Sodium Iodide I 123


Curium Us Llc
Human Prescription Drug
NDC 69945-601
Sodium Iodide I 123 is a human prescription drug labeled by 'Curium Us Llc'. National Drug Code (NDC) number for Sodium Iodide I 123 is 69945-601. This drug is available in dosage form of Capsule, Gelatin Coated. The names of the active, medicinal ingredients in Sodium Iodide I 123 drug includes Sodium Iodide I-123 - 100 uCi/1 . The currest status of Sodium Iodide I 123 drug is Active.

Drug Information:

Drug NDC: 69945-601
The labeler code and product code segments of the National Drug Code number, separated by a hyphen. Asterisks are no longer used or included within the product code segment to indicate certain configurations of the NDC.
Proprietary Name: Sodium Iodide I 123
Also known as the trade name. It is the name of the product chosen by the labeler.
Product Type: Human Prescription Drug
Indicates the type of product, such as Human Prescription Drug or Human OTC Drug. This data element corresponds to the “Document Type” of the SPL submission for the listing.
Non Proprietary Name: Sodium Iodide I 123
Also known as the generic name, this is usually the active ingredient(s) of the product.
Labeler Name: Curium Us Llc
Name of Company corresponding to the labeler code segment of the ProductNDC.
Dosage Form: Capsule, Gelatin Coated
The translation of the DosageForm Code submitted by the firm. There is no standard, but values may include terms like `tablet` or `solution for injection`.The complete list of codes and translations can be found www.fda.gov/edrls under Structured Product Labeling Resources.
Status: Active
FDA does not review and approve unfinished products. Therefore, all products in this file are considered unapproved.
Substance Name:SODIUM IODIDE I-123 - 100 uCi/1
This is the active ingredient list. Each ingredient name is the preferred term of the UNII code submitted.
Route Details:ORAL
The translation of the Route Code submitted by the firm, indicating route of administration. The complete list of codes and translations can be found at www.fda.gov/edrls under Structured Product Labeling Resources.

Marketing Information:

An openfda section: An annotation with additional product identifiers, such as NUII and UPC, of the drug product, if available.
Marketing Category: ANDA
Product types are broken down into several potential Marketing Categories, such as New Drug Application (NDA), Abbreviated New Drug Application (ANDA), BLA, OTC Monograph, or Unapproved Drug. One and only one Marketing Category may be chosen for a product, not all marketing categories are available to all product types. Currently, only final marketed product categories are included. The complete list of codes and translations can be found at www.fda.gov/edrls under Structured Product Labeling Resources.
Marketing Start Date: 04 Nov, 2015
This is the date that the labeler indicates was the start of its marketing of the drug product.
Marketing End Date: 18 Jan, 2026
This is the date the product will no longer be available on the market. If a product is no longer being manufactured, in most cases, the FDA recommends firms use the expiration date of the last lot produced as the EndMarketingDate, to reflect the potential for drug product to remain available after manufacturing has ceased. Products that are the subject of ongoing manufacturing will not ordinarily have any EndMarketingDate. Products with a value in the EndMarketingDate will be removed from the NDC Directory when the EndMarketingDate is reached.
Application Number: ANDA071909
This corresponds to the NDA, ANDA, or BLA number reported by the labeler for products which have the corresponding Marketing Category designated. If the designated Marketing Category is OTC Monograph Final or OTC Monograph Not Final, then the Application number will be the CFR citation corresponding to the appropriate Monograph (e.g. “part 341”). For unapproved drugs, this field will be null.
Listing Expiration Date: 31 Dec, 2023
This is the date when the listing record will expire if not updated or certified by the firm.

OpenFDA Information:

An openfda section: An annotation with additional product identifiers, such as NUII and UPC, of the drug product, if available.
Manufacturer Name:Curium US LLC
Name of manufacturer or company that makes this drug product, corresponding to the labeler code segment of the NDC.
Original Packager:Yes
Whether or not the drug has been repackaged for distribution.
UNII:29UKX3A616
Unique Ingredient Identifier, which is a non-proprietary, free, unique, unambiguous, non-semantic, alphanumeric identifier based on a substance’s molecular structure and/or descriptive information.

Packaging Information:

Package NDCDescriptionMarketing Start DateMarketing End DateSample Available
69945-601-101 BOTTLE in 1 CAN (69945-601-10) / 1 CAPSULE, GELATIN COATED in 1 BOTTLE04 Nov, 2015N/ANo
Package NDC number, known as the NDC, identifies the labeler, product, and trade package size. The first segment, the labeler code, is assigned by the FDA. Description tells the size and type of packaging in sentence form. Multilevel packages will have the descriptions concatenated together.

Product Elements:

Sodium iodide i 123 sodium iodide i 123 sodium iodide i-123 iodide ion i-123 sucrose sodium iodide i 123 sodium iodide i 123 sodium iodide i-123 iodide ion i-123 sucrose

Indications and Usage:

Indications and usage administration of sodium iodide i 123 capsules is indicated as a diagnostic procedure to be used in evaluating thyroid function and/or morphology.

Warnings:

Warnings females of childbearing age and pediatric patients 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.

General Precautions:

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 stated on the label. the prescribed sodium iodide i 123 dose should be administered as soon as practical from the time of receipt of product (i.e., as close to calibration time as possible), in order to minimize the fraction of radiation exposure due to the relative increase of radionuclidic contaminants with time. 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 appropr
iate government agency authorized to license the use of radionuclides.

Dosage and Administration:

Dosage and administration the recommended oral dose for the average patient (70 kg) is 3.7 to 14.8 mbq (100 to 400 μci). the lower part of the dosage range 3.7 mbq (100 μci) is recommended for uptake studies alone, and the higher part 14.8 mbq (400 μci) for thyroid imaging. the determination of i-123 concentration in the thyroid gland may be initiated at six hours after administering the dose and should be measured in accordance with standardized procedures. the patient dose should be measured by a suitable radioactivity calibration system immediately prior to administration. the capsules can be utilized up to 30 hours after calibration time and date. thereafter, discard the capsules in accordance with standard safety procedures. the user should wear waterproof gloves at all times when handling the capsules or container. radiation dosimetry the estimated absorbed radiation doses to several organs of an average patient (70 kg) from oral administration of the maximum dose of 14.
8 mbq (400 μci) of i-123 are shown in table 4 for thyroid uptakes of 5, 15, and 25%. for comparison at these three values of thyroid uptake, the estimated radiation doses from doses of 3.7 mbq (100 μci) i-131, also used as thyroid imaging agent, are also included. table 4. absorbed radiation dose estimates as a function of maximum thyroid uptake for sodium iodide i-123 * at time of calibration and expiry compared to sodium iodide i-131 estimated radiation absorbed doses i-123 mgy/14.8 mbq (rads/400 μci) i-131 mgy/3.7 mbq (rads/100 μci) target organ maximum thyroid uptake (%) toc toe * concentration at time of calibration: 97% i-123, 2.9% i-125, 0.1% te-121 concentration at time of expiry: 87.2% i-123, 12.4% i-125, 0.4% te-121 metabolic model in mird dose estimate report 5 followed for i-123 and i-125 metabolic model in icrp 30 followed for te-121 † bladder voiding interval 4.8 hours. bladder † 5 1.7 (0.17) 1.7 (0.17) 2.9 (0.29) 15 1.6 (0.16) 1.6 (0.16) 2.7 (0.27) 25 1.4 (0.14) 1.5 (0.15) 2.4 (0.24) stomach wall 5 0.96 (0.096) 0.98 (0.098) 1.7 (0.17) 15 0.89 (0.089) 0.91 (0.091) 1.5 (0.15) 25 0.82 (0.082) 0.85 (0.085) 1.4 (0.14) small intestine 5 0.70 (0.070) 0.71 (0.071) 1.2 (0.12) 15 0.65 (0.065) 0.67 (0.067) 1.1 (0.11) 25 0.60 (0.060) 0.62 (0.062) 0.99 (0.099) liver 5 0.089 (0.0089) 0.13 (0.013) 0.16 (0.016) 15 0.10 (0.010) 0.18 (0.018) 0.28 (0.028) 25 0.11 (0.011) 0.24 (0.024) 0.41 (0.041) ovaries 5 0.18 (0.018) 0.19 (0.019) 0.18 (0.018) 15 0.17 (0.017) 0.18 (0.018) 0.18 (0.018) 25 0.16 (0.016) 0.18 (0.018) 0.17 (0.017) skeleton 5 0.11 (0.011) 0.16 (0.016) 0.12 (0.012) 15 0.12 (0.012) 0.18 (0.018) 0.18 (0.018) 25 0.14 (0.014) 0.21 (0.021) 0.24 (0.024) red marrow 5 0.12 (0.012) 0.16 (0.016) 0.15 (0.015) 15 0.12 (0.012) 0.18 (0.018) 0.21 (0.021) 25 0.13 (0.013) 0.19 (0.019) 0.27 (0.027) testes 5 0.076 (0.0076) 0.089 (0.0089) 0.12 (0.012) 15 0.072 (0.0072) 0.087 (0.0087) 0.12 (0.012) 25 0.068 (0.0068) 0.085 (0.0085) 0.12 (0.012) thyroid 5 25 (2.5) 75 (7.5) 260 (26) 15 77 (7.7) 230 (23) 780 (78) 25 130 (13) 410 (41) 1300 (130) total body 5 0.11 (0.011) 0.16 (0.016) 0.24 (0.024) 15 0.14 (0.014) 0.25 (0.025) 0.47 (0.047) 25 0.17 (0.017) 0.35 (0.035) 0.70 (0.070)

Contraindications:

Contraindications to date there are no known contraindications to the use of sodium iodide i 123 capsules.

Adverse Reactions:

Adverse reactions 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.

Use in Pregnancy:

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 reproductive 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 child-bearing capability should be performed during the first few (approximately ten) days following the onset of menses.

Pediatric Use:

Pediatric use safety and effectiveness in pediatric patients have not been established.

Description:

Description sodium iodide i 123 (na 123 i) for diagnostic use is supplied in capsules for oral administration. the capsules are available in strengths of 3.7 and 7.4 megabecquerels (mbq) (100 and 200 μci) i-123 at time of calibration. the radionuclidic composition at calibration is not less than 97.0 percent i-123, not more than 2.9 percent i-125 and not more than 0.1 percent te-121. the radionuclidic composition at expiration time is not less than 87.2 percent i-123, not more than 12.4 percent i-125 and not more than 0.4 percent te-121. the ratio of the concentration of i-123 and i-125 changes with time. graph 1 shows the minimum concentration of i-123 as a function of time and graph 2 shows the maximum concentration of i-125 as a function of time. graph 1. radionuclidic concentration of i-123 percent of total radioactivity: iodine-123 graph 2. radionuclidic concentration of i-125 percent of total radioactivity: iodine-125 graph 1 graph 2 physical characteristics iodine-123 decays by electron capture with a physical half-life of 13.2 hours kocher, david c., radioactive decay data tables. doe/tic-11026, 122 (1981). . the photon that is useful for detection and imaging studies is listed in table 1. table 1. principal radiation emission data radiation mean % disintegration energy (kev) gamma-2 83.4 159 external radiation the specific gamma ray constant for i-123 is 1.6 r/hr-mci at 1 cm. the first half-value thickness of lead (pb) for i-123 is 0.005 cm. a range of values for the relative attenuation of the radiation emitted by this radionuclide that results from the interposition of various thicknesses of pb is shown in table 2. for example, the use of 1.63 cm of lead will decrease the external radiation exposure by a factor of about 1,000. table 2. radiation attenuation by lead shielding shield thickness (pb), cm coefficient of attenuation 0.005 0.10 0.88 1.63 2.48 0.5 10 -1 10 -2 10 -3 10 -4 note that these estimates of attenuation do not take into consideration the presence of radionuclidic contaminants. to correct for physical decay of i-123, the fractions that remain at selected intervals after the time of calibration are shown in table 3. table 3. iodine i-123 decay chart: half-life 13.2 hours hours fraction remaining hours fraction remaining *time of calibration 0* 3 6 9 12 15 1.000 0.854 0.730 0.623 0.533 0.455 18 21 24 27 30 0.389 0.332 0.284 0.242 0.207

Clinical Pharmacology:

Clinical pharmacology sodium iodide i-123 is readily absorbed from the upper gastrointestinal tract. following absorption, the iodide is distributed primarily within the extracellular fluid of the body. it is trapped and organically bound by the thyroid and concentrated by the stomach, choroid plexus and salivary glands. it is excreted by the kidneys. the fraction of the administered dose which is accumulated in the thyroid gland may be a measure of thyroid function in the absence of unusually high or low iodine intake or administration of certain drugs which influence iodine accumulation by the thyroid gland. accordingly, the patient should be questioned carefully regarding previous medications and/or procedures involving radiographic media. normal subjects can accumulate approximately 10 to 50% of the administered iodine dose in the thyroid gland, however, the normal and abnormal ranges are established by individual physician's criteria. the mapping (imaging) of sodium iodide i-123 d
istribution in the thyroid gland may provide useful information concerning thyroid anatomy and definition of normal and/or abnormal functioning of tissue within the gland.

Carcinogenesis and Mutagenesis and Impairment of Fertility:

Carcinogenesis, mutagenesis, impairment of fertility no long-term animal studies have been performed to evaluate carcinogenic potential, mutagenic potential, or whether sodium iodide i-123 affects fertility in males or females.

How Supplied:

How supplied catalog number 601,602. sodium iodide i 123 is supplied as capsules for oral administration in strengths of 3.7 mbq (100 µci) (red and white) (ndc 69945-601-10) and 7.4 mbq (200 µci) (green and white) (ndc 69945-602-20) at time of calibration. each gelatin capsule contains sucrose as a filler. the capsules are packaged in plastic vials containing one capsule of a single strength per vial. the plastic vial is packaged in a lead shield. a package insert is supplied with each lead shield. storage and handling the contents of the vial are radioactive and adequate shielding and handling precautions must be maintained. dispense and preserve capsules in tightly-closed containers that are adequately shielded. store at controlled room temperature 20° to 25°c (68° to 77°f). storage and disposal of sodium iodide i 123 capsules should be controlled in a manner that is in compliance with the appropriate regulations of the government agency authorized to license the us
e of this radionuclide. curium and the curium logo are trademarks of a curium company. ©2018 curium us llc. all rights reserved. manufactured by: curium us llc maryland heights, mo 63043 made in usa a601i0 r12/2018 curium™

Package Label Principal Display Panel:

Principal display panel - a601c0 sodium iodide i 123 capsules diagnostic for oral administration only store at controlled room temperature 20º to 25°c (68º to 77°f) read package insert for directions for use rx only warning: radioactive drugs must be handled only by qualified personnel in conformity with regulations of the u.s. nuclear regulatory commission or state regulatory agencies where applicable. bottle containing drug should be kept in this container or within a heavier shield. manufactured by: curium us llc maryland heights, mo 63043 made in usa curium™ caution radioactive material a601c0 r12/2018 display panel a601co

Principal display panel - a602c0 sodium iodide i 123 capsules diagnostic for oral administration only store at controlled room temperature 20º to 25°c (68º to 77°f) read package insert for directions for use rx only warning: radioactive drugs must be handled only by qualified personnel in conformity with regulations of the u.s. nuclear regulatory commission or state regulatory agencies where applicable. bottle containing drug should be kept in this container or within a heavier shield. manufactured by: curium us llc maryland heights, mo 63043 made in usa caution radioactive material curium™ display panel a602co


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