Name | Gadopentetate dimeglumine |
Synonyms | Dimeglumine salt GADOPENTETATEMEGLUMINE Gadopentetate dimeglumine Acide gadopentetique [French] GadopenteticAcidDimeglumineSalt |
CAS | 86050-77-3 |
EINECS | 1308068-626-2 |
InChI | InChI=1/C14H23N3O10.2C7H17NO5.Gd/c18-10(19)5-15(1-3-16(6-11(20)21)7-12(22)23)2-4-17(8-13(24)25)9-14(26)27;2*1-8-2-4(10)6(12)7(13)5(11)3-9;/h1-9H2,(H,18,19)(H,20,21)(H,22,23)(H,24,25)(H,26,27);2*4-13H,2-3H2,1H3;/q;;;+3/p-3/t;2*4-,5+,6+,7+;/m.00./s1 |
Molecular Formula | C14H20GdN3O10.2C7H17NO5 |
Molar Mass | 938 |
Storage Condition | Inert atmosphere,Room Temperature |
Use | This product is for scientific research only and shall not be used for other purposes. |
Toxicity | LD50 i.v. in rats: 10 mmol/kg (Weinmann). |
This product is a sterile aqueous solution of meglumine dimeglumate. BIS-Meglumine (C14H20GdN3O10 • 2C7H17N05) containing cyanoacrylate shall be between 95.0% and 105.0% of the label load.
This product is colorless to light yellow or light yellow green clear liquid.
diagnostic medication.
(l)10ml:4.69g (2)12ml:5.63g (3)15ml:7.04g(4)20ml based on meglumine diphosphonate (C14H20GdN3O10 • 2C7H17N05): 9.38G
light shielding, closed storage.
pharmacological effects and applications | meglumine phosphate is white or white crystalline powder, odorless, micro-sweet, easily soluble in water. Gadolinium 16.76%. It is a paramagnetic contrast agent used in magnetic resonance imaging. It is the N-methylglucamine salt of the chelate of gadolinium and diethylarginine pentaacetic acid (DTPA) and is administered intravenously. In vivo, the role of meglumine gallate and other highly hydrophilic, biologically inert compounds the same, intravenous injection, quickly distributed in the extracellular fluid, and in its original form through the glomerular excretion. This product is very hydrophilic substances, and protein binding capacity is minimal. Determination by whole body autoradiography demonstrated more than 90% renal excretion at 1h and 24 h after injection. Very small amounts can be detected in the intestine, not detected in the skin. When severe renal damage, the goods in the body to extend the stay. Residual gadolinium and meglumine pantetate can then be excreted by extracorporeal hemodialysis. This product can enter the diseased tissue through the damaged blood-brain barrier. Clinical Applications: 1. Magnetic resonance imaging of the brain and spine: especially for the display and identification of tumors. Assist in the diagnosis of suspected intracranial (spinal) meningioma, schwannoma, invasive tumors (eg, glioma) and metastases; Show small and/or differential diagnosis of rare tumors, such as hemangioblastoma, ependymoma and pituitary microadenoma; Further determine the spread of non-brain-derived tumors. Magnetic resonance imaging in the spine: differentiating between intraspinal and Extraspinal tumors; Showing the site of tumor parenchyma in known cavity lesions; Determining intraspinal tumor spread. 2. Whole body magnetic resonance imaging: including facial skull, neck, chest, abdomen, female breast, pelvic cavity and limbs and other parts. |
pharmacokinetics | not absorbed orally. The concentration in blood and tissues reached the peak 1 minute after intravenous injection, and the elimination half-life was about 20 minutes. In the blood vessels rich, extracellular fluid more tissue and the blood brain barrier damaged by the lesion to produce strengthening effect, but can not penetrate the healthy intact blood brain barrier. This product is a larger molecular weight of the chelate, not in the accumulation of cells, mainly in the original form of rapid renal excretion from urine. Intravenous injection after 3 hours of about 80% through the glomerular filtration, renal tubular excretion by the kidney, 24 hours of urine can be discharged more than 90% of the injection volume, renal dysfunction slightly slowed down. About 7% is excreted in the feces. Animal studies have shown that less than about 0.2% of the dose can enter the milk. |
synthesis | The first step: Synthesis of veratrhalic acid the second step: Synthesis of meglumine veratrhalate |
dosage | 1. General condition: ① the patient must fast 2 hours before examination. ② the required dose should be injected intravenously, with bolus injection if necessary, followed by immediate start of MRI enhancement scan, preferably within 45 minutes of injection. (3) in the intravascular injection of contrast agent, the patient is best lying flat; At least half an hour after the injection, the patient should be closely observed. (4) when not used immediately, do not draw the drug into the syringe. The remaining contrast agent must be discarded after one examination. It is particularly appropriate to use the pulse series of T1 weighted scan in the enhanced scan. (5) it is suitable for the magnetic field strength of 0.14~1. 5tesla. In this range, it is not affected by the field strength. 2. Dose: intravenous injection. Adults and children over 2 years of age, according to the body weight of 0.2/kg (or 0.1mmol/kg), the maximum dosage of a 0.4/kg. ① magnetic resonance imaging of the head and spine: if necessary, the drug can be administered again within 30 minutes. (2) whole body magnetic resonance imaging: in order to obtain sufficient enhancement, 0.4/kg can be administered at a time. The optimal strengthening time is generally within 45 minutes after injection. To exclude adult lesions or tumor recurrence, the dosage can be increased to 0.6/kg of body weight at a time to increase the credibility of the diagnosis. |
adverse reaction | 1. Nausea, Vomit and skin or mucous membrane allergic reaction. 2. Patients with allergic tendency are more likely to have allergic reactions than others. In rare cases, hypersensitivity reactions may occur in up to Shock. 3. Very few patients have transient mild warmth and pain at the injection site when puncturing the vein or injecting contrast agent. In rare cases, convulsions have been observed after injection, with occasional transient Head Pain, vasodilation, dizziness, chills, and syncope have not been proven to be related to the use of this drug. Transient taste abnormality may occur on bolus injection. 4. Hypertonic injection may cause pain in the tissues around the blood vessels, which disappeared in about 20 minutes, and no adverse reactions were found in other tissues. |
contraindication | Pacemaker and ferromagnetic implant carriers were contraindicated. |
precautions | 1. Patients with allergic tendency should be used with special caution. Because the chance of allergic reaction is higher than other patients. 2. For patients with severe renal dysfunction, the decision to use before special caution, weighing the pros and cons, because the discharge of contrast agent will be delayed, in addition, so far known, this product will not affect renal function, even so, in patients with extremely severe renal dysfunction, hemodialysis is recommended to exclude drugs from the body. Some patients with serum iron and bilirubin increased slightly, but asymptomatic, can be very quickly recovered within 24 hours. 4. Serum iron was determined by complexation quantification within 24 hours of the enhanced scan, and the results may be very low due to the presence of diethylenetriaminepentaacetic acid (DTPA) in the contrast solution. The safety of drug use in pregnant and lactating women is unclear. (2016-03-11) |
toxic substance data | information provided by: pubchem.ncbi.nlm.nih.gov (external link) |