Technetium tc-99m sodium pertechnetate

FDA label, Lantheus Medical Imaging, Inc., intravenous, effective 2024-11-01. Full label on DailyMed

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From MedlinePlus, U.S. National Library of Medicine

Quoted from the FDA label. Product labels differ by manufacturer and change over time; confirm against the label for the product you are using.

Radioactive Diagnostic Agent

Dosing in kidney impairment

Table 5. Adult Absorbed Radiation Doses (mGy) from Intravenous Injection
OrganAbsorbed Radiation Dose (mGy) for a 1110 MBq (30mCi) dose
To obtain radiation absorbed dose in rads (30 mCi dose) from the above table, divide individual organ values by a factor of 10 (does not apply for effective dose).
Adrenals4.1
Urinary Bladder Wall20
Bone Surfaces6.2
Brain2.2
Breasts2
Gallbladder Wall8.3
Stomach Wall29
Small Intestine18
ULI Wall63
LLI Wall23
Heart Wall3.5
Kidneys6
Liver4.7
Lungs2.9
Muscle3.6
Ovaries11
Pancreas6.3
Red Marrow4.1
Skin2
Spleen4.8
Testes3.1
Thymus2.7
Thyroid24
Uterus9
Remaining Tissues3.9
Effective Dose (mSv)14
Table 6. Pediatric Absorbed Radiation Doses (mGy) from Intravenous Injection
Age15 years10 years5 years1 year
To obtain radiation absorbed dose in rads (30 mCi dose) from the above table, divide individual organ values by a factor of 10 (does not apply for effective dose).
Administered activity in MBq (mCi) 1110 (30)740 (20)555 (15)370 (10)
Organ
Adrenals5.35.46.27.1
Urinary Bladder Wall26221822
Bone Surfaces7.67.58.110
Brain2.83.13.74.5
Breasts2.62.63.24.1
Gallbladder Wall11121313
Stomach Wall38364359
Small Intestine22232630
ULI Wall8189110140
LLI Wall31334048
Heart Wall4.54.65.26.4
Kidneys7.26.97.88.5
Liver66.789.1
Lungs3.83.84.45.3
Muscle4.54.556
Ovaries14131417
Pancreas8.18.28.910
Red Marrow5.155.26
Skin2.52.63.23.8
Spleen666.77.8
Testes4.14.34.96
Thymus3.63.54.25.3
Thyroid40416781
Uterus11111214
Remaining Tissues4.84.85.46.4
Effective Dose (mSv)19192329

Preparation and administration

Prepare this dose

Your numbers for technetium tc-99m sodium pertechnetate. Take vial strength, diluent, and limits from the label below.

Basis

Enter a dose to see draw volume, final concentration, and rates.

Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration whenever solution and container permit. The solution to be administered as the patient dose should be clear and contain no particulate matter. Do not use an eluate of the TECHNELITE ® , Technetium Tc 99m Generator later than one working day after elution (12 hours).

Contraindications

CONTRAINDICATIONS: None known.

Safety data

Reported adverse events (FAERS)

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Source: FDA Adverse Event Reporting System via openFDA

Liver injury (LiverTox)

LiverTox has no chapter for technetium tc-99m sodium pertechnetate. Check the label's hepatic warnings.

Pregnancy and lactation

Pregnancy

Pregnancy Animal reproductive studies have not been conducted with Sodium Pertechnetate Tc 99m. It is also not known whether Sodium Pertechnetate Tc 99m can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. Sodium Pertechnetate Tc 99m Injection should be given to a pregnant woman only if clearly needed. Ideally examinations using radiopharmaceuticals, especially those elective in nature, of a woman of childbearing capability should be performed during the first few (approximately 10) days following the onset of menses.

Lactation

Nursing Mothers Sodium Pertechnetate Tc 99m is excreted in human milk during lactation; therefore formula feedings should be substituted for breast feeding. This radiopharmaceutical preparation should not be administered to pregnant or lactating women unless expected benefits to be gained outweigh the potential risks.

For breastfeeding, also see LactMed (National Library of Medicine), which summarizes milk levels and infant effects.

Supply and cost

Drug shortage status

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Recalls (last 24 months)

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Therapeutic equivalence (Orange Book)

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Price ladder

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These are not what a patient pays at the pharmacy counter. They are what pharmacies, health plans, and government buyers pay, before manufacturer rebates. A patient's cost depends on their insurance (copay, coinsurance, or deductible) or the pharmacy's cash price.

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