Product image of Myoview (Tetrofosmin) supplied by GNH India

Myoview

Active Ingredient:
Tetrofosmin
Origin:
EU

Myoview (Tetrofosmin)

Tetrofosmin, the active ingredient in Myoview, is a radiopharmaceutical presented as a radiopharmaceutical injection kit for intravenous use. It is employed in cardiac imaging to evaluate myocardial perfusion and viability, primarily in patients being assessed for coronary artery disease.

GNH India supplies Myoview as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, clinics and diagnostic centres worldwide. The product complies with EU regulatory standards and is distributed under strict quality controls.

Manufacturer / TM Owner

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Indications & Clinical Uses

Myoview (tetrofosmin) is used in cardiac imaging to assess myocardial perfusion and viability.

  • Coronary artery disease: detection of perfusion defects during stress and rest SPECT imaging.
  • Myocardial viability assessment: evaluation of viable myocardium after infarction to guide revascularization decisions.
  • Ischemic heart disease: identification of regional blood flow abnormalities for risk stratification.

How It Works

  • After labeling with technetium‑99m, tetrofosmin forms a lipophilic cationic complex that readily crosses cell membranes. It is taken up by myocardial cells in proportion to regional blood flow and retained within the mitochondria. The distribution of the radiotracer reflects perfusion, allowing single‑photon emission computed tomography (SPECT) to generate images of myocardial blood flow and viability.

Side Effects

Adverse reactions to Myoview are generally related to the radiopharmaceutical nature of the product and its intravenous administration.

Common Side Effects

  • Injection site pain or erythema.
  • Nausea or mild vomiting.
  • Flushing or warmth sensation.
  • Headache or dizziness.

Serious or Rare Side Effects

  • Anaphylactic or severe allergic reactions.
  • Significant hypotension or cardiovascular collapse.
  • Cardiac arrhythmias.
  • Radiation‑induced skin injury at the injection site.

Precautions & Warnings

Precautions should be observed when using Myoview to minimize risks and ensure accurate imaging results.

  • Pregnancy: avoid use unless clearly needed, as fetal radiation exposure is unknown.
  • Breastfeeding: discontinue breastfeeding or discontinue the drug, due to potential radiation transfer.
  • Renal impairment: assess renal function, as reduced clearance may affect radiation dose.
  • Concomitant stress agents: coordinate with pharmacologic stress agents (e.g., dipyridamole) to avoid adverse hemodynamic effects.
  • Thyroid blocking agents: avoid recent iodine or perchlorate administration that may alter tracer distribution.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Myoview may interact with other substances that affect tracer distribution or cardiovascular response.

Major Interactions (Avoid)

  • Iodine or perchlorate compounds: may interfere with technetium uptake and reduce image quality.
  • Beta‑blockers: can blunt heart rate response during pharmacologic stress, affecting interpretation.
  • Calcium channel blockers: may alter myocardial blood flow and affect tracer distribution.

Moderate Interactions (Monitor Closely)

  • Caffeine or theophylline: can antagonize vasodilator stress agents used with Myoview.
  • Other radiopharmaceuticals: cumulative radiation dose should be considered.
  • Vasodilator agents (e.g., dipyridamole, adenosine): require careful dosing and monitoring to prevent excessive hypotension.

Frequently Asked Questions

Myoview is a radiopharmaceutical used in nuclear medicine to perform myocardial perfusion imaging with single‑photon emission computed tomography (SPECT). It helps clinicians detect areas of reduced blood flow, evaluate coronary artery disease, and assess the viability of heart muscle after an infarction, supporting decisions about revascularization and other therapies.

Tetrofosmin is first labeled with technetium‑99m, creating a lipophilic cationic complex that readily enters myocardial cells. Its uptake is proportional to regional blood flow, and it becomes trapped within the mitochondria. The resulting distribution of radioactivity mirrors perfusion, allowing SPECT cameras to generate detailed images of myocardial blood flow and tissue viability.

The administered activity of Myoview is determined by the prescribing physician or nuclear medicine specialist based on patient weight, the imaging protocol, and regulatory guidelines. Typical adult dosing ranges are defined in the product’s prescribing information, but exact numbers are set individually and should not be altered without professional supervision.

Safety data for Myoview in pregnant or nursing women are limited, and the radiotracer delivers ionizing radiation that could affect a fetus or infant. Use is generally avoided unless the diagnostic benefit outweighs the potential risk. If administration is deemed essential, the prescriber should follow local radiation safety guidelines and consider alternative imaging modalities.

To order Myoview, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, and will request verification of trade or institutional credentials. After confirmation, the sales team provides pricing, availability, shipping details (including cold‑chain logistics if required) and assists with any necessary import documentation.

Myoview (technetium‑99m tetrofosmin) and technetium‑99m sestamibi are the most commonly used perfusion tracers, offering similar image quality and radiation dose. Compared with thallium‑201, tetrofosmin provides higher photon energy, allowing better image resolution and shorter acquisition times, while also having a lower radiation burden. Choice of agent often depends on local protocol, availability and physician preference.

Myoview must be stored refrigerated at 2 °C to 8 °C in its original packaging, protected from light. The kit should not be frozen or shaken, and any unused portion should be discarded according to local regulations for radioactive materials. Handling requires trained personnel wearing appropriate protective equipment and following radiation safety procedures.

Myoview is supplied as a sterile radiopharmaceutical injection kit that is reconstituted with technetium‑99m per the manufacturer’s instructions. The prepared solution is administered intravenously, typically as a rapid bolus injection, under the supervision of a qualified nuclear medicine physician or technologist. Imaging is performed shortly after injection, according to the selected stress or rest protocol.

The most serious risks associated with Myoview include severe allergic reactions such as anaphylaxis, significant hypotension or cardiovascular collapse, and cardiac arrhythmias that may arise during the stress phase of the study. Additionally, radiation exposure, while low, can cause skin injury at the injection site if dosing guidelines are not followed. Immediate medical attention is required if any of these events occur.

Myoview should be avoided in patients with known hypersensitivity to tetrofosmin, technetium‑99m, or any kit excipients. It is also contraindicated in pregnant women unless the diagnostic benefit justifies the radiation risk, and in nursing mothers who cannot discontinue breastfeeding. Patients with severe uncontrolled thyroid disorders, recent iodine or perchlorate therapy, or those unable to tolerate pharmacologic stress agents should be evaluated carefully before use.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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