguane sulfate I-123) is a norepinephrine‑analogue tracer used in nuclear medicine to evaluate adrenergic tissue disorders and cardiac sympathetic function.

  • Pheochromocytoma: enables precise scintigraphic detection and localization of catecholamine‑producing adrenal or extra‑adrenal tumors, supporting surgical planning.
  • Neuroblastoma: provides high‑contrast imaging of tumor uptake for staging, response assessment and therapeutic decision‑making in pediatric and adult patients.
  • Cardiac sympathetic innervation assessment: quantifies myocardial sympathetic nerve activity to aid risk stratification in heart failure and arrhythmia management.

How It Works

  • Iobenguane sulfate I-123 is taken up by the norepinephrine transporter (NET) on adrenergic nerve terminals and tumor cells that express NET. Once internalized, the I-123 isotope emits gamma photons detectable by SPECT cameras, allowing visualization of NET‑rich tissues and functional assessment of sympathetic innervation.

Side Effects

Adverse reactions are generally mild but can occur after intravenous administration.

Common Side Effects

  • Injection site pain: transient discomfort at the venipuncture site.
  • Transient flushing: brief warmth or redness.
  • Mild nausea: occasional upset stomach.
  • Headache: low‑grade headache lasting minutes to hours.

Serious or Rare Side Effects

  • Allergic reaction (anaphylaxis): rapid onset of breathing difficulty, rash or swelling.
  • Severe hypotension: sudden drop in blood pressure requiring monitoring.
  • Radiation‑induced tissue injury: rare localized damage in high‑uptake organs.

Precautions & Warnings

Use of Metajodobenzyloguanidyna-123i requires careful patient assessment and adherence to handling standards.

  • Pregnancy: unknown safety; avoid unless the diagnostic benefit outweighs potential risk.
  • Breastfeeding: insufficient data; consider withholding milk or using alternative imaging.
  • Renal impairment: evaluate renal function as altered clearance may affect image quality.
  • Concomitant sympathomimetic drugs: may compete for NET and reduce tracer uptake.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Iobenguane sulfate I-123 may have interactions that affect image quality or patient safety.

Major Interactions (Avoid)

  • Alpha‑adrenergic agonists: compete for NET, diminishing tracer accumulation.
  • Beta‑blockers: alter cardiac sympathetic imaging results.
  • High‑dose iodine contrast agents: can interfere with gamma detection and image interpretation.

Moderate Interactions (Monitor Closely)

  • MAO inhibitors: may modify catecholamine metabolism, influencing tracer distribution.
  • Antidepressants affecting norepinephrine reuptake: could change NET activity and affect imaging patterns.

Frequently Asked Questions

Metajodobenzyloguanidyna-123i, containing Iobenguane sulfate I-123, is a radiopharmaceutical used in nuclear medicine to image tissues that take up norepinephrine. It helps locate pheochromocytoma and neuroblastoma tumors and evaluates cardiac sympathetic nerve function for heart‑failure or arrhythmia risk assessment.

Iobenguane sulfate I-123 mimics norepinephrine and is actively transported into cells that express the norepinephrine transporter (NET). Once inside, the I-123 isotope emits gamma radiation that is captured by SPECT cameras, producing high‑resolution images of NET‑rich tissues.

The administered activity of Metajodobenzyloguanidyna-123i is determined by the prescribing nuclear medicine physician or radiologist based on patient weight, age, the specific diagnostic protocol, and regulatory limits. No fixed dose is provided in public literature.

Safety data for Iobenguane sulfate I-123 in pregnancy and lactation are limited. The product is classified as having an unknown pregnancy category, and use is generally avoided unless the diagnostic benefit is essential. Breastfeeding mothers should discuss alternatives with their healthcare provider.

To request Metajodobenzyloguanidyna-123i, 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 any required import documentation.

The primary alternative is Iobenguane I-131, which emits beta particles and has a longer half‑life, making it suitable for therapeutic purposes but less optimal for high‑resolution imaging. I-123 provides superior image quality, lower radiation dose to the patient, and faster imaging protocols, making it the preferred choice for diagnostic scans.

Metajodobenzyloguanidyna-123i must be stored refrigerated between 2 °C and 8 °C, protected from light, and kept in its original shielding container. It should not be frozen or shaken, and any unused portion must be disposed of according to local radiopharmaceutical waste regulations.

The product is supplied as a sterile solution for injection and is administered intravenously by a qualified healthcare professional. The injection is typically performed in a controlled nuclear medicine suite, followed by a waiting period to allow tracer distribution before imaging with a gamma camera or SPECT system.

Serious risks include rare allergic reactions such as anaphylaxis, severe hypotension immediately after injection, and, in extremely uncommon cases, radiation‑induced tissue injury in high‑uptake organs. Patients should be monitored during and after administration, and emergency equipment must be available.

Patients with known severe hypersensitivity to Iobenguane or any component of the formulation should avoid the product. It is also contraindicated in pregnant women unless the diagnostic benefit outweighs the risk, and caution is advised for breastfeeding mothers, individuals on high‑dose sympathomimetic drugs, and those with uncontrolled severe cardiac conditions.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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