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 a 0.5 mmol/mL injection solution for intravenous use. It enhances magnetic resonance imaging of the brain, spinal cord, liver and cardiovascular system in patients undergoing diagnostic scans.

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 France

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Indications & Clinical Uses

Multihance (gadobenate dimeglumine) is a gadolinium‑based contrast agent used in magnetic resonance imaging to improve visualization of specific anatomical regions.

  • MRI of brain and spinal cord: provides enhanced delineation of lesions and normal structures.
  • MRI of liver: improves detection and characterization of focal liver lesions.
  • MRI of cardiovascular system: enhances visualization of cardiac chambers, vessels and myocardial tissue.

How It Works

  • Gadobenate dimeglumine is a paramagnetic gadolinium chelate that shortens the T1 relaxation time of nearby water protons. After intravenous injection it distributes in the extracellular fluid and is partially taken up by hepatocytes, increasing signal intensity on T1‑weighted MRI sequences and thereby improving contrast between tissues.

Side Effects

Multihance may cause a range of adverse reactions following intravenous administration.

Common Side Effects

  • Nausea: mild to moderate feeling of sickness.
  • Headache: transient discomfort.
  • Injection site discomfort: pain or warmth at the site.
  • Metallic taste: brief sensation in the mouth.

Serious or Rare Side Effects

  • Allergic reactions: including anaphylaxis.
  • Nephrogenic systemic fibrosis: in patients with severe renal impairment.
  • Severe hypotension: sudden drop in blood pressure.
  • Pulmonary edema: fluid accumulation in the lungs.

Precautions & Warnings

Prior to using Multihance, several safety considerations should be observed.

  • Assess renal function: evaluate eGFR to mitigate NSF risk.
  • Pregnancy and lactation: use only if benefits outweigh potential risks.
  • History of allergic reactions: avoid in patients with known hypersensitivity.
  • Severe hepatic impairment: consider limited hepatic uptake.
  • Pediatric use: restrict to cases where diagnostic benefit justifies exposure.
  • 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 cumulative gadolinium exposure.

Major Interactions (Avoid)

  • Concurrent high‑dose gadolinium agents: increase toxicity risk.
  • Use with other linear gadolinium agents: elevate NSF risk.

Moderate Interactions (Monitor Closely)

  • Loop diuretics: may alter renal clearance.
  • ACE inhibitors: potential impact on renal function.
  • NSAIDs: can affect kidney performance.
  • Calcium channel blockers: minor influence on hemodynamics.

Frequently Asked Questions

Multihance is a gadolinium‑based contrast agent indicated for magnetic resonance imaging of the brain and spinal cord, liver, and cardiovascular system. It is administered intravenously to improve the visibility of anatomical structures and pathological lesions during MRI examinations.

Gadobenate dimeglumine is a paramagnetic chelate of gadolinium. After IV injection it distributes in the extracellular fluid and partially binds to hepatic proteins, shortening the T1 relaxation time of nearby water protons. This produces a higher signal on T1‑weighted MRI sequences, enhancing contrast between tissues.

The dose of Multihance is determined by the prescribing physician based on the specific MRI protocol, patient weight, and the organ system being examined. Dosing recommendations are provided in the product labeling and should be individualized for each patient.

The safety of gadobenate dimeglumine 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.

To place an order, submit an enquiry on the Multihance 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 where required) and necessary import documentation.

Compared with non‑specific gadolinium agents, gadobenate dimeglumine offers higher relaxivity and partial hepatic uptake, providing superior lesion detection in liver imaging. Its safety profile is similar to macrocyclic agents, but it remains a linear chelate, so renal function assessment is essential to mitigate the risk of nephrogenic systemic fibrosis.

Multihance should be stored at 2‑8 °C in a refrigerator. Keep the vial in its original packaging, protect it from light, and do not freeze or shake the solution. If the product reaches room temperature, it may be used within the time frame specified in the labeling.

Multihance is supplied as a sterile injection solution for intravenous use. It is typically injected as a bolus or power‑injector at a rate recommended by the imaging protocol, followed by a saline flush. Administration is performed by qualified healthcare personnel in a clinical setting.

The most serious risks include allergic reactions ranging from urticaria to anaphylaxis, and nephrogenic systemic fibrosis (NSF) in patients with severe renal impairment. Rarely, severe hypotension, cardiac arrest, or pulmonary edema may occur. Prompt recognition and management are critical.

Multihance is contraindicated in patients with known hypersensitivity to gadobenate dimeglumine or any component of the formulation. It should be avoided in individuals with severe renal dysfunction (eGFR <30 mL/min/1.73 m²) due to the risk of NSF, and in patients with a history of severe allergic reactions to contrast media.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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