Gadovist Solution for injection
Gadovist Solution for injection contains the active ingredient gadobutrol.
Gadovist Solution for injection is in the radiographic agents and bowel preparations subcategory of medical tests.
Consumer medicine information leaflet (CMI)
Developed by the pharmaceutical company responsible for this medicine in Australia, according to TGA regulations.
(GAD oh vist)
Consumer Medicine Information
WHAT IS IN THIS LEAFLET
This leaflet answers some common questions about Gadovist. It does not contain all the available information. It does not take the place of talking to your doctor or health care professional.
All diagnostic agents have risks and benefits. Your doctor has weighed the risks of you using Gadovist against the benefits it is expected to have for you.
If you have any concerns about using this diagnostic agent, ask your doctor or radiologist.
Keep this leaflet. You may need to read it again.
WHAT GADOVIST IS USED FOR
Gadovist is used at the same time as magnetic resonance imaging (MRI) to aid in the detection of known or suspected abnormalities in the brain, spinal cord, blood vessels, liver and kidneys.
Gadovist is for use in adults, adolescents and children aged 2 years and older.
MRI is a form of medical diagnostic imaging that forms pictures after detecting water molecules in normal and abnormal tissues. This is done using a complex system of magnets and radiowaves.
Gadovist is itself a magnetic liquid that alters the way in which the MRI machine detects certain tissues within the body, often making the pictures clearer and often showing things that may not have been visible using MRI alone.
Gadovist is only available at MRI units for use in conjunction with MRI.
Ask your doctor if you have any questions about why Gadovist is being used in you. Your doctor may be using it for another reason.
BEFORE YOU ARE GIVEN GADOVIST
When you must not be given it
Your radiologist will assess if it is appropriate for you to be administered Gadovist.
You must not be given Gadovist if you have an allergy to:
- gadobutrol, the active ingredient in Gadovist, or
- any of the ingredients listed at the end of this leaflet.
Some of the symptoms of an allergic reaction may include:
- shortness of breath
- wheezing or difficulty breathing
- swelling of the face, lips, throat, tongue or other parts of the body
- rash, itching or hives on the skin.
You must not be given Gadovist after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering. The doctor will check this for you.
Before you are given it
Tell your doctor if you have allergies to any medicines, foods, preservatives or dyes. Tell your doctor if you are allergic to diagnostic agents. Allergy like reactions may occur after use of Gadovist.
In some cases you may need special care with Gadovist and your doctor will need to consider whether to give you Gadovist.
Tell your doctor if you have, or have had, any medical conditions especially the following:
- severe heart and circulatory disorders
- very poor kidney function
- any allergies (e.g. seafood allergies, hay fever, hives)
- bronchial asthma
- severe kidney problems
- liver transplant
- low threshold for seizures.
Tell your doctor if you are pregnant, or think you may be pregnant. Your doctor can discuss with you the risks and benefits involved.
There is no need to stop breastfeeding if you need an examination involving Gadovist.
Tell your doctor if you have a heart pacemaker or any material containing iron implanted in your body. If you have not told your doctor about any of the above, tell him/her before you are given Gadovist.
Taking other medicines
Tell your doctor if you are taking any medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop.
Some medicines and Gadovist may interfere with each other. These include:
- beta-blockers (medicines used to treat high blood pressure or other heart conditions)
These medicines may be affected by Gadovist or may affect how well it works. You may need different amounts of your medicines, or you may need to take different medicines. Your doctor will advise you.
Your doctor/radiologist has more information on medicines to be careful with or avoid while receiving Gadovist.
HOW GADOVIST IS GIVEN
Follow all directions given to you by your doctor carefully. They may differ from the information contained in this leaflet.
It is recommended that you do not eat for 2 hours before the use of Gadovist.
If you do not understand the instructions you have been given, ask your doctor.
How much is given
The actual dosage of Gadovist that is right for you will be worked out by the radiologist and will depend on the region of your body to be examined. Normally only a single dose of Gadovist will be required.
How it is given
Gadovist is injected via a small needle into a vein, usually in the back of your hand or in front of your elbow.
When it is given
Gadovist will be administered immediately before your MRI examination.
If you are given too much (overdose)
As Gadovist is administered by a doctor, overdose is unlikely. If it does happen, the doctor will treat any symptoms that follow.
If you currently have a problem with your kidneys or liver, the doctor may decide to remove Gadovist from the body by means of a blood-cleansing procedure (dialysis).
Immediately tell your doctor or other medical staff or telephone the Poisons Information Centre (Australia: 13 11 26 or New Zealand: 0800 POISON or 0800 764 766) for advice if you think that you or anyone else may have been given too much Gadovist. Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention.
AFTER HAVING GADOVIST
Things you must do
Follow carefully the directions given to you by your doctor and other medical staff.
Things to be careful of
Tell your doctor if you are going to have any laboratory tests.
Delayed reactions may occur. In this case Gadovist could prevent you from driving safely and the ability to operate any tools or machines may be impaired.
Tell your doctor as soon as possible if you do not feel well whilst receiving or after being given Gadovist. All contrast media can have side effects. Sometimes they are serious, most of the time they are not. You may need medical attention if you get some of the side effects.
A high level of anxiety and pain may increase the risk of side effects or make contrast agent related reactions more intense.
Do not be alarmed by the following lists of side effects. You may not experience any of them.
Ask your doctor to answer any questions you may have.
Tell your doctor if you notice any of the following after injection of Gadovist and they worry you:
- local reaction around the injection site namely, pain, coldness, warmth, or a burning sensation
- unpleasant/altered taste
- feeling hot.
The above list includes the more common side effects of Gadovist. They are usually mild and short-lived. If they persist or get worse, tell your doctor.
Tell your doctor immediately if you notice any of the following:
- swelling of the face, eyelids, lips, tongue or other parts of the body
- coughing or throat irritation
- itching or hives
- wheezing, difficulty breathing, gasping
- gagging, feeling of suffocation
- abnormal heart beat (maybe faster)
- uncontrolled shaking (convulsions)
- unpleasant smells
- loss of consciousness
- low blood pressure
- pale skin
- flushing (redness)
- weakness, discomfort
- feeling cold.
These may be serious side effects. You may need urgent medical attention. Serious side effects are rare.
Some of these side effects could be the first signs of an allergic reaction. You may need urgent medical attention or hospitalisation.
Allergic reactions occur more frequently in patients with an allergic disposition.
Severe reactions requiring emergency treatment can occur, causing low blood pressure, loss of consciousness or heart attack, increase in heart rate, difficulty breathing, and swelling of the face, lips or tongue leading to severe breathing difficulties and shock may occur.
Tell the doctor if you notice anything that is making you feel unwell. Other side effects not listed above may also occur in some people. Rarely, delayed reactions can occur.
The MRI unit will store Gadovist under the conditions advised by the manufacturer. Shelf life and storage conditions are printed on the pack.
What it looks like
Gadovist is a clear, colourless to slightly yellow 1.0 mmol/mL solution for injection and is supplied in vials and pre-filled syringes of various sizes.
- gadobutrol (604.72 mg/mL)
- calcobutrol sodium
- hydrochloric acid
- water for injections
Made in Germany for:
Bayer Australia Limited
ABN 22 000 138 714
875 Pacific Highway
Pymble NSW 2073
Bayer New Zealand Limited
3 Argus Place, Hillcrest,
Australian registration number
Gadovist 1.0 AUST R numbers:
- 7.5 mL vial - AUST R 67048
- 15 mL vial - AUST R 67047
- 30 mL vial - AUST R 72494
- 5 mL syringe - AUST R 72493
- 7.5 mL syringe - AUST R 67046
- 10 mL syringe - AUST R 72518
- 15 mL syringe - AUST R 67045
- 20 mL syringe - AUST R 72517
Not all presentations may be marketed in Australia or New Zealand.
Date of preparation
You can find the latest Consumer Medicine Information on the TGA website (www.ebs.tga.gov.au) for Australia or on the MEDSAFE website (www.medsafe.govt.nz) for New Zealand.
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