DOSAGE AND ADMINISTRATION
Dosing Guidelines
Administer Ablavar as an intravenous bolus injection, manually or by power injection, at a dose of 0.12 mL/kg body weight (0.03 mmol/kg) over a period of time up to 30 seconds followed by a 25-30 mL normal saline flush. (See Table 1 for weight-adjusted dose volumes).
TABLE 1. Weight-Adjusted Volumes for the 0.03 mmol/kg Dose
|
Body Weight
|
Volume
|
|
Kilograms (kg)
|
Pounds (lb)
|
Milliliters (mL)
|
| 40 |
88 |
4.8 |
| 50 |
110 |
6.0 |
| 60 |
132 |
7.2 |
| 70 |
154 |
8.4 |
| 80 |
176 |
9.6 |
| 90 |
198 |
10.8 |
| 100 |
220 |
12.0 |
| 110 |
242 |
13.2 |
| 120 |
264 |
14.4 |
| 130 |
286 |
15.6 |
| 140 |
308 |
16.8 |
| 150 |
330 |
18.0 |
| 160 |
352 |
19.2 |
Inspect the Ablavar vial visually for particulate matter and discoloration prior to administration. Do not use the solution if it is discolored or particulate matter is present.
Ablavar is intended for single use only and should be used immediately upon opening. Discard any unused portion of the Ablavar vial.
Do not mix intravenous medications or parenteral nutrition solutions with Ablavar. Do not administer any other medications in the same intravenous line simultaneously with Ablavar.
Imaging Guidelines
Ablavar imaging is completed in two stages: the dynamic imaging stage and the steady-state imaging stage. Both stages are essential for adequate evaluation of the arterial system, and dynamic imaging always precedes steady-state imaging. During interpretation of the steady-state images, Ablavar within the venous system may limit or confound the detection of arterial lesions.
To assess the initial distribution of Ablavar within the arterial system, begin dynamic imaging immediately upon injection. Begin steady state imaging after dynamic imaging has been completed, generally 5 to 7 minutes following Ablavar administration. At this time point, Ablavar is generally distributed throughout the blood. In clinical trials, steady-state imaging was completed within approximately one hour following Ablavar injection.
DOSAGE FORMS AND STRENGTHS
Ablavar is a sterile solution for intravenous injection containing 244 mg/mL (0.25 mmol/mL) gadofosveset trisodium [ see How Supplied/Storage and Handling (16)
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