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Metatrace Fdg Solution For Injection 3000mbq/Ml

Document: leaflet MAH BRAND_PL 45366-0001 change

Package leaflet: Information for the patient MetaTrace FDG


Read all of this leaflet carefully before you will be administered this medicine because it contains important information for you.

-    Keep this leaflet. You may need to read it again.

-    If you have any further questions, ask your nuclear medicine doctor who will supervise the procedure.

-    If you get any side effects, talk to your nuclear medicine doctor. This includes any possible side effects not listed in this leaflet. See section 4.

What is in this leaflet

1.    What MetaTrace FDG is and what it is used for

2.    What you need to know before MetaTrace FDG is used

3.    How MetaTrace FDG is used

4.    Possible side effects

5.    How MetaTrace FD G is stored

6.    Contents of the pack and other information

1. What MetaTrace FDG is and what it is used for

This medicine is a radiopharmaceutical product for diagnostic use only.

and is that


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The active substance contained in MetaTrace FDG is fludeoxyglucose ( F) designed for the capture of diagnostic images of some parts of your body.

Once a small amount of MetaTrace FDG has been injected, medical images are obtained with a special camera will enable the doctor to capture images and to see where your illness is or how it is progressing.

2. What you need to know before MetaTrace FDG is used MetaTrace FDG must not be used:

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-    if you are allergic to fludeoxyglucose ( F) or any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Talk to your nuclear medicine doctor before being administered MetaTrace FDG:

-    if you are diabetic and your diabetes is currently not equilibrated

-    if you have an infection or an inflammatory disease

-    if you are affected by kidney problems

Inform your nuclear medicine doctor in the following cases;

-    if you are pregnant or believe you may be pregnant

-    if you are breast-feeding

Before administration of MetaTrace FDG you should:

-    drink plenty of water before the start of examination in order to urinate as often as possible during the first hours after the study

-    avoid all important physical activity

-    be fasting for at least 4 hours

Children and adolescents

Please talk to your nuclear medicine doctor.

Other medicines and MetaTrace FDG

Tell your nuclear medicine doctor if you are taking, have recently taken or might take any other medicines, since they may interfere with your doctor’s interpretation of the images:

-    any medicine that may induce a modification of the blood sugar rate (glycaemia), such as medicine having an effect on inflammation (corticosteroids), medicines against convulsions (valproate, carbamazepine, phenytoin, phenobarbital), medicines affecting the nervous system (adrenalin, noradrenalin, dopamine...),

-    glucose,

-    insulin,

-    medicines used to increase the production of blood cells.

MetaTrace FDG with food and drink

You should be fasting for at least 4 hours before the administration of the product. You should drink plenty of water and avoid drinking liquids containing sugar.

Your nuclear medicine doctor will measure your blood sugar before administering the product; indeed a high blood glucose concentration (hyperglycaemia) can make the nuclear medicine doctor’s interpretation more difficult.

Pregnancy and breast-feeding

You must inform the nuclear medicine doctor before the administration of MetaTrace FDG if there is a possibility you might be pregnant, if you have missed your period or if you are breast-feeding.

When in doubt, it is important to consult your nuclear medicine doctor who will supervise the procedure.

If you are pregnant

Your nuclear doctor will only administer this product during pregnancy if a benefit is expected which would outweigh the risks.

If you are breast-feeding

You must stop breast-feeding for 12 hours after the injection and the maternal milk pumped must be discarded.

Resuming breast-feeding should be in agreement with the nuclear medicine doctor who will supervise the procedure.

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask the nuclear medicine doctor for advice before you will be administered this product.

Driving and using machines

It is considered unlikely that MetaTrace FDG will affect your ability to drive or to use machines.

MetaTrace FDG contains

-    small amount of ethanol (alcohol), less than 100 mg per dose and

-    water for injection

This product may contain more than 1 mmol of sodium (23mg). You should take this into account if you are on a low sodium diet.

3. How MetaTrace FDG will be used

There are strict laws on the use, handling and disposal of radiopharmaceutical products. MetaTrace FDG will only be used in special controlled areas. This product will only be handled and given to you by people who are trained and qualified to use it safety. These persons will take special care for the safe use of this product and will keep you informed of their actions.

The nuclear medicine doctor supervising the procedure will decide on the quantity of MetaTrace FDG to be used in your case. It will be the smallest quantity necessary to get the desired information.

The quantity to be administered usually recommended for an adult ranges from 100 to 400 MBq (depending on the patient’s body mass, the type of camera used for imaging and the acquisition mode). Mega Becquerel (MBq) is the unit used to express radioactivity.

Use in children

In case of use in children, the quantity to be administered will be adapted to the child’s weight.

Administration of MetaTrace FDG and conduct of the procedure

MetaTrace is administered intravenously.

One injection is sufficient to conduct the test that your doctor needs.

After injection you will need to be completely at rest, without reading or talking. Also, you will be offered a drink and asked to urinate immediately preceding the procedure.

While the pictures are being taken, you will need to be completely at rest. You should not move or talk.

Duration of the procedure

Your nuclear medicine doctor will inform you about the usual duration of the procedure.

MetaTrace FDG is administered as a single injection in a vein, 45-60 minutes before the imaging acquisition takes place. The imaging acquisition with the camera lasts 30 to 60 minutes.

After administration of MetaTrace FDG you should:

-    Avoid any close contact with young children or pregnant women for the 12 hours following the injection.

-    Urinate frequently in order to eliminate the product from your body.

If you have been given more MetaTrace FDG than you should

An overdose is unlikely because you will only receive a single dose of MetaTrace FDG precisely controlled by the nuclear medicine doctor supervising the procedure. However, in the case of an overdose, you will receive the appropriate treatment. In particular, the nuclear medicine doctor in charge of the procedure may recommend that you drink abundantly in order to facilitate the elimination of MetaTrace FDG from your body (indeed the principle way of elimination of this product is renal, in the urine).

If you have any further questions on the use of MateTrace FDG, please ask your nuclear medicine doctor who supervises the procedure.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

This radiopharmaceutical product will deliver low amount of ionising radiation with the least risk of cancer and hereditary abnormalities.

Your doctor has considered that the clinical benefit that you will obtain from the procedure with the radiopharmaceutical overcomes the risk due to radiation.

You may see redness or rash at injection site.

Reporting of side effects

If you get any side effects, talk to your nuclear medicine doctor who supervises the

procedure. This includes any possible side effects not listed in this leaflet. You can

also report side effects directly via

Yellow Card Scheme

Website: www.mhra.gov.uk/yellowcard

By reporting side effects you can help provide more information on the safety of this medicine.

5. How MetaTrace FDG is stored

You will not have to store this medicine. This medicine is stored under the responsibility of the specialist in appropriate premises. Storage of radiopharmaceuticals will be in accordance with national regulation on radioactive materials.

The following information is intended for the specialist only.

This medicine will not be used after the expiry date which is stated on the label.

6. Contents of the pack and other information What MetaTrace FDG contains

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-    The active substance is fludeoxyglucose ( F). 1 ml solution for injection contains 3000MBq at the date and time of calibration.

-    The other ingredients are: small amount of ethanol (alcohol), less than 100 mg per dose and water for injection

What MetaTrace FDG looks like and contents of the pack

-    The activity per vial ranges from 300 MBq to 30000MBq at the date and time of calibration.

Marketing Authorisation Holder and Manufacturer

Marketing Authorisation Holder

Siemens Healthcare Limited Faraday House,

Sir William Siemens Square,

Frimley,

Camberley,

Surrey GU16 8QD United Kingdom

Manufacturer

PETNET SOLUTIONS, a Division of Siemens plc Lesley Harrison Building Mount Vernon Hospital Northwood Middlesex HA6 2RN United Kingdom

PETNET SOLUTIONS, a Division of Siemens plc Heathfield Way

Nottingham City Hospital Gate 1,

Hucknall Road Nottingham NG5 1PB United Kingdom

This medicinal product is authorised in the Member States of the EEA under the following names:

France:    MetaTrace FDG, solution injectable

United Kingdom:    MetaTrace FDG, solution for injection

This leaflet was last revised in: July 2016

The complete SmPC of MetaTrace FDG is provided in the product package, with the objective to provide healthcare professionals with other additional scientific and practical information about the administration and use of this radiopharmaceutical.

Please refer to the SmPC.

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