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Iodine I-125 iothalamate: Drug information

Iodine I-125 iothalamate: Drug information
For abbreviations, symbols, and age group definitions used in Lexicomp (show table)
Brand Names: US
  • Glofil-125
Pharmacologic Category
  • Radiopharmaceutical
Dosing: Adult
Glomerular filtration evaluation

Glomerular filtration evaluation: IV (based on 70 kg patient):

Single injection: 10 to 30 microcuries (0.37 to 1.11 MBq).

Continuous infusion: 20 to 100 microcuries (0.74 to 3.7 MBq).

Dosing: Kidney Impairment: Adult

There are no dosage adjustments provided in the manufacturer's labeling.

Dosing: Hepatic Impairment: Adult

There are no dosage adjustments provided in the manufacturer's labeling.

Adverse Reactions

There are no adverse reactions listed in the manufacturer's labeling.

Contraindications

Central venous line administration

Warnings/Precautions

Special handling:

• Radiopharmaceutical: Use appropriate precautions for handling, disposal, and minimizing exposure to patients and health care personnel. Use only under supervision of individuals with experience/training in the handling of radioactive materials approved by the applicable regulatory authority.

Other warnings/precautions:

• Appropriate use: Administration: Avoid rapid or bolus-like injections.

Dosage Forms: US

Excipient information presented when available (limited, particularly for generics); consult specific product labeling.

Solution, for injection:

Glofil-125: 250-300 µCi/mL (4 mL) [contains benzyl alcohol]

Generic Equivalent Available: US

No

Administration: Adult

Radiopharmaceutical; use appropriate precautions for handling and disposal. For IV administration as single injection or continuous infusion at usual rate of 0.5 mL/minute. To minimize radioactive iodine uptake by the thyroid gland, thyroid protective agents (eg, Lugol's solution) may be administered for 1 to 2 days prior to the single injection test method. An oral water load of 20 mL/kg should be started 1 hour prior to and continued until the test is complete for the single injection method. An oral water load of 1,500 mL should be started 2 hours prior to the continuous infusion method.

Use: Labeled Indications

Glomerular filtration evaluation: Radiopharmaceutical imaging agent used for evaluation of glomerular filtration in the diagnosis or monitoring of patients with renal disease.

Medication Safety Issues
Other safety concerns:

Radiopharmaceutical: Use appropriate precaution for handling, disposal, and minimizing exposure to patients and healthcare personnel. Use under supervision of experienced personnel. Should be stored in original lead container or adequate radiation shield.

Metabolism/Transport Effects

None known.

Drug Interactions

There are no known significant interactions.

Pregnancy Considerations

Animal studies have not been conducted. There are no adequate and well-controlled studies in pregnant women. Radiopharmaceuticals have the potential to cause fetal harm.

Breastfeeding Considerations

It is not known whether this drug is excreted in human milk; however, radioiodine is excreted in human milk. The manufacturer recommends substituting formula feedings.

Pharmacokinetics (Adult Data Unless Noted)

Metabolism: Decays by electron capture

Half-life elimination: ~0.07 days; Physical half-life: ~60 days

Brand Names: International
International Brand Names by Country
For country code abbreviations (show table)

  • (AR) Argentina: Conray;
  • (GB) United Kingdom: Conray;
  • (JP) Japan: Angio conray | Conray;
  • (PK) Pakistan: Conray;
  • (SE) Sweden: Conray
  1. Glofil-125 (iodine I-125 iothalamate) [prescribing information]. Friendswood, TX: Iso-Tex Diagnostics, Inc; May 2018.
  2. Parker JA, Daube-Witherspoon ME, Graham LS, et al. Procedure Guideline for General Imaging: 3.0. Society of Nuclear Medicine; 2004. Available at http://interactive.snm.org/docs/General_Imaging_v3.0.pdf.
  3. U.S. Nuclear Regulatory Commission (USNRC). Regulatory Guide 8.39. Release of Patients Administered Radioactive Materials. 1997.
Topic 93593 Version 40.0

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