What OPTISON contains
- The active substance is perflutren-containing microspheres of heat treated human albumin 5-8 x 10 8/ml, suspended in human albumin solution 1%. The approximate amount of perflutren gas in each ml of OPTISON is 0.19 mg
- The other ingredients are human albumin, sodium chloride, N-acetyltryptophan, caprylic acid, sodium hydroxide and water for injections.
What OPTISON looks like and contents of the pack
OPTISON is a dispersion for injection. It is a clear solution with white microsphere layer on top.
The product is supplied as 1 vial of 3 ml and 5 vials of 3 ml.
Not all pack sizes may be marketed
Marketing Authorisation Holder and Manufacturer
GE Healthcare AS
Nycoveien 1-2,
P.O.BOX 4220 Nydalen
NO-0401 Oslo, Norway
For any information about this medicinal product, please contact the local representative of the Marketing Authorisation Holder.
BelgiëBelgiqueBelgien GE Healthcare BVBA Kouterveldstraat 20 BE-1831 Diegem TélTel 32 0 2 719 74 01 LuxembourgLuxemburg GE Healthcare BVBA Kouterveldstraat 20 BE-1831 Diegem BelgiëBelgiqueBelgien TélTel 32 0 2 719 74 01
Magyarország GE Healthcare SCE Handels GmbH Hungary Representative Office Akron u.2. H-2040 BUDAÖRS Tel. 36 23 410 410 GE Healthcare SCE Handels GmbH Representative Office Bulgaria World Trade Centre, Office 405-406 . 36 1040 Te. 35 92 973 3170
Malta Pharma-Cos Ltd Triq C. Portanier MT-Santa Venera HMR 11 Tel 356 21 441870 eská republika GE Healthcare SCE Handels GmbH Branch Office Czech Republic Vyskoilova 14221a CZ-140 28 Praha 4 Tel 420 224 446 179
Danmark GE Healthcare AS Park Allé 295 DK-2605 Brøndby Tlf 45 70 22 22 03 Nederland GE Healthcare BV Cygne Centre De Rondom 8 NL-5612 AP Eindhoven Tel 31 40 299 10 00 Deutschland GE Healthcare Buchler GmbH Co. KG Gieselweg 1 D-38110 Braunschweig Tel 49 5307 9300 Norge GE Healthcare AS Nycoveien 1-2 NO-0401 Oslo Tlf 47 23 18 50 50
Eesti GE Healthcare Estonia OÜ Mustamäe tee 46 EE 10621 Tallinn Tel 372 6260 061 Österreich GE Healthcare Handels GmbH Europlaza, Gebäude E Technologiestrasse 10 A-1120 Wien Tel 43 1 972 72-0
GE Healthcare A.E. 8-10 151 25 ATHENS 30 1 805 08 64 Polska GE Healthcare SCE Handels GmbH Poland Representative Office 2 Stawki Str. PL 00193 Warszawa Tel. 48 22 635 68866113
Portugal Satis Lda. Edificio Ramazzotti Av. do Forte, No 6-6A España GE Healthcare Bio-Sciences, S.A.U C Gobelas, 35-37 28023 La Florida Madrid Tel 34 91 663 25 00 P-2790-072 Carnaxide Tel 351 214 25 1300
France GE Healthcare SA 11, avenue Morane Saulnier F-78 140 Velizy Villacoublay Tél 33 1 34 49 54 54 Ireland GE Healthcare Limited Amersham Place Little Chalfont HP7 9NA - UK Tel 44 0 1 494 54 4000 România GE Healthcare SCE Handels GmbH Representative Office Romania Str. Navodari Nr. 42 Sc.2, et.2 RO-014108 BUCHAREST Tel 40 21 23 211 53 Slovenija HIGIEA d.o.o. Blatnica 10 SI-1236 Trzin Tel 386 1 589 7221
Ísland Isfarm ehf. Lyngháls 13 IS-110 Reykjavik Sími 354 540 8024 Slovenská republika GE Healthcare SCE Handels GmbH Branch Office Slovakia Floriánske nám. 2 SK-811 07 Bratislava Tel 421 2 5542 5948
Italia SuomiFinland
GE Healthcare Srl Via Galeno 36 I-20126 Milano Tel 39 02 26001 111 Oy GE Healthcare Bio-Sciences Ab Kuortaneenkatu 2 FIN-00510 Helsinki PuhTel 35 810 394 11
Phadisco Ltd 185 C-2235 357 22 715000 Sverige GE Healthcare AB Solna Strandväg 98 S-171 75 Stockholm Tel 46 08 559 504 00
Latvija Instrumentarium Medical SiA Meza Str. 4 LV-1048 Riga Tel 371 780 7086 United Kingdom GE Healthcare Limited Amersham Place Little Chalfont HP7 9NA UK Tel 44 0 1 494 54 4000
Lietuva
Nycomed East Europe
Marketing Service GmbH
?eimyni?kiu 3
LT ? 09312 Vilnius
Tel. +370 5210 9071
This leaflet was last approved in
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The following information is intended for medical or healthcare professionals only:
The recommended dose is 0.5 ml - 3.0 ml per patient. A dose of 3.0 ml is usually sufficient, but some patients may need higher doses. The total dose should not exceed 8.7 ml per patient. The duration of the useful imaging time is 2.5 - 4.5 minutes for a dose of 0.5 - 3.0 ml. OPTISON could be repeatedly administered, however, the clinical experience is limited.
Use the smallest dose for adequate opacification of cavities since larger doses produce image blocking effects with the possibility of obscuring important information.
Like all parenteral products, the vials of OPTISON should be inspected visually for integrity of the container.
Vials are intended for single use only. Once the rubber stopper has been penetrated, the contents should be used within 30 minutes and any unused product discarded.
OPTISON in the non-resuspended form has a white layer of microspheres on top of the liquid phase that requires resuspension before use. Homogenous white suspension after resuspension. The following instructions should be followed:
- Cold solutions taken directly from the refrigerator should not be injected.
- Allow the vial to reach room temperature and inspect the liquid phase for particulate matter or precipitates before resuspension.
- Insert a 20 G plastic cannula in a large antecubital vein, preferably of the right arm. Attach a three-way stopcock to the cannula.
- The OPTISON vial must be inverted and gently rotated for approximately three minutes to completely resuspend the microspheres.
- Complete resuspension is indicated by a uniformly opaque white suspension and absence of any material on stopper and vial surfaces.
- OPTISON should be withdrawn with care into the syringe within 1 minute after resuspension.
- Any pressure instability within the vial should be avoided since it may cause disruption of microspheres and loss of contrast effect.Thus, vent the vial with a sterile spike or with a sterile 18 G needle before withdrawing the suspension into the injection syringe. Do not inject air into the vial as this will damage the product.
- Use the suspension within 30 minutes after withdrawal.
- OPTISON will segregate in an undisturbed syringe and must be resuspended before use.
- Resuspend the microspheres in the syringe immediately before injection by holding the syringe horizontally between the palms of the hands and rolling it quickly back and forth for no less than 10 seconds.
- Inject the suspension through the plastic cannula, no smaller than 20 G at a maximum injection rate of 1.0 ml/s. Warning: Never use any other type of route but the open flow connection. If injected otherwise OPTISON bubbles will be destroyed.
- Immediately before injection a careful visual inspection of the syringe is mandatory in order to ensure complete resuspension of the microspheres.
Immediately after injection of OPTISON, 10 ml of sodium chloride 9 mg/ml (0.9%) solution for injection or glucose 50 mg/ml (5%) solution for injection should be injected at a rate of 1 ml/s.
Alternatively the flushing may be performed by infusion. The infusion set should then be attached to the three-way stopcock and intravenous infusion started at a ?to keep open? (TKO) rate. Immediately after OPTISON injection the intravenous infusion should be wide open until contrast begins to fade from the left ventricle. The infusion should then be returned to a TKO rate.