Product image of Multihance (Gadobenate Dimeglumine) supplied by GNH India

Multihance

Active Ingredient:
Gadobenate Dimeglumine
Origin:
EU

Multihance (Gadobenate Dimeglumine)

Gadobenate dimeglumine, the active ingredient in Multihance, is a gadolinium-based contrast agent presented as an injectable solution for intravenous use. It enhances magnetic resonance imaging of the brain, central nervous system, liver and cardiovascular system in patients undergoing diagnostic imaging.

GNH India supplies Multihance as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Bracco Imaging S.P.A.

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Indications & Clinical Uses

Multihance is used as a gadolinium‑based contrast agent to improve visualization in magnetic resonance imaging.

  • Brain and central nervous system MRI: provides enhanced contrast to delineate lesions, tumors, and vascular structures.
  • Liver MRI: improves detection and characterization of focal liver lesions.
  • Cardiovascular MRI: enhances visualization of cardiac chambers, vessels, and perfusion.

How It Works

  • Gadobenate dimeglumine shortens the T1 relaxation time of nearby water protons by binding to plasma proteins and distributing in the extracellular space. This property increases signal intensity on T1‑weighted MRI sequences, allowing clearer differentiation of anatomical structures and pathological lesions during imaging examinations.

Side Effects

Adverse reactions may occur after administration of Multihance.

Common Side Effects

  • Nausea: mild to moderate feeling of sickness.
  • Headache: transient discomfort following injection.
  • Injection site discomfort: pain or burning at the infusion site.
  • Warmth sensation: brief feeling of heat during administration.
  • Metallic taste: transient metallic sensation in the mouth.
  • Dizziness: mild vertigo or light‑headedness.

Serious or Rare Side Effects

  • Allergic reactions: including anaphylaxis, urticaria, or bronchospasm.
  • Nephrogenic systemic fibrosis (NSF): rare fibrotic disorder in patients with severe renal impairment.
  • Severe hypotension: marked drop in blood pressure requiring medical intervention.
  • Cardiac arrest: rare but life‑threatening event.
  • Seizures: uncommon neurologic event.

Precautions & Warnings

Prior assessment and monitoring are essential when using Multihance.

  • Renal function assessment: evaluate glomerular filtration rate before administration.
  • Pregnancy caution: safety not established; avoid unless clearly needed.
  • Breastfeeding consideration: advise caution as data are limited.
  • Prior allergic reactions: assess history of hypersensitivity to gadolinium agents.
  • Concomitant nephrotoxic drugs: use with caution when patients receive other renal‑impacting medications.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Multihance may interact with other agents that affect renal function or hypersensitivity risk.

Major Interactions (Avoid)

  • Concurrent use of other gadolinium‑based contrast agents: increases cumulative gadolinium exposure.
  • High‑dose aminoglycoside antibiotics: may exacerbate renal toxicity.

Moderate Interactions (Monitor Closely)

  • Loop diuretics: can alter renal clearance, requiring closer monitoring.
  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): may affect kidney function.
  • ACE inhibitors or ARBs: may increase risk of renal impairment when combined with gadolinium agents.

Frequently Asked Questions

Multihance is a gadolinium‑based contrast agent used to improve the quality of magnetic resonance imaging (MRI) studies. It is indicated for enhancing images of the brain and central nervous system, liver, and cardiovascular structures, helping radiologists detect and characterize lesions, vascular abnormalities, and tissue perfusion more clearly.

Gadobenate dimeglumine shortens the T1 relaxation time of water protons in tissues by binding to plasma proteins and distributing in the extracellular space. This results in increased signal intensity on T1‑weighted MRI sequences, providing clearer contrast between normal and abnormal tissues during the scan.

The dose of Multihance is determined by the prescribing physician based on the specific imaging protocol, the patient’s body weight, and renal function. The prescriber calculates the appropriate volume to achieve optimal contrast enhancement while minimizing potential risks.

Safety of Multihance in pregnancy and lactation has not been established. It should be used only if the potential diagnostic benefit justifies the potential risk to the fetus or infant, and the decision should be made by the treating physician in consultation with the patient.

To order Multihance, 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, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain where required) and necessary import documentation.

Multihance contains gadobenate dimeglumine, which has a higher protein‑binding profile than many conventional gadolinium agents, offering stronger T1 shortening and potentially better lesion detection, especially in liver imaging. However, the choice of agent depends on the clinical indication, patient renal function, and institutional preferences.

Multihance should be stored at 2‑8 °C (refrigerated). Keep the vial in its original packaging, protect it from light, and avoid freezing or shaking the solution. Do not use the product if it has been exposed to temperatures outside the recommended range.

Multihance is administered intravenously as an injectable solution. The prescribed volume is injected through a peripheral or central line, typically as a rapid bolus followed by a saline flush, according to the imaging protocol defined by the radiology team.

The most serious risks include severe allergic reactions such as anaphylaxis, nephrogenic systemic fibrosis (NSF) in patients with severe renal impairment, and rare events like hypotension, cardiac arrest, or seizures. Immediate medical attention is required if any of these reactions occur.

Multihance should be avoided in patients with known hypersensitivity to gadobenate dimeglumine or any component of the formulation, and in those with severe renal dysfunction (e.g., GFR < 30 mL/min/1.73 m²) due to the risk of NSF. Caution is also advised for pregnant or breastfeeding women when alternative imaging methods are available.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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