Product image of Nafros (Sodium Fluoride (18f)) supplied by GNH India

Nafros

Active Ingredient:
Sodium Fluoride (18f)
Origin:
EU

Nafros (Sodium Fluoride (18f))

Sodium Fluoride, the active ingredient in Nafros, is a radiopharmaceutical presented as an injectable solution for intravenous use. It enables PET imaging of bone metabolism to detect skeletal metastases and assess bone turnover in patients with cancer.
GNH India supplies Nafros as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and clinics worldwide.

Manufacturer / TM Owner

Helmholtz-Zentrum Dresden-Rossendorf Fwp

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Indications & Clinical Uses

Nafros is used in diagnostic imaging of bone‑related disease processes, providing functional information on skeletal metabolism.

  • Skeletal metastases: enables detection of metastatic lesions in bone via PET imaging.
  • Bone turnover assessment: allows evaluation of metabolic activity in bone disorders.
  • Oncologic staging: assists in staging of cancers with potential bone involvement.

How It Works

  • Sodium Fluoride-18 exchanges its fluoride ion with hydroxyl groups in hydroxyapatite crystals of bone, becoming incorporated into the bone matrix. The radiolabel emits positrons that are detected by PET scanners, producing high‑resolution images that reflect regional bone remodeling and metabolic activity.

Side Effects

Adverse reactions may occur following intravenous administration of Nafros.

Common Side Effects

  • Injection site pain: mild discomfort at the infusion site.
  • Transient flushing: brief sensation of warmth or redness.
  • Mild nausea: occasional upset stomach.
  • Headache: low‑grade headache during or after the scan.

Serious or Rare Side Effects

  • Allergic reaction (anaphylaxis): severe hypersensitivity requiring immediate medical attention.
  • Severe hypotension: marked drop in blood pressure post‑injection.
  • Radiation‑induced skin injury: localized skin changes at high cumulative doses.

Precautions & Warnings

Use of Nafros requires careful consideration of patient‑specific factors and handling requirements.

  • Pregnancy: safety not established; avoid unless essential for maternal care.
  • Renal impairment: consider reduced clearance and adjust imaging schedule.
  • Concurrent radiopharmaceuticals: avoid overlapping scans to prevent excess radiation.
  • Radiation exposure: limit to necessary diagnostic procedures only.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Potential drug interactions should be reviewed before administering Nafros.

Major Interactions (Avoid)

  • High‑dose iodine therapy: may interfere with fluoride uptake in bone.
  • Other bone‑seeking radiotracers: can cause cumulative radiation dose.

Moderate Interactions (Monitor Closely)

  • Chemotherapy agents affecting bone turnover: may alter imaging results.
  • Bisphosphonates: may modify fluoride accumulation in skeletal tissue.
  • Corticosteroids: may affect bone metabolism and PET signal.

Frequently Asked Questions

Nafros is a diagnostic radiopharmaceutical used in positron emission tomography (PET) to image bone metabolism. It helps clinicians detect skeletal metastases, evaluate bone turnover, and assist in cancer staging by highlighting areas of increased bone activity.

Sodium Fluoride‑18 exchanges its fluoride ion with hydroxyl groups in bone hydroxyapatite, becoming incorporated into the bone matrix. The radioactive fluorine emits positrons that are captured by PET scanners, producing detailed images of bone metabolic activity.

The administered activity of Nafros is determined by the prescribing physician based on the patient’s weight, the imaging protocol, and regulatory guidelines. The exact dose is individualized and should be ordered by a qualified nuclear medicine specialist.

Safety data for Nafros in pregnancy and lactation are limited. It is generally avoided unless the diagnostic benefit outweighs potential risks to the fetus or infant. Clinicians should discuss alternatives and obtain informed consent when considering use in these populations.

To order Nafros, submit an enquiry on the 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 if needed) and import documentation.

Compared with traditional bone scintigraphy agents such as Technetium‑99m‑MDP, Nafros (Sodium Fluoride‑18) offers higher spatial resolution, faster blood clearance, and more precise quantification of bone turnover, making it preferable for detailed PET imaging of skeletal lesions.

Nafros must be stored refrigerated at 2‑8 °C, protected from light, and should never be frozen or shaken. Use aseptic technique during preparation and administer promptly after removal from storage to maintain radiochemical integrity.

Nafros is given as an intravenous injection by a qualified healthcare professional. The dose is administered slowly, followed by a waiting period (typically 30‑60 minutes) before PET imaging to allow adequate bone uptake of the tracer.

The most serious risks include severe allergic reactions (anaphylaxis), marked hypotension, and radiation‑related tissue injury at high cumulative doses. Immediate medical attention is required if any signs of anaphylaxis or hemodynamic instability occur.

Nafros should not be used in patients with known hypersensitivity to sodium fluoride or any component of the formulation, in those who have received other bone‑seeking radiopharmaceuticals within a short interval, or in pregnant women unless the diagnostic benefit justifies the potential risk.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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