primovist

primovist Uses, Dosage, Side Effects, Food Interaction and all others data.

primovist (gadoxetate) is a paramagnetic gadolinium-containing contrast agent in which its salt form, gadoxetate disodium, is used for intravenous injection. Ethoxybenzyl diethylenetriaminepentaacetic acid is the moiety that chelates with a gadolinium ion and forms a stable complex with it to make up the drug. It is marketed by Bayer HealthCare Pharmaceuticals and FDA approved on July 3, 2008.

Gadoxetate disodium is an amphipathic compound in which gadoxetate is hydrophillic and its moiety, the ethoxybenyzl group, is lipophillic. Consequently, gadoxetate disodium has a biphasic mode of action in which it first distributes into the extracellular space after bolus injection and then hepatocytes selectively takes up the drug.

primovist
Uses
Dosage
Side Effect
Precautions
Interactions
Uses during Pregnancy
Uses during Breastfeeding
Accute Overdose
Food Interaction
Half Life
Volume of Distribution
Clearance
Interaction With other Medicine
Contradiction
Storage

Trade Name	primovist
Generic	Gadoxetic acid
Gadoxetic acid Other Names	Gadoxetate, Gadoxetic acid, Gd-EOB-DTPA
Weight	0.25mmol/ml,
Type	Injection, Solution
Formula	C₂₃H₃₀GdN₃O₁₁
Weight	Average: 681.75 Monoisotopic: 682.11214
Protein binding	<10% protein bound. Because it is more protein bound than other gadolinium-based contrast agents, gadoxetate disodium has increased T1 relaxivity. This results in an enhancement of the signal.
Groups	Approved
Therapeutic Class
Manufacturer	Bayer Ag, Bayer Plc, Bayer Portugal, Sa
Available Country	Saudi Arabia, United Kingdom, Portugal,
Last Updated:	September 19, 2023 at 7:00 am

Uses

primovist is a gadolinium-based contrast agent used in magnetic resonance imaging (MRI) to help characterize lesions in the liver.

Gadoxetate is used as a contrast medium for magnetic resonance imaging (MRI) to detect and characterize lesions in the liver.

primovist is also used to associated treatment for these conditions: Chronic Liver Diseases (CLD)

How primovist works

When gadoxetate disodium is placed in an external magnetic field, a large magnetic moment is produced. As a result, a magnetic field is induced around the tissue. The water protons in the vicinity are disrupted such that the change the proton density and spin characteristics are detected and visualized by a device.

Toxicity

LD50, oral, rat = 18100 mg/kg; LD50, oral, mouse = 14500 mg/kg; LD50, IV, rat = 3600 - 7300 mg/kg; LD50, IV, mouse = 5400 - 10900 mg/kg; LD50, IV, dog = >2200 mg/kg

Food Interaction

No interactions found.

Volume of Distribution

Total volume of distribution at steady state is 0.21 L/kg. Gadoxetate disodium cannot diffuse through the blood brain barrier. The two transporters that gadoxetate disodium can enter the hepatocyte through are OATP1B1 and OATP1B3. Gadoxetate disodium may also exit the heptaocyte and go back into sinusoidal space via active transport through multidrug resistance protein 3 and 4.

Half Life

Terminal elimination half-life, healthy subjects, adults = 0.91 - 0.95 hours

Clearance

Clearance may be lower in older patients. Total serum clearance (CLtot) = 250 mL/min; Renal clearance (CLr) = 120 mL/min

Elimination Route

Gadoxetate disodium is eliminated equally via urine and feces. Multidrug resistance protein 2 actively transports/excretes gadoxetate disodium into the bile.