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

Macrosalb Medi-Radiopharma

Active Ingredient:
Macrosalb (99mtc)
Origin:
EU

Macrosalb Medi-Radiopharma (Macrosalb (99mtc))

Macroaggregated Albumin labeled with technetium-99m, the active ingredient in Macrosalb Medi‑Radiopharma, is a diagnostic radiopharmaceutical presented as a kit for reconstitution (lyophilized powder) for intravenous use. It enables visualization of pulmonary blood flow and is employed in lung perfusion imaging, particularly for diagnosing pulmonary embolism and assessing regional lung function before surgery.

GNH India supplies Macrosalb Medi‑Radiopharma as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals and imaging centres worldwide. The company adheres to stringent quality standards and provides regulatory support for global distribution.

Manufacturer / TM Owner

Medi-Radiopharma Kft.

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Indications & Clinical Uses

Macrosalb Medi‑Radiopharma is used in nuclear medicine to evaluate pulmonary perfusion and related conditions.

  • Lung perfusion imaging: provides quantitative and qualitative assessment of regional pulmonary blood flow.
  • Pulmonary embolism diagnosis: helps detect obstructed pulmonary arteries by highlighting perfusion defects.
  • Pre‑operative lung function assessment: determines functional contribution of each lung segment before thoracic surgery.

How It Works

  • Macroaggregated albumin particles are labeled with technetium‑99m, a gamma‑emitting radionuclide. After intravenous injection, the particles, sized 10–90 µm, become temporarily trapped in the pulmonary capillary bed. The localized radioactivity is then captured by a gamma camera, producing images that reflect the distribution of blood flow within the lungs. This allows clinicians to assess perfusion patterns and identify areas of reduced flow.

Side Effects

Administration of Macrosalb Medi‑Radiopharma may be associated with the following adverse reactions.

Common Side Effects

  • Transient chest discomfort: mild pain occurring during or shortly after injection.
  • Shortness of breath: brief episodes of dyspnea that resolve spontaneously.
  • Nausea or vomiting: mild gastrointestinal upset.
  • Fever or chills: low‑grade temperature rise post‑administration.
  • Injection site reaction: redness or swelling at the venous access point.

Serious or Rare Side Effects

  • Pulmonary hypertension: sudden increase in pulmonary arterial pressure.
  • Severe allergic reaction: anaphylaxis with rash, swelling, or airway compromise.
  • Embolic events: rare large‑particle embolization causing infarction.
  • Acute respiratory distress: severe breathing difficulty requiring medical intervention.

Precautions & Warnings

Prior to using Macrosalb Medi‑Radiopharma, the following precautions should be observed.

  • Patient evaluation: assess for severe pulmonary hypertension or right‑heart failure before injection.
  • Allergy screening: inquire about known hypersensitivity to albumin or technetium‑99m compounds.
  • Concurrent imaging agents: avoid administering other radiopharmaceuticals within 24 hours to prevent image interference.
  • Pregnancy and lactation: use only if the diagnostic benefit outweighs potential fetal or infant radiation exposure.
  • Emergency preparedness: have resuscitation equipment and medications for anaphylaxis readily available.
  • Store at 2‑8°C: keep refrigerated, protect from light, do not freeze or shake the kit.

Avoid Interactions

Macroaggregated albumin labeled with technetium‑99m can interact with certain agents that affect pulmonary circulation or radiation exposure.

Major Interactions (Avoid)

  • High‑dose vasodilators: may exacerbate pulmonary hypotension when combined with the radiopharmaceutical.
  • Other radiopharmaceuticals: simultaneous use can cause overlapping gamma emissions and inaccurate imaging.

Moderate Interactions (Monitor Closely)

  • Anticoagulants: may increase the risk of bleeding at the injection site.
  • Beta‑blockers: can alter heart rate and affect perfusion imaging interpretation.
  • Iodinated contrast agents: may interfere with subsequent nuclear scans if administered within 24 hours.

Frequently Asked Questions

Macrosalb Medi‑Radiopharma is a diagnostic radiopharmaceutical used in nuclear medicine to image lung perfusion. It helps clinicians assess the distribution of blood flow within the pulmonary vasculature, which is essential for diagnosing pulmonary embolism, evaluating regional lung function before surgery, and conducting other perfusion‑related investigations.

The product contains macroaggregated albumin particles that are chemically bound to technetium‑99m, a gamma‑emitting radionuclide. After intravenous injection, the particles lodge in the small capillaries of the lungs. A gamma camera then detects the emitted radiation, producing images that reflect the pattern of pulmonary blood flow and highlighting any perfusion defects.

The prescribed activity is determined by the ordering physician based on the specific imaging protocol, patient size, and clinical indication. Dosing is individualized and follows established nuclear medicine guidelines; the product label provides preparation instructions but does not specify a fixed dose.

Safety in pregnancy and lactation has not been definitively established. The radiopharmaceutical should be used only when the expected diagnostic benefit outweighs the potential radiation risk to the fetus or infant. Clinicians should discuss possible risks with the patient and consider alternative imaging methods when appropriate.

To place an order, 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. After the request, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details (including cold‑chain logistics if needed) and any required import documentation.

Macrosalb (macroaggregated albumin 99mTc) is the standard agent for lung perfusion imaging. Alternative agents, such as other brands of technetium‑99m macroaggregated albumin, offer similar particle size and imaging characteristics. Non‑radioactive alternatives do not provide functional perfusion data, making macroaggregated albumin the preferred choice for accurate pulmonary embolism detection and pre‑operative assessment.

The kit should be stored refrigerated at 2‑8 °C, protected from light, and must not be frozen or shaken. It should remain in its original sealed container until reconstitution. After preparation, the solution should be used promptly according to the manufacturer’s instructions and any unused portion discarded in accordance with local radiopharmaceutical waste regulations.

Macrosalb is supplied as a lyophilized powder that is reconstituted with a sterile diluent immediately before use. The reconstituted solution is injected intravenously, typically through a peripheral vein, under the supervision of qualified nuclear medicine personnel. Proper aseptic technique and adherence to the preparation protocol are essential to ensure safety and image quality.

Serious adverse events, although rare, include pulmonary hypertension, severe allergic reactions such as anaphylaxis, and embolic complications from large particle aggregates. Patients should be monitored closely after injection for any signs of respiratory distress, hypotension, or allergic response, and emergency equipment should be readily available.

The product should be avoided in patients with known severe pulmonary hypertension, right‑heart failure, or a documented hypersensitivity to albumin or technetium‑99m compounds. It is also contraindicated in individuals for whom the radiation exposure is deemed unacceptable, such as certain pregnant women, unless the diagnostic benefit clearly outweighs the risk.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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