Product image of Ioflupane (123i) Rotop (Ioflupane (123i)) supplied by GNH India

Ioflupane (123i) Rotop

Active Ingredient:
Ioflupane (123i)
Origin:
EU

Ioflupane (123i) Rotop (Ioflupane (123i))

Ioflupane I-123, the active ingredient in Ioflupane (123i) Rotop, is a radiopharmaceutical presented as a solution for injection for intravenous use. It is used for diagnostic imaging of dopaminergic neuron integrity in patients with suspected Parkinsonian syndromes and other movement disorders.

GNH India supplies Ioflupane (123i) Rotop as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, clinics and diagnostic centres worldwide.

Manufacturer / TM Owner

Rotop Radiopharmacy Gmbh

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Indications & Clinical Uses

Ioflupane I-123 is used in nuclear medicine to assess the dopaminergic system in movement disorder imaging.

  • Parkinsonian syndrome: assists in differential diagnosis by visualizing dopamine transporter loss.
  • Multiple system atrophy: helps differentiate from Parkinson's disease through transporter imaging.
  • Essential tremor: provides information on dopaminergic involvement to guide clinical decisions.

How It Works

  • Ioflupane I-123 binds selectively to presynaptic dopamine transporters in the striatum. The iodine-123 radionuclide emits gamma photons that are detected by single‑photon emission computed tomography (SPECT), producing high‑resolution images that reflect the density and functional integrity of dopaminergic neurons.

Side Effects

Adverse reactions may occur following administration of Ioflupane I-123.

Common Side Effects

  • Injection site pain: mild discomfort at the injection site.
  • Nausea: transient feeling of queasiness.
  • Headache: mild to moderate headache.
  • Transient flushing: brief skin redness.

Serious or Rare Side Effects

  • Allergic reaction (anaphylaxis): severe hypersensitivity requiring immediate medical attention.
  • Severe hypotension: marked drop in blood pressure.
  • Radiation‑induced thyroid dysfunction: potential impact on thyroid function due to radioactive exposure.

Precautions & Warnings

Prior to use, consider the following safety measures.

  • Pregnancy: safety not established; avoid unless essential.
  • Breastfeeding: unknown safety; weigh potential risks.
  • Renal impairment: assess because clearance may be altered.
  • Thyroid disorders: evaluate risk of radiation exposure to the thyroid gland.
  • Concomitant iodine: excess iodine may interfere with tracer uptake.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Ioflupane I-123 may interact with other substances that affect iodine handling or dopamine imaging.

Major Interactions (Avoid)

  • Iodine‑containing contrast agents: can compete with Ioflupane binding.
  • Thyroid hormone therapy: may alter radiotracer distribution.

Moderate Interactions (Monitor Closely)

  • Anticholinergic drugs: may affect dopaminergic imaging interpretation.
  • MAO inhibitors: potential impact on dopamine transporter activity.
  • Caffeine: can modestly influence SPECT signal.

Frequently Asked Questions

Ioflupane (123i) Rotop is a radiopharmaceutical used in nuclear medicine to image dopamine transporters. It helps clinicians differentiate Parkinsonian syndromes and other movement disorders by visualizing the integrity of dopaminergic neurons with SPECT scanning.

Ioflupane I-123 selectively binds to presynaptic dopamine transporters in the brain. The iodine‑123 label emits gamma radiation that is captured by SPECT cameras, producing detailed images that reflect the density of functional dopamine transporters.

The administered dose of Ioflupane (123i) Rotop is determined by the prescribing physician or nuclear medicine specialist based on patient characteristics, imaging protocol, and regulatory guidelines. Exact dosing is not standardized in public literature.

Safety data for Ioflupane (123i) Rotop in pregnancy and lactation are limited. It is generally avoided unless the diagnostic benefit outweighs potential risks, and clinicians should discuss individual circumstances with the patient.

To order, 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 import documentation.

Ioflupane I-123 is a widely used SPECT tracer offering high specificity for dopamine transporters. Compared with alternatives such as ^99mTc‑TRODAT‑1, Ioflupane provides superior image resolution and longer half‑life, facilitating broader clinical use, though choice depends on local regulatory approval and imaging infrastructure.

The product should be stored refrigerated at 2‑8 °C, protected from light, and must not be frozen or shaken. Use aseptic technique for preparation and administer promptly after removal from refrigeration to maintain radiochemical stability.

Ioflupane (123i) Rotop is administered as an intravenous injection by a qualified healthcare professional. After injection, a waiting period of approximately 3–6 hours is typical before SPECT imaging to allow optimal brain uptake and clearance of background activity.

Serious risks include rare allergic reactions such as anaphylaxis, severe hypotension, and potential radiation‑induced thyroid dysfunction. Patients should be monitored for immediate hypersensitivity signs and evaluated for thyroid health, especially if they have pre‑existing thyroid disease.

Ioflupane (123i) Rotop should be avoided in patients with known hypersensitivity to iodine‑123 compounds, those who have received recent iodine‑containing contrast agents, and individuals where the diagnostic benefit does not outweigh the radiation exposure, such as certain pregnant or lactating patients.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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