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www.rotop-pharmaka.de<br />

<strong>ROTOP</strong> <strong>Pharmaka</strong> <strong>AG</strong><br />

Technetium-99m kits


<strong>ROTOP</strong> – Technetium-99m kits<br />

Please consider the Summaries of Product Characteristics!<br />

www.rotop-pharmaka.de<br />

Nanotop<br />

<strong>ROTOP</strong>-HSA<br />

Mikrosphären B20<br />

<strong>ROTOP</strong>-MDP<br />

<strong>ROTOP</strong>-Neurospect<br />

Neuroscan<br />

M<strong>AG</strong>-3 Kit<br />

NephroM<strong>AG</strong><br />

Mertioscan<br />

<strong>ROTOP</strong>-DTPA <strong>ROTOP</strong>-DMSA <strong>ROTOP</strong>-EHIDA<br />

Indication<br />

scintigraphic imaging and<br />

assessment of sentinel lymph<br />

nodes in tumor diseases<br />

lung perfusion scintigraphy bone scintigraphy brain perfusion scintigraphy functional and static renal<br />

scintigraphy<br />

quantitative determination of<br />

glomerular filtration rate<br />

static renal scintigraphy<br />

hepatobiliary function<br />

scintigraphy<br />

Active pharmaceutical<br />

ingredient<br />

human albumin, denaturated<br />

0.5 mg<br />

more than 95 % smaller<br />

than 80 nm<br />

human albumin, denaturated<br />

2.5 mg<br />

(300,000 – 500,000<br />

microspheres,<br />

diameter 10 - 30 μm)<br />

medronic acid (MDP)<br />

5.0 mg<br />

exametazime (d,l HMPAO)<br />

0.5 mg<br />

mertiatide<br />

0.20 mg<br />

vial (2) contains:<br />

phosphate buffer solution<br />

2.5 ml<br />

pentetic acid, sodium salt<br />

manufactured from<br />

Pentetic acid: 5 mg<br />

Sodium hydroxide: 1.32 mg<br />

succimer (DMSA)<br />

1.0 mg<br />

etifenin (EHIDA)<br />

20.0 mg<br />

Exipients<br />

stannous chloride dihydrate<br />

0.2 mg<br />

stannous chloride dihydrate<br />

0.1 mg<br />

stannous chloride dihydrate<br />

0.48 mg<br />

stannous chloride dihydrate<br />

0.0076 mg<br />

stannous chloride dihydrate<br />

0.06 mg<br />

stannous chloride dihydrate<br />

0.25 mg<br />

stannous chloride dihydrate<br />

0.42 mg<br />

stannous chloride dihydrate<br />

0.2 mg<br />

glucose<br />

15 mg<br />

poloxamer 238<br />

2 mg<br />

sodium phosphate<br />

0.55 mg<br />

sodium phytate<br />

0.25 mg<br />

polysorbate 80<br />

0.648 mg<br />

rose bengal disodium<br />

0.003 mg<br />

nitrogen (protective gas)<br />

ascorbic acid<br />

0.5 mg<br />

hydrochloric acid 36%<br />

0.04 mg<br />

sodium hydroxide<br />

2.97 mg<br />

nitrogen (protective gas)<br />

sodium chloride<br />

4.05 mg<br />

nitrogen (protective gas)<br />

sodium (R,R)-tartrate dihydrate<br />

22.0 mg<br />

sodium hydroxide<br />

1.72 mg<br />

hydrochloric acid 36 %<br />

0.11 mg<br />

nitrogen (protective gas)<br />

ascorbic acid<br />

0.15 mg<br />

sodium chloride<br />

0.06 mg<br />

nitrogen (protective gas)<br />

ascorbic acid<br />

0.1 mg<br />

sodium hydroxide<br />

0.2 mg<br />

hydrochloric acid 36 %<br />

0.02 mg<br />

nitrogen (protective gas)<br />

ascorbic acid<br />

0.1 mg<br />

sodium hydroxide<br />

4.94 mg<br />

hydrochloric acid 36 %<br />

3.6 μl<br />

nitrogen (protective gas)<br />

Adult dose<br />

(for children dose see<br />

recommendation of the<br />

Paediatric Task Group,<br />

EANM, 1990)<br />

Intravenous use:<br />

Bone marrow scanning:<br />

185 - 500 MBq<br />

Inflammation imaging:<br />

370 - 500 MBq<br />

Subcutaneous<br />

administration:<br />

Lymphoscintigraphy:<br />

18.5 -110 MBq<br />

40 - 200 MBq 500 MBq<br />

(Benign disease)<br />

700 MBq<br />

(Malign disease)<br />

400 - 500 MBq 10 - 200 MBq 1.8 - 3.7 MBq 70 MBq 150 MBq<br />

(normal liver function)<br />

up to 420 MBq<br />

(serum bilirubin value<br />

> 25 μmol/l)<br />

Scintigraphy of sentinel<br />

lymph nodes in tumors:<br />

40 – 300 MBq<br />

Labelling activity up to 5.55 GBq 1.85 GBq 11.1 GBq 1 GBq 2.5 GBq 11.1 GBq 3 GBq 8 GBq<br />

Labelling volume 1-5 ml 5 ml (max.) 1 - 5 ml 5 ml 2 ml 1 - 5 ml 5 ml 3 ml (max.)<br />

Incubation time 10 min 15 min 10 min 5 min 15 min (no heating) 10 min 10 min 30 min<br />

Final dilution up to<br />

up to<br />

1:50 with saline solution<br />

(0.9%)<br />

10 ml 10 ml 8 ml 10 ml 10 ml 10 ml 6 ml<br />

Shelf life after labelling 6 hrs 6 hrs 6 hrs 0.5 hrs 6 hrs 6 hrs 4 hrs 3 hrs<br />

Storage conditions 2 - 8 °C 2 - 8 °C 2 - 8 °C 2 - 8 °C 2 - 8 °C 2 - 8 °C 2 - 8 °C 2 - 8 °C<br />

Vials/ kit 5 5 5 5 5 5 5 5


NANOTOP<br />

Name of the medicinal <strong>product</strong>: NANOTOP Composition: 1 vial contains as active substance: 0.5 mg human albumin, denatured excipients: stannous chloride, dihydrate 0.2 mg,<br />

glucose (anhydrous), Poloxamer 238, sodium phosphate (dibasic, anhydrous), sodium phytate (anhydrous) Indications: scintigraphic imaging and assessment of sentinel lymph nodes<br />

in tumor diseases (Sentinel Node Mapping), of the integrity of the lymphatic system and differentiation of venous from lymphatic obstruction, of the bone marrow (the <strong>product</strong> is not<br />

suitable to study the haematopoietic activity of the bone marrow) and for inflammation scanning (for examination of inflammation areas in the abdomen the <strong>product</strong> cannot be used).<br />

Contraindications: In case you are hypersensitive (allergic) to human albumin derivatives or to any of the excipients of NANOTOP. In patients with complete lymph obstruction lymph node<br />

scintigraphy is not advisable because of the danger of radiation necroses at the site of injection. Side effects: Very rare: slight and temporary hypersensitivity reactions, which can express<br />

symptoms as at the administration area/skin: local reactions, rush, itching, immune system disease: vertigo, blood pressure decrease, other diseases: Exposure to ionisation radiation is<br />

linked with cancer induction and a potential for development of hereditary defects. Marketing Authorization Holder: <strong>ROTOP</strong> <strong>Pharmaka</strong> <strong>AG</strong>, Bautzner Landstraße 400, 01328 Dresden<br />

Marketing Authorization Number (Germany): 82367.00.00 Available on medical prescription only.<br />

<strong>ROTOP</strong> - Neurospect / Neuroscan<br />

Name of the medicinal <strong>product</strong>: <strong>ROTOP</strong>-NEUROSPECT Composition: 1 vial contains as active substance: 0.5 mg exametazime; exipients: stannous chloride dihydrate, sodium chloride,<br />

nitrogen. Indications: brain scan for the investigation of the cerebral blood flow. Contraindications: None known. Side effects: very rarely (< 0.01%) mild hypersensitivity reactions in form<br />

of urticarial erythema, in rare cases (< 1%) generalized exantheme, face edema and fever; low probability of cancer and hereditary defects. Marketing Authorization Holder: <strong>ROTOP</strong><br />

<strong>Pharmaka</strong> <strong>AG</strong>, Bautzner Landstraße 45, 01454 Radeberg, GERMANY Marketing Authorization Number (Germany): 3003669.00.00 Available on medical prescription only.<br />

<strong>ROTOP</strong>-MDP<br />

Name of the medicinal <strong>product</strong>: <strong>ROTOP</strong>-MDP Composition: 1 vial contains as active substance: 5.0 mg medronic acid; excipients: stannous chloride dihydrate, ascorbic acid,<br />

hydrochloric acid 36%, sodium hydroxide, nitrogen. Indications: bone scintigraphy for the detection of areas of altered osteogenesis associated with bone metastasis and primary bone<br />

tumor, inflammatory skeleton- and degenerative joint disease, traumatic bone changes, which are not able to be diagnosed by X-rays, osteonecrosis and degenerative skeletonchanges,<br />

reklaxation of endoprosthesis and for vitality test of bone transplantation, systemic diseases concerning bone metabolism. Contraindications: None known. Side effects: very rarely<br />

(< 0.01 %) hypersensitivity reactions such as skin irritation, itching, drop in blood pressure, headache, nausea, vomiting, cutaneous vasodilatation, oedema in the extremities, joint pain; low<br />

probability of cancer and hereditary defects. Marketing Authorization Holder: <strong>ROTOP</strong> <strong>Pharmaka</strong> <strong>AG</strong>, Bautzner Landstraße 45, 01454 Radeberg, GERMANY Marketing Authorization<br />

Number (Germany): 3004418.00.00 Pharmacy only medicine.<br />

<strong>ROTOP</strong>-HSA Mikrosphären B20<br />

Name of the medicinal <strong>product</strong>: <strong>ROTOP</strong>-HSA Mikrosphären B20 Composition: 1 vial contains as active substance: 2.5 mg human albumin, denaturated (300.000 - 500.000<br />

microspheres, Ø: 10 - 30 µm); exipients: stannous chloride dihydrate, polysorbate 80, rose bengal disodium, nitrogen as protective gas. Indications: lung perfusion scintigraphy for<br />

diagnosis and exclusion of pulmonary embolism, follow-up after pulmonary embolism. Contraindications: None known. Side effects: very rarely (< 0.01 %) hypersensitivity reactions<br />

(urticaria, ague, fever, nausea, facial rash, sweating), impairment of cardiovascular function (change of the respiration, the pulse, blood pressure and collapse), local allergic reactions at<br />

the injection site; severe anaphylactic reactions, low probability of cancer and hereditary defects. Marketing Authorization Holder: <strong>ROTOP</strong> <strong>Pharmaka</strong> <strong>AG</strong>, Bautzner Landstraße 45, 01454<br />

Radeberg, GERMANY Marketing Authorization Number (Germany): 303667.00.00 Available on medical prescription only.<br />

M<strong>AG</strong>-3 Kit / NephroM<strong>AG</strong> / Mertioscan<br />

Name of the medicinal <strong>product</strong> (Germany): M<strong>AG</strong>-3 Kit Composition: The kit contains two different vials: (1) and (2). Vial (1) contains as active substance: 0.20 mg of mercaptoacetyltriglycine<br />

(mertiatide). Vial (2) contains 2.5 ml phosphate buffer solution. Exipients vial (1): stannous chloride dihydrate, sodium (R,R)-tartrate dihydrate, sodium hydroxide, hydrochloric acid 36 %,<br />

nitrogen. Exipients vial (2): sodium monohydrogenphosphate dihydrate (Ph. Eur.), sodium dihydrogenphosphate dihydrate, hydrochloric acid 36 %, water for injection. Indications: evaluation of<br />

nephrological and urological disorders in particular for the study of function, morphology and perfusion of the kidneys and characterisation of urinary outflow. Contraindications: Hypersensitivity<br />

to the active substance or to any of the excipients. Side effects: Very rarely (< 0.01 %) mild anaphylactoid reactions (uriticarial rash, nausea partly with vomiting, itching, vasovagal reactions, sudden<br />

feeling of faintness, swelling of eyelids, coughing and headache), local reactions at the injection site, low probability of cancer and hereditary defects.<br />

Marketing Authorization Number (Germany): 55268.00.00 (country specific MA numbers). Available on medical prescription only.<br />

<strong>ROTOP</strong>-DTPA<br />

Name of the medicinal <strong>product</strong>: <strong>ROTOP</strong>-DTPA Composition: 1 vial contains as active substance: pentetic acid and sodium salt manufactured from pentetic acid 5.0 mg and sodium<br />

hydroxide 1.32 mg; excipients: stannous chloride dihydrate, ascorbic acid, sodium chloride, nitrogen as protective gas. Indications: quantitative determination of the glomerular filtration rate;<br />

Contraindications: None known. Side effects: very rarely (< 0.01 %) hypersensitivity reactions such as sensation of heat, dizziness, dyspnoea, pruritis, urticaria, rise or fall of blood pressure; low<br />

probability of cancer and hereditary defects. Marketing Authorization Holder: <strong>ROTOP</strong> <strong>Pharmaka</strong> <strong>AG</strong>, Bautzner Landstraße 45, 01454 Radeberg, GERMANY Marketing Authorization<br />

Number: 3003664.00.00 Pharmacy only medicine.<br />

<strong>ROTOP</strong> - DMSA<br />

Name of the medicinal <strong>product</strong>: <strong>ROTOP</strong>-DMSA Composition: 1 vial contains as active substance: 1.0 mg succimer; excipients: stannous chloride dihydrate, ascorbic acid, sodium<br />

hydroxide, hydrochloric acid 36 %, nitrogen. Indications: renal scintigraphy, in case that other diagnostic methods (e.g. ultrasonography) are not sufficient enough for a diagnosis; detection<br />

of change of focal renal parenchyma (e.g. on renal infarction), detection of normvariation such as atypic double-kidney, small kidney, dysplastic kidney, horseshoe kidney as well as for<br />

detection of ectopical kidneys, confirmation of a missing kidneyfunction on multicystic kidneys; Contraindications: None known. Side effects: very rarely (< 0.01 %) hypersensitivity<br />

reactions such as localized or generalized rash, itching, hypotension, headache, dizziness, nausea and vomiting; low probability of cancer and hereditary defects. Marketing Authorization<br />

Holder: <strong>ROTOP</strong> <strong>Pharmaka</strong> <strong>AG</strong>, Bautzner Landstraße 45, 01454 Radeberg, GERMANY Marketing Authorization Number: 3003663.00.00 Pharmacy only medicine.<br />

<strong>ROTOP</strong>-EHIDA<br />

Name of the medicinal <strong>product</strong>: <strong>ROTOP</strong>-EHIDA Composition: 1 vial contains as active substance: 20.0 mg etifenin; excipients: stannous chloride dihydrate, ascorbic acid, sodium<br />

hydroxide, hydrochloric acid 36 %, nitrogen. Indications: hepatobiliary function scintigraphy by suspicion of acute cholecystitis, chronic gall duct changes, occlusion of ductus choledochus,<br />

congenital aberrances of gall duct system e.g. atresia, evidence of bile leak, for differential diagnosis of intrahepatic space occupying (suspicion of focal nodular hyperplasia versus suspicion<br />

of liver cell cancer); Contraindications: None known. Side effects: None known. For related substances as disofenin and mebrofenin isolated cases of hypersensitivity reactions such as<br />

flu-like symptoms, nausea and pruritus have been reported; low probability of cancer and hereditary defects. Marketing Authorization Holder: <strong>ROTOP</strong> <strong>Pharmaka</strong> <strong>AG</strong>, Bautzner Landstraße<br />

45, 01454 Radeberg, GERMANY Marketing Authorization Number: 3003665.00.00 Pharmacy only medicine.<br />

Please see the Package Leaflet and Summary of Product Characteristics included with your <strong>product</strong> for full details.<br />

<strong>ROTOP</strong> <strong>Pharmaka</strong> <strong>AG</strong><br />

Bautzner Landstraße 400<br />

01328 Dresden<br />

Germany<br />

Phone +49 (0) 35 1 – 26 310 210<br />

Telefax +49 (0) 35 1 – 26 310 313<br />

info@rotop-pharmaka.de<br />

www.rotop-pharmaka.de<br />

Produktübersicht-INT-eng-02

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