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

Joflupaan (123i) Rotop

Active Ingredient:
Ioflupane (123i)
Origin:
EU

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

Ioflupane, the active ingredient in Joflupaan (123i) Rotop, is a radiopharmaceutical presented as an injectable solution for intravenous use. It is used to evaluate dopaminergic neuron integrity in patients with suspected Parkinsonian syndromes and related neurological disorders.

GNH India supplies Joflupaan (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

  • Joflupaan (Ioflupane) is employed in neurological imaging to assess the dopaminergic system in several conditions.
  • Parkinsonian syndromes: enables visualization of dopamine transporter loss to support diagnosis.
  • Parkinson's disease differential diagnosis: helps distinguish Parkinson's disease from other movement disorders.
  • Dementia with Lewy bodies: assists in detecting dopaminergic deficits characteristic of Lewy body disease.

How It Works

  • Ioflupane binds with high affinity to presynaptic dopamine transporters (DAT) located on dopaminergic neurons. After intravenous administration, the radiolabelled compound accumulates in regions with intact DAT, allowing single‑photon emission computed tomography (SPECT) to generate images that reflect the density and distribution of functional dopaminergic pathways in the brain.

Side Effects

Adverse reactions may occur following administration of Ioflupane.

Common Side Effects

  • Nausea or mild gastrointestinal discomfort.
  • Transient headache.
  • Injection‑site pain or irritation.
  • Dizziness or light‑headedness.
  • Temporary hypotension.

Serious or Rare Side Effects

  • Allergic reactions, including rash or urticaria.
  • Anaphylaxis or severe hypersensitivity.
  • Significant hypotension requiring medical intervention.
  • Radiation‑induced tissue injury at the injection site.
  • Severe arrhythmias or cardiac events.

Precautions & Warnings

  • Prior to use, clinicians should consider several safety measures.
  • Assess renal function: ensure adequate clearance of the radiopharmaceutical.
  • Evaluate pregnancy status: avoid use unless benefits outweigh potential fetal risk.
  • Review concomitant dopamine‑affecting drugs: they may alter imaging results.
  • Confirm appropriate imaging facility: requires SPECT equipment and radiation safety protocols.
  • Monitor for allergic reactions during and after injection.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Ioflupane may interact with other agents that influence dopamine pathways or radiopharmaceutical distribution.

Major Interactions (Avoid)

  • Co‑administration of other dopamine‑targeting radiotracers: can interfere with image interpretation.
  • High‑dose dopamine agonists or levodopa taken shortly before imaging: may block transporter binding.

Moderate Interactions (Monitor Closely)

  • Antipsychotics that block dopamine transporters: may reduce tracer uptake.
  • MAO‑B inhibitors: potential alteration of tracer kinetics.
  • Antihypertensive agents: may exacerbate transient hypotension.
  • Medications affecting cerebral blood flow (e.g., vasodilators): could modify tracer distribution.

Frequently Asked Questions

Joflupaan (Ioflupane) is a radiopharmaceutical used in single‑photon emission computed tomography (SPECT) to image dopamine transporters in the brain. It helps clinicians evaluate Parkinsonian syndromes, differentiate Parkinson's disease from other movement disorders, and assess dementia with Lewy bodies by visualizing dopaminergic neuron integrity.

Ioflupane binds selectively to presynaptic dopamine transporters (DAT) on dopaminergic neurons. After intravenous injection, the radiolabelled compound accumulates in brain regions with functional DAT, allowing SPECT scanners to produce images that reflect the density and distribution of these transporters, which are reduced in Parkinsonian conditions.

The prescribed dose of Joflupaan (Ioflupane) is determined by the treating physician or nuclear medicine specialist based on patient characteristics, imaging protocol, and regulatory guidelines. The healthcare provider will calculate the appropriate activity (in megabecquerels) and administer it intravenously under controlled conditions.

The safety of Ioflupane in pregnancy and lactation has not been fully established. It is generally avoided unless the diagnostic benefit outweighs potential risks to the fetus or infant. Clinicians should discuss possible alternatives and consider postponing the procedure if pregnancy is confirmed or if the patient is breastfeeding.

To place an 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 handling if needed), and necessary import documentation.

Joflupaan (Ioflupane) is a widely used DAT SPECT tracer with high affinity and favorable imaging characteristics. Compared with alternatives such as ^123I‑FP‑CIT (DaTscan), it offers comparable sensitivity for detecting dopaminergic deficits, but specific performance may vary based on imaging equipment, protocol, and regulatory approvals in different regions.

Joflupaan should be stored refrigerated at 2‑8 °C, protected from light, and never frozen or shaken. The product must be kept in its original container until use, and handling should follow radiopharmacy safety standards to maintain stability and ensure accurate dosing.

The drug is supplied as an injectable solution for intravenous administration. A qualified healthcare professional injects the calculated activity of Ioflupane into a peripheral vein, typically in a controlled nuclear medicine suite, followed by a waiting period before SPECT imaging is performed.

Serious risks include severe allergic reactions such as anaphylaxis, significant hypotension that may require medical intervention, and rare radiation‑induced tissue injury at the injection site. Patients should be monitored during and after administration, and emergency measures should be readily available.

Joflupaan is contraindicated in patients with known hypersensitivity to Ioflupane or any component of the formulation. It should also be avoided in individuals who have received other dopamine‑targeting radiotracers within a short interval, or in pregnant women unless the diagnostic benefit justifies potential fetal exposure.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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