Product image of Macrosalb (Macrosalb (99mtc)) supplied by GNH India

Macrosalb

Active Ingredient:
Macrosalb (99mtc)
Origin:
EU

Macrosalb (Macrosalb (99mtc))

Macrosalb, the active ingredient in Macrosalb, is a radiopharmaceutical presented as a kit for reconstitution for intravenous use. It is employed to evaluate pulmonary blood flow during lung perfusion imaging and ventilation‑perfusion (V/Q) scans, primarily in adult patients suspected of pulmonary embolism or other perfusion abnormalities.

GNH India supplies Macrosalb as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, diagnostic centres and procurement teams worldwide, ensuring regulatory‑approved quality and reliable delivery through established cold‑chain logistics where required and comprehensive after‑sales support.

Manufacturer / TM Owner

Medi-Radiopharma Kft.

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Indications & Clinical Uses

Macrosalb is used in nuclear medicine to assess pulmonary blood flow and ventilation‑perfusion status.

  • Lung perfusion imaging: Enables visualization of regional pulmonary blood flow to identify perfusion defects.
  • Ventilation‑perfusion (V/Q) scan: Provides combined functional assessment of ventilation and perfusion for diagnosing pulmonary embolism.
  • Pulmonary embolism evaluation: Assists in confirming or ruling out embolic obstruction in the pulmonary arteries.

How It Works

  • Macrosalb consists of macroaggregated albumin particles labeled with Technetium‑99m. After intravenous injection, the particles, sized to lodge in the pulmonary capillary bed, become temporarily trapped, allowing gamma camera detection of radioactivity and generation of a perfusion map of the lungs during scintigraphic imaging.

Side Effects

Adverse reactions to Macrosalb are generally related to the radiopharmaceutical nature of the preparation and the intravenous administration.

Common Side Effects

  • Injection site pain: mild discomfort at the site of intravenous administration.
  • Transient flushing: brief warmth or redness of the skin.
  • Nausea: mild, short‑lasting feeling of stomach upset.
  • Headache: mild to moderate headache occurring shortly after injection.

Serious or Rare Side Effects

  • Severe allergic reaction: anaphylaxis requiring immediate medical intervention.
  • Pulmonary hypertension: sudden increase in pulmonary arterial pressure.
  • Embolic phenomena: rare lodging of particles causing perfusion defects beyond intended capillary distribution.
  • Radiation‑induced skin injury: localized erythema or ulceration at high exposure sites.

Precautions & Warnings

Precautions for Macrosalb focus on patient safety and proper handling of the radiopharmaceutical.

  • Pregnancy: use only if clearly needed after risk‑benefit assessment.
  • Breastfeeding: consider discontinuation of nursing or evaluate potential risks.
  • Renal impairment: monitor as altered clearance may affect distribution.
  • Allergy to albumin or technetium: avoid use in known hypersensitivity.
  • Concurrent radionuclide studies: schedule to prevent overlapping radiation exposure.
  • Store at ambient temperature: keep in original packaging, protect from light and moisture.

Avoid Interactions

Interactions with other agents may influence imaging quality or particle distribution.

Major Interactions (Avoid)

  • Other radiopharmaceuticals: simultaneous use may cause image overlap and inaccurate interpretation.
  • Iodinated contrast agents: recent administration can alter pulmonary perfusion imaging results.

Moderate Interactions (Monitor Closely)

  • Vasodilators (e.g., nitroglycerin): may modify capillary blood flow and affect particle distribution.
  • Steroids: high doses can change capillary permeability, potentially influencing particle lodging.
  • Anticoagulants: may affect microvascular clotting, altering expected particle entrapment.
  • Beta‑blockers: may reduce cardiac output, influencing pulmonary perfusion patterns.

Frequently Asked Questions

Macrosalb is a diagnostic radiopharmaceutical used to evaluate pulmonary blood flow during lung perfusion imaging and ventilation‑perfusion (V/Q) scans. It helps clinicians detect perfusion defects, assess for pulmonary embolism, and provide functional information about the lungs in adult patients.

Macrosalb contains macroaggregated albumin particles labeled with Technetium‑99m. After intravenous injection, the particles become temporarily lodged in the small vessels of the lung capillary network. The attached radioisotope emits gamma photons that are captured by a gamma camera, producing a visual map of regional lung perfusion.

The dose of Macrosalb is determined by the prescribing physician or nuclear medicine specialist based on the specific imaging protocol, patient weight, and equipment requirements. No fixed dosing regimen is provided here; the healthcare provider will calculate the appropriate activity at the time of the procedure.

Safety data for Macrosalb in pregnancy and lactation are limited. It should only be used when clearly needed, after a careful risk‑benefit assessment by the treating physician. If administered to a nursing mother, consideration should be given to discontinuing breastfeeding or evaluating potential exposure to the infant.

To order Macrosalb, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams across international markets. The sales team will request trade or institutional credentials, then respond with pricing, availability, shipping details (including cold‑chain if required) and any necessary import documentation.

The primary alternative for lung perfusion imaging is Technetium‑99m‑labeled macroaggregated albumin from other manufacturers. Macrosalb offers comparable particle size distribution and radiochemical purity, meeting EU standards. Differences may lie in packaging, shelf‑life, or supplier support, but the clinical performance for perfusion imaging is generally equivalent.

Macrosalb kits should be stored at ambient temperature, preferably below 25 °C, in their original sealed packaging. Protect the product from direct light, moisture and extreme temperatures. After reconstitution, the solution should be used promptly according to the manufacturer’s instructions and handled with standard radiation safety precautions.

Macrosalb is supplied as a kit for reconstitution. The radiopharmaceutical is prepared by adding sterile diluent to the vial, mixing gently, and then injecting the resulting suspension intravenously. Administration is performed by qualified nuclear medicine personnel under aseptic conditions, typically immediately before the imaging study.

Serious risks include severe allergic reactions such as anaphylaxis, pulmonary hypertension, embolic phenomena where particles lodge outside the intended capillary bed, and radiation‑induced skin injury at the injection site. Immediate medical attention is required if any signs of anaphylaxis, sudden breathing difficulty, or unexplained chest pain occur.

Macrosalb should be avoided in patients with known hypersensitivity to albumin, technetium‑99m, or any component of the kit. It is also contraindicated in individuals with severe uncontrolled pulmonary hypertension or those who have recently received other radiopharmaceuticals or iodinated contrast agents that could interfere with imaging interpretation.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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