Source:http://www4.wiwiss.fu-berlin.de/dailymed/resource/drugs/3839
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Sodium Iodide (Capsule)
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| dailymed-instance:dosage |
The recommended oral dose range for diagnostic studies of thyroid function in the average adult patient (70 kg) is 3.7-14.8 MBq (100-400��Ci) of Sodium Iodide I-123. The lower portion of the range 3.7 MBq (100��Ci) is recommended for uptake studies alone, and the higher portion 14.8 MBq (400��Ci) for thyroid imaging. Concentration of I-123 in the thyroid gland should be measured in accordance with standardized procedures. Consideration should be given to the use of proper instrumentation in thyroid imaging with Sodium Iodide I-123. The determination of I-123 concentration in the thyroid gland may be initiated at six hours after administration ofthe dose. Use contents of the capsule up to 24 hours after calibration time and date. Thereafter, discard the capsule with its contents. The user should wear waterproof gloves at all times when handling the capsule. The patient dose should be measured by a suitable radioactivity calibration system immediately prior to administration.
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| dailymed-instance:descripti... |
GE Healthcare (Medi-Physics, Inc.) Sodium Iodide I-123 for diagnostic use is supplied as capsules for oral administration. At calibration time, each capsule has an activity of 3.7 MBq (100��Ci) or 7.4 MBq (200��Ci). Each gelatin capsule contains not more than 20��g of sodium hydroxide and not more than 1 g of sucrose. Each capsule also contains FD&C Yellow No. 6. Sodium Iodide I-123 is an odorless compound, freely soluble in water. The I-123 is produced in an accelerator by bombardment of enriched Xe-124 with protons [Xe-124 (p,2n) Cs-123Xe-123I-123]. The radionuclidic composition at calibration time is not less than 99.5% I-123 and not more than 0.5% all other nuclides (Te-121, I-125, I-131, I-126, I-124, I-130, I-121 and Na-24). The radionuclidic composition at expiration time is not less than 98.28% I-123 and not more than 1.72% all other nuclides (Te-121, I-125, I-131, I-126, I-124, I-130, I-121 and Na-24). Molecular formula: NaI Molecular Weight: 145.99
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| dailymed-instance:clinicalP... |
Sodium Iodide is readily absorbed from the upper gastrointestinal tract. Following absorption, the iodide is distributed primarily within the extracellular fluid of the body. It is concentrated and organically bound by the thyroid and concentrated by the stomach, choroid plexus, and salivary glands. It is also promptly excreted by the kidneys. The normal range of urinary excretion in 24 hours is reported to be 37-75% of the administered dose, varying with thyroid and renal function. The iodide concentrating mechanism of the thyroid, variously termed the iodide "trap" or "pump," accounts for an iodide concentration some 25 times that of the plasma level, but may increase to as much as 500 times under certain conditions. "Trapped" iodide is oxidized to iodine and organically incorporated so rapidly that the trap contains less than 0.2% free iodide in comparison to organically bound iodine. This process results in a further concentration of iodine in the thyroid gland to about 500 fold that of blood. The iodinated organic compounds consist chiefly of thyroxine (T) and triiodothyronine (T), which are bound to thyroglobulin in the follicular colloid. The Tand Tare released by enzymatic proteolysis of thyroglobulin into the blood, where they are specifically bound and transported by plasma thyroid binding proteins. These reactions are mostly under the control of anterior-pituitary thyroid stimulating hormone (TSH) and hypothalamic thyroid releasing factor (TRF). Thyroid uptake is usually increased in hyperthyroidism and in goiter with impaired hormone synthesis. Uptake is usually decreased in hypothyroidism and normal or decreased in hyperthyroidism treated with iodide. It should be noted that the uptake of tracer iodine is a function of stable iodide concentration in the serum as well as of alterations in thyroid physiology.
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None known.
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| dailymed-instance:supply |
Sodium Iodide I-123 capsules for oral administration are supplied as follows: Product No. 2031 - 3.7 MBq (100��Ci) - orange capsule - NDC 17156-201-05 Product No. 2032 - 7.4 MBq (200��Ci) - orange/white capsule - NDC 17156-522-05 At calibration time, each capsule has an activity of 3.7 MBq (100��Ci) or 7.4 MBq (200��Ci). Each gelatin capsule contains not more than 20��g sodium hydroxide and not more than 1 g of sucrose. Each capsule also contains FD&C Yellow No. 6. This radiopharmaceutical is licensed by the Illinois Emergency Management Agency for distribution to persons licensed pursuant to 32 Ill. Admin. Code Section 330.260(c) and Section 335, Subpart D, 335.3010 and Subpart E, 335.4010 or under equivalent licenses of an Agreement State or a Licensing State. The single dose capsule is supplied with a desiccant in a plastic container that is enclosed in a labeled lead shield. One extra shield label is supplied with each single capsule for attachment to a shielded container other than the one in which the drug product is supplied. The capsule should be stored at room temperature below 30��C, 86��F. The expiration date has been determined to be 24 hours after calibration time and date.
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| dailymed-instance:precautio... |
General: The contents of the capsule are radioactive. Adequate shielding of the preparation must be maintained at all times. Do not use after the expiration time and date (24 hours after calibration time) stated on the label. The uptake of I-123 may be decreased by recent administration of iodinated contrast materials, by intake of stable iodine in any form, or by thyroid, antithyroid, and certain other drugs. Accordingly, the patient should be questioned carefully regarding diet, previous medication, and procedures involving radiographic contrast media. Sodium Iodide I-123, as well as other radioactive drugs, must be handled with care, and appropriate safety measures should be used to minimize radiation exposure to clinical personnel. Care should also be taken to minimize radiation exposure to the patient consistent with proper patient management. Radiopharmaceuticals should be used only by physicians who are qualified by training and experience in the safe use and handling of radionuclides and whose experience and training have been approved by the appropriate government agency authorized to license the use of radionuclides.<br/>Carcinogenesis, Mutagenesis, Impairment of Fertility: No long-term animal studies have been performed to evaluate carcinogenic potential, mutagenic potential, or effects on fertility in male or female animals.<br/>Pregnancy Category C: Animal reproduction studies have not been conducted with this drug. It is also not known whether Sodium Iodide I-123 can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. Sodium Iodide I-123 should be given to a pregnant woman only if clearly needed. Ideally, examinations using radiopharmaceuticals, especially those elective in nature, in women of childbearing capability should be performed during the first few (approximately 10) days following the onset of menses.<br/>Nursing Mothers: Since I-123 is excreted in human milk, formula-feeding should be substituted for breast-feeding if the agent must be administered to the mother during lactation.<br/>Pediatric Use: Safety and effectiveness in pediatric patients have not been established.<br/>Geriatric Use: Clinical studies of Sodium Iodide I-123 Capsules did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal or cardiac function, and of concomitant disease or other drug therapy. This drug is known to be substantially excreted by the kidney, and the risk of toxic reactions to this drug may be greater in patients with impaired renal function. Because elderly patients are more likely to have decreased renal function, care should be taken in dose selection, and it may be useful to monitor renal function.
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| dailymed-instance:genericMe... |
Sodium Iodide, I-123
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| dailymed-instance:fullName |
Sodium Iodide (Capsule)
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| dailymed-instance:adverseRe... |
Although rare, reactions associated with the administration of Sodium Iodide isotopes for diagnostic use include, in decreasing order of frequency: nausea, vomiting, chest pain, tachycardia, itching skin, rash and hives. Allergic type reactions have been reported infrequently following the administration of iodine-containing radiopharmaceuticals.
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| dailymed-instance:warning |
Females of childbearing age and pediatric patients under 18 should not be studied unless the benefits anticipated from the performance of the test outweigh the possible risk of exposure to the amount of ionizing radiation associated with the test.
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| dailymed-instance:indicatio... |
Sodium Iodide I-123 is indicated for use in the evaluation of thyroid function and/or morphology.
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| dailymed-instance:name |
Sodium Iodide
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