- Approval Id
- 899f5b00b087ce46
- Drug Name
- MULTIHANCE INJECTION 20 ML
- Product Name
- MULTIHANCE INJECTION 20 ML
- Approval Number
- SIN12506P
- Approval Date
- 2004-01-30
- Registrant
- DCH AURIGA SINGAPORE
- Licence Holder
- DCH AURIGA SINGAPORE
- Drug Type
- Therapeutic
- Forensic Classification
- PRESCRIPTION ONLY MEDICINES
- Dosage Form
- INJECTION
- Dosage
- <p><strong>4.2 Posology and method of administration</strong></p>
<p><u>Posology</u><br>
<u>MRI of the liver</u>: the recommended dose of MultiHance injection in adult patients is 0.05 mmol/kg body weight. This corresponds to 0.1 mL/kg of the 0.5 M solution.<br>
<u>MRI of the brain and spine</u>: the recommended dose of MultiHance injection in adult and in paediatric patients greater than 2 years of age is 0.1 mmol/kg body weight. This corresponds to 0.2 mL/kg of the 0.5 M solution.<br>
<u>MRA</u>: the recommended dose of MultiHance injection in adult patients is 0.1 mmol/kg body weight. This corresponds to 0.2 mL/kg of the 0.5 M solution.<br>
<u>MRI of the breast</u>: the recommended dose of MultiHance in adult patients is 0.1 mmol/kg body weight. This corresponds to 0.2 mL/kg of the 0.5 M solution.</p>
<p><u>Method of administration</u><br>
MultiHance should be drawn up into the syringe immediately before use and should not be diluted. Any unused product should be discarded and not be used for other MRI examinations.<br>
To minimise the potential risks of soft tissue extravasation of MultiHance, it is important to ensure that the i.v. needle or cannula is correctly inserted into a vein.</p>
<p>Liver and Brain and Spine: the product should be administered intravenously either as a bolus or slow injection (10 mL/min.).<br>
MRA: the product should be administered intravenously as a bolus injection, either manually or using an automatic injector system. The injection should be followed by a saline flush.</p>
<p><u>Post-contrast imaging acquisition:</u></p>
<img src="/TGIF/MultiHance-Table1_060125.png" alt="MultiHance Dosage Table 1" /><br><br>
<p><u>Special Populations</u><br>
<u>Impaired renal function</u><br>
Use of MultiHance should be avoided in patients with severe renal impairment (GFR < 30 ml/min/1.73m<sup>2</sup>) and in patients in the perioperative liver transplantation period unless the diagnostic information is essential and not available with non-contrast enhanced MRI (see section 4.4 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>). If use of MultiHance cannot be avoided, the dose should not exceed 0.1 mmol/kg body weight when used for MR of the brain and spine, MR-angiography or breast MRI and should not exceed 0.05 mmol/kg body weight when used for MR of the liver. More than one dose should not be used during a scan. Because of the lack of information on repeated administration, MultiHance injections should not be repeated unless the interval between injections is at least 7 days.</p>
<p><u>Elderly (aged 65 years and above)</u><br>
No dosage adjustment is considered necessary. Caution should be exercised in elderly patients (see section 4.4 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p><u>Paediatric population</u><br>
No dosage adjustment is considered necessary.<br>
Use for MRI of the brain and spine is not recommended in children less than 2 years of age.<br>
Use for MRI of the liver, MRI of the breast or MRA is not recommended in children less than 18 years of age.</p>
- Route Of Administration
- INTRAVENOUS
- Indication Info
- <p><strong>4.1 Therapeutic indications</strong></p>
<p>This medicinal product is for diagnostic use only.</p>
<p>MultiHance is a paramagnetic contrast agent for use in diagnostic magnetic resonance imaging (MRI) indicated for:</p>
<ul>
<li>MRI of the liver for the detection of focal liver lesions in patients with known or suspected primary liver cancer (eg. hepatocellular carcinoma) or metastatic disease.</li>
<li>MRI of the brain and spine where it improves the detection of lesions and provides diagnostic information additional to that obtained with unenhanced MRI.</li>
<li>Contrast-enhanced MR- angiography where it improves the diagnostic accuracy for detecting clinically significant steno-occlusive vascular disease in patients with suspected or known vascular disease of the abdominal or peripheral arteries.</li>
<li>MRI of the breast, for the detection of malignant lesions in patients where breast cancer is known or suspected on the basis of previous mammography or ultrasound results.</li>
</ul>
- Contraindications
- <p><strong>4.3 Contra-indications</strong></p>
<p>MultiHance is contra-indicated in:</p>
<ul>
<li>patients with hypersensitivity to the active substance or to any of the excipients listed in section 6.1 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em></li>
<li>patients with a history of allergic or adverse reactions to other gadolinium chelates.</li>
</ul>
- Atc Code
- V08CA08
- Atc Item Name
- gadobenic acid
- Pharma Manufacturer Name
- DCH AURIGA SINGAPORE