Product image of Mibg (I123) Jobenguaan Curium Netherlands (Iodine (123i) Iobenguane) supplied by GNH India

Mibg (I123) Jobenguaan Curium Netherlands

Active Ingredient:
Iodine (123i) Iobenguane
Origin:
EU

Mibg (I123) Jobenguaan Curium Netherlands (Iodine (123i) Iobenguane)

Iobenguane I-123, the active ingredient in Mibg (I123) Jobenguaan Curium Netherlands, is a radiopharmaceutical presented as an injection for intravenous use. It enables diagnostic imaging of cardiac sympathetic innervation and neuroendocrine tumors in adult patients.

GNH India supplies Mibg (I123) Jobenguaan Curium Netherlands as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, oncology centres and imaging clinics worldwide.

Manufacturer / TM Owner

Curium Netherlands B.V.

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Indications & Clinical Uses

Iobenguane I-123 is used in nuclear medicine imaging to assess sympathetic nerve activity in specific organ systems.

  • Cardiac sympathetic innervation imaging: visualizes myocardial nerve distribution to aid heart‑failure and arrhythmia risk assessment.
  • Pheochromocytoma detection: identifies catecholamine‑producing adrenal tumors by highlighting norepinephrine transporter activity.
  • Paraganglioma imaging: assists in locating extra‑adrenal neuroendocrine tumors for staging and treatment planning.

How It Works

  • Iobenguane I-123 is a structural analogue of norepinephrine that is actively taken up by adrenergic nerve terminals via the norepinephrine transporter (NET). Once internalized, the iodine‑123 label emits gamma photons detectable by a gamma camera, allowing visualization of sympathetic innervation in the heart and neuroendocrine tissues.

Side Effects

Iobenguane I-123 is generally well tolerated, but adverse reactions can occur.

Common Side Effects

  • Injection site pain or erythema.
  • Nausea or mild vomiting.
  • Transient headache.
  • Mild hypertension or dizziness.

Serious or Rare Side Effects

  • Anaphylactic or severe allergic reaction.
  • Significant arrhythmias or cardiac conduction disturbances.
  • Severe hypotension or shock.
  • Radiation‑induced tissue injury, including thyroid dysfunction.
  • Pulmonary embolism (rare).

Precautions & Warnings

Use of Iobenguane I-123 requires careful consideration of patient‑specific factors.

  • Pregnancy: safety not established; use only if potential benefit justifies the risk.
  • Breastfeeding: unknown safety; consider discontinuing nursing during and after administration.
  • Renal impairment: monitor because excretion may be reduced.
  • Thyroid disease: assess risk of iodine uptake and possible dysfunction.
  • Radiation safety: follow ALARA principles to protect staff and other patients.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Iobenguane I-123 may interact with other agents that affect catecholamine pathways or iodine handling.

Major Interactions (Avoid)

  • Sympathomimetic agents: may compete for the norepinephrine transporter and reduce tracer uptake.
  • Beta‑blockers: can suppress cardiac sympathetic activity, affecting image interpretation.
  • Iodine‑containing contrast media: excess iodine may interfere with imaging quality.

Moderate Interactions (Monitor Closely)

  • MAO inhibitors: may alter catecholamine metabolism, influencing tracer distribution.
  • Thyroid hormone replacement: could affect iodine metabolism; monitor thyroid function tests.

Frequently Asked Questions

Iobenguane I-123 is a radiopharmaceutical used in nuclear medicine to image cardiac sympathetic innervation and to locate neuroendocrine tumors such as pheochromocytoma and paraganglioma. The tracer is taken up by nerve terminals, allowing a gamma camera to produce detailed functional images.

The molecule mimics norepinephrine and is transported into adrenergic nerve endings by the norepinephrine transporter. Once inside the cells, the iodine‑123 isotope emits gamma radiation that can be captured by a gamma camera, producing images that reflect the distribution of sympathetic nerves or neuroendocrine tissue.

The administered activity of Iobenguane I-123 is determined by the prescribing physician or nuclear medicine specialist based on the patient’s weight, the imaging protocol, and regulatory guidelines. Exact dosing is individualized and should follow the institution’s standard operating procedures.

Safety data for Iobenguane I-123 in pregnancy and lactation are limited. It is generally avoided unless the diagnostic benefit outweighs potential fetal or infant risk. If administered to a nursing mother, breastfeeding may need to be paused according to local guidelines.

Enquiries are submitted via the product page on gnhindia.com, where you specify 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 necessary import documentation.

Iobenguane I-123 is unique in targeting the norepinephrine transporter, providing direct visualization of sympathetic nerve integrity. Other agents, such as technetium‑99m sestamibi, assess perfusion rather than innervation. Choice of agent depends on the clinical question—innervation versus perfusion—and on availability of imaging equipment.

The product must be stored at 2‑8 °C, protected from light, and kept in its original container. It should not be frozen or shaken. Handling requires radiation safety measures, including shielding, monitoring, and use of appropriate protective equipment.

Iobenguane I-123 is administered as a single intravenous injection under the supervision of a qualified nuclear medicine professional. After injection, a waiting period allows the tracer to distribute before imaging with a gamma camera, typically performed in a dedicated imaging suite.

Serious risks include severe allergic reactions (anaphylaxis), significant cardiac arrhythmias, hypotension, and radiation‑induced tissue injury such as thyroid dysfunction. These events are rare but require immediate medical attention and appropriate monitoring during and after the procedure.

Patients with known severe allergy to iodine‑123 compounds, uncontrolled thyroid disease, or those who cannot undergo gamma‑camera imaging should not receive the tracer. Additionally, individuals for whom the radiation exposure outweighs diagnostic benefit, such as certain pregnant patients, are contraindicated.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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