Product image of Ittrium (90y) Kolloid Cis Bio International (Yttrium (90y) Citrate) supplied by GNH India

Ittrium (90y) Kolloid Cis Bio International

Active Ingredient:
Yttrium (90y) Citrate
Origin:
EU

Ittrium (90y) Kolloid Cis Bio International (Yttrium (90y) Citrate)

Yttrium-90 citrate, the active ingredient in Ittrium (90y) Kolloid Cis Bio International, is a radiopharmaceutical presented as a sterile injectable solution for intraarticular use. It delivers localized beta radiation to the synovial membrane, providing treatment for rheumatoid arthritis, hemophilic arthropathy and chronic synovitis in patients who require radiation synovectomy.

GNH India supplies Ittrium (90y) Kolloid Cis Bio International as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Cis Bio International

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Indications & Clinical Uses

Ittrium (Yttrium-90 citrate) is employed in radiation synovectomy to manage inflammatory joint conditions.

  • Rheumatoid arthritis: reduces synovial inflammation and joint pain, improving function.
  • Hemophilic arthropathy: ablates diseased synovium to decrease recurrent joint bleeding.
  • Chronic synovitis: provides localized radiation to control persistent synovial proliferation and pain.

How It Works

  • Yttrium-90 citrate emits high‑energy beta particles that penetrate the synovial membrane, causing selective cellular damage and ablation of inflamed synovial tissue. The localized radiation induces fibrosis and reduces proliferative synovial cells, thereby diminishing inflammatory mediators and joint effusion without significant systemic exposure.

Side Effects

Adverse reactions are generally related to the local administration of beta‑emitting radiation and the injection procedure.

Common Side Effects

  • Joint pain or discomfort at the injection site
  • Transient swelling or effusion of the treated joint
  • Warmth or mild erythema around the injection area
  • Limited range of motion for a few days
  • Low‑grade fever or chills
  • Mild arthralgia in adjacent joints

Serious or Rare Side Effects

  • Radiation‑induced cartilage or bone damage
  • Deep tissue necrosis or ulceration
  • Severe joint infection (septic arthritis)
  • Systemic radiation exposure leading to hematologic changes
  • Allergic or hypersensitivity reaction to the citrate carrier
  • Persistent, large joint effusion requiring surgical intervention

Precautions & Warnings

Prior to administration, clinicians should evaluate patient suitability and adhere to radiation safety protocols.

  • Contraindication: active joint infection or uncontrolled coagulopathy: defer treatment until resolved.
  • Pregnancy and lactation: avoid use due to unknown fetal and neonatal radiation risk.
  • Monitoring: assess joint response and systemic blood counts at regular intervals post‑injection.
  • Radiation protection: handle and dispose of the product according to local radiopharmacy guidelines.
  • Storage: Store at 2-8°C: keep refrigerated in original shielded vial, protect from light, do not freeze.

Avoid Interactions

Yttrium-90 citrate may interact with other therapies that affect radiation response or joint health.

Major Interactions (Avoid)

  • Concurrent intra‑articular corticosteroids: may diminish radiopharmaceutical efficacy.
  • Systemic chemotherapy or radiotherapy: increases cumulative radiation toxicity.
  • Other radiopharmaceuticals: risk of additive radiation dose.

Moderate Interactions (Monitor Closely)

  • NSAIDs: can mask post‑procedure inflammation, requiring careful assessment.
  • Anticoagulants or antiplatelet agents: heightened risk of joint bleeding after injection.
  • Disease‑modifying antirheumatic drugs (DMARDs): monitor for altered joint response.

Frequently Asked Questions

Ittrium (Yttrium-90 citrate) is a radiopharmaceutical used in radiation synovectomy to treat inflammatory joint conditions such as rheumatoid arthritis, hemophilic arthropathy and chronic synovitis by delivering localized beta radiation to the synovial membrane.

Yttrium-90 citrate emits beta particles that penetrate the synovial lining, causing selective cellular damage and fibrosis. This ablates inflamed synovial tissue, reduces inflammatory mediator production, and limits joint effusion, leading to pain relief and improved function.

The dose of Ittrium is determined by the prescribing physician based on joint size, disease severity and individual patient factors. The product is supplied as a sterile injectable solution, and the exact activity to be administered is set by the treating specialist.

Safety of Yttrium-90 citrate in pregnancy or lactation has not been established. Because the product delivers localized radiation, it is generally avoided in pregnant or nursing patients unless the potential benefit outweighs the potential risk, as assessed by the clinician.

To order Ittrium, submit an enquiry on the product page at gnhindia.com with 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 any cold‑chain requirements) and necessary import documentation.

Ittrium (Yttrium-90 citrate) delivers beta radiation with a relatively short tissue penetration depth, making it suitable for medium‑sized joints. Compared with alternatives such as Phosphorus‑32 or Rhenium‑186, Yttrium‑90 provides a higher energy beta emission, allowing effective synovial ablation while limiting exposure to surrounding structures.

Ittrium should be stored at 2‑8 °C in its original shielded vial, protected from light and never frozen. The product must be handled by trained personnel using appropriate radiation safety measures, and any unused portion should be returned to the supplier or disposed of according to local radiopharmacy regulations.

Ittrium is administered by a qualified healthcare professional as an intra‑articular injection. The joint is first aspirated to remove excess fluid, then the calculated activity of the Yttrium‑90 citrate solution is injected under sterile conditions, followed by post‑procedure monitoring.

Serious risks include radiation‑induced cartilage or bone damage, deep tissue necrosis, severe joint infection, systemic radiation exposure leading to hematologic changes, and rare hypersensitivity reactions. Patients should be monitored closely for signs of these complications after the procedure.

Ittrium is contraindicated in patients with active joint infection, uncontrolled bleeding disorders, known hypersensitivity to the citrate carrier, or in pregnant and lactating women unless the benefit justifies the risk. Clinicians should also avoid use in patients receiving high‑dose systemic radiation or chemotherapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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