Product image of Iodure (123i) De Sodium Ge Healthcare (Sodium Iodide (123 I)) supplied by GNH India

Iodure (123i) De Sodium Ge Healthcare

Active Ingredient:
Sodium Iodide (123 I)
Origin:
EU

Iodure (123i) De Sodium Ge Healthcare (Sodium Iodide (123 I))

Sodium Iodide, the active ingredient in Iodure (123i) De Sodium Ge Healthcare, is a radiopharmaceutical presented as a solution for injection for intravenous use. It is employed for diagnostic imaging of the thyroid and other tissues in patients requiring nuclear medicine studies.

GNH India supplies Iodure (123i) De Sodium Ge Healthcare as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide, ensuring reliable cold‑chain logistics and regulatory compliance for radiopharmaceutical distribution across multiple continents.

Manufacturer / TM Owner

Ge Healthcare Sas

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Indications & Clinical Uses

  • Iodure (123i) is a radiopharmaceutical used for nuclear imaging of thyroid and cardiac tissues.
  • Thyroid imaging: enables visualization of thyroid anatomy and functional activity for diagnosis of nodules, hyperthyroidism, and cancer.
  • Myocardial perfusion imaging: assesses blood flow to the heart muscle to detect ischemia and evaluate coronary artery disease.
  • Whole‑body scintigraphy: detects ectopic or metastatic thyroid tissue throughout the body for comprehensive assessment.

How It Works

  • Sodium Iodide labeled with iodine‑123 is administered intravenously and is actively transported into cells expressing the sodium‑iodide symporter, chiefly thyroid follicular cells and certain cardiac myocytes. The I‑123 isotope decays by emitting gamma photons, which are captured by a gamma camera to produce high‑resolution images of the targeted organs, allowing functional assessment without significant beta radiation exposure.

Side Effects

Adverse reactions to Iodure (123i) are generally related to the radiopharmaceutical nature of the preparation and the intravenous route.

Common Side Effects

  • Nausea: mild transient feeling of sickness.
  • Vomiting: occasional brief episodes.
  • Headache: mild to moderate intensity.
  • Flushing or warmth sensation.
  • Metallic taste in the mouth.

Serious or Rare Side Effects

  • Allergic reaction: rash, urticaria, or anaphylaxis.
  • Severe hypotension: sudden drop in blood pressure requiring monitoring.
  • Cardiac arrhythmia: irregular heart rhythm observed in susceptible patients.
  • Radiation thyroiditis: inflammation of thyroid tissue after high uptake.
  • Fetal radiation exposure: potential harm if administered to pregnant women.

Precautions & Warnings

When using Iodure (123i), several safety considerations should be observed to minimize risks.

  • Allergy assessment: confirm no known iodine or radiopharmaceutical hypersensitivity.
  • Thyroid function test: evaluate baseline thyroid status before administration.
  • Radiation safety: implement shielding and limit exposure for staff and other patients.
  • Pregnancy and lactation: avoid use in pregnant or breastfeeding women unless benefits outweigh risks.
  • Vital sign monitoring: observe blood pressure and heart rate during and after injection.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Iodure (123i) may interact with other agents that affect iodine uptake or radiation distribution.

Major Interactions (Avoid)

  • Concurrent radioactive iodine agents: may cause cumulative radiation dose.
  • High‑dose thyroid hormone therapy (levothyroxine): reduces sodium‑iodide symporter activity and imaging quality.
  • Iodinated contrast media: administered within 2–4 weeks can block uptake of I‑123.

Moderate Interactions (Monitor Closely)

  • Antithyroid drugs (methimazole, propylthiouracil): may diminish tracer accumulation.
  • Diuretics: alter renal clearance of the radiopharmaceutical.
  • Beta‑blockers: can mask tachycardia or hypotensive responses during imaging.

Frequently Asked Questions

Iodure (123i) is a radiopharmaceutical used primarily for diagnostic imaging of the thyroid gland and for myocardial perfusion studies. The sodium iodide labeled with iodine‑123 is taken up by thyroid tissue and certain cardiac cells, allowing clinicians to obtain functional images that aid in the diagnosis of thyroid disorders and assessment of heart blood flow.

Sodium Iodide in Iodure (123i) is labeled with the gamma‑emitting isotope iodine‑123. After intravenous injection, it is actively transported into cells that express the sodium‑iodide symporter, especially thyroid follicular cells and some cardiac myocytes. The emitted gamma photons are detected by a gamma camera, producing high‑resolution images that reflect the physiological activity of the targeted tissues.

The administered activity of Iodure (123i) is determined by the prescribing physician based on the specific diagnostic protocol, patient size, and the imaging equipment used. Dosing is expressed in megabecquerels (MBq) and is calculated to provide sufficient image quality while keeping radiation exposure as low as reasonably achievable.

Iodure (123i) is generally avoided in pregnant or breastfeeding women because the iodine‑123 radiation can cross the placenta and be secreted in breast milk, potentially exposing the fetus or infant to ionizing radiation. Use is only considered if the diagnostic benefit outweighs the potential risk and after thorough risk assessment by the healthcare provider.

To order Iodure (123i), submit an enquiry on the product page at gnhindia.com indicating the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide, and will request verification of trade or institutional credentials. After confirmation, the team provides pricing, availability, shipping details—including any cold‑chain requirements—and assists with import documentation.

The main alternative to Iodure (123i) is iodine‑131 sodium iodide, which emits both beta and gamma radiation and delivers a higher radiation dose. Iodine‑123 provides superior image quality with lower radiation exposure. Another common agent is technetium‑99m pertechnetate, which does not require a sodium‑iodide symporter for uptake but offers less specific thyroid imaging compared with I‑123 sodium iodide.

Iodure (123i) must be stored at 2‑8 °C in a refrigerator, protected from light. The vial should remain in its original packaging, should not be frozen, and must be handled gently to avoid agitation. Before use, verify that the product is within its expiry date and that the cold‑chain integrity has been maintained during transport.

Iodure (123i) is administered as a single intravenous injection. The radiopharmaceutical is drawn from the vial using aseptic technique and injected into a peripheral vein. After administration, patients may be monitored for a short period to observe any immediate reactions before proceeding with the imaging procedure.

The most serious risks include severe allergic reactions such as anaphylaxis, marked hypotension that may require medical intervention, cardiac arrhythmias in susceptible individuals, and radiation‑induced thyroiditis. Additionally, inadvertent exposure of a pregnant woman or fetus to iodine‑123 can pose significant radiation risks, underscoring the need for careful patient selection.

Iodure (123i) should not be used in patients with a known hypersensitivity to iodine or radiopharmaceuticals, pregnant or breastfeeding women unless absolutely necessary, individuals with severe renal impairment that could affect clearance, and patients who have received other radioactive iodine agents or iodinated contrast media within the preceding weeks, as these conditions can interfere with tracer uptake and safety.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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