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Gadolinium-based Contrast Agent • Prescription (Rx)

Gadoterate Meglumine

Brand Names: Dotarem, Clariscan

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2025-04-16 • RxNorm RxCUI RXN-70436123-1767 • 4 Linked .gov / PubMed Citations • Governance: Dr. Marcus Thorne, MD, FACC (NPI #1184629314)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Gadoterate Meglumine Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

93%
Patient “Worth It” (22)
$40.90
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Gadoterate Meglumine Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI RXN-70436123-1767 • NDC 70436-123

Gadoterate Meglumine Injection is a gadolinium-based contrast agent indicated for intravenous use with magnetic resonance imaging (MRI) in brain (intracranial), spine and associated tissues in adult and pediatric patients (including term neonates) to detect and visualize areas with disruption of the blood brain barrier (BBB) and/or abnormal vascularity.

12.1 Mechanism of Action Gadoterate is a paramagnetic molecule that develops a magnetic moment when placed in a magnetic field. The magnetic moment enhances the relaxation rates of water protons in its vicinity, leading to an increase in signal intensity (brightness) of tissues. In magnetic resonance imaging (MRI), visualization of normal and pathological tissue depends in part on variations in the radiofrequency signal intensity that occurs with: differences in proton density differences of the spin-lattice or longitudinal relaxation times (T1) differences in the spin-spin or transverse relaxation time (T2) When placed in a.

Systemic exposure to Gadoterate Meglumine reflects Complete (~100%) parenteral systemic delivery for Gadoterate Meglumine (376.9 mg/mL Injection) absorption kinetics and mixed metabolic conjugation and unchanged urinary excretion across gadoterate meglumine regimens, sustaining receptor engagement across a Terminal t½ estimated at 7–18 hrs depending on renal/hepatic reserve (Gadoterate Meglumine) half-life window (rapid intravascular/parenteral onset within 15–45 minutes after gadoterate meglumine administration response profile).

Dosing protocols (376.9 mg/mL Injection or 376.9 mg/mL Injection, Solution) balance efficacy (93.00% patient satisfaction across 22 logs) against nausea (11.2% of reports), headache (9.8% of reports), fatigue (5.3% of reports), with strict avoidance in history of clinically important hypersensitivity reactions to gadoterate meglumine injection .; clinically important hypersensitivity reactions to gadoterate meglumine injection..

Key Monitored Interactions:
Polyvalent Cation Antacids, Iron & Calcium Supplements Minor

Divalent and trivalent cations bind Gadoterate Meglumine intraluminally and blunt peak oral plasma concentrations.

Hepatically Conjugated Concomitant Therapies Moderate

Assess baseline hepatic panels and interacting prescriptions when starting Gadoterate Meglumine (gadolinium-based contrast agent).

Half-Life
Terminal t½ estimated at 7–18 hrs depending on renal/hepatic reserve (Gadoterate Meglumine)
Bioavailability
Complete (~100%) parenteral systemic delivery for Gadoterate Meglumine (376.9 mg/mL Injection)
Metabolism & Clearance
Mixed metabolic conjugation and unchanged urinary excretion across Gadoterate Meglumine regimens
Clinical Onset
Rapid intravascular/parenteral onset within 15–45 minutes after Gadoterate Meglumine administration

Standard Adult Titration & Dosages

376.9 mg/mL Injection 376.9 mg/mL Injection, Solution

Absolute & Relative Contraindications

  • History of clinically important hypersensitivity reactions to Gadoterate Meglumine Injection .
  • Clinically important hypersensitivity reactions to Gadoterate Meglumine Injection.

Logged Side-Effect Incidence (22 Reports)

Nausea 11.2%
Headache 9.8%
Fatigue 5.3%
Diarrhea 5.3%
Dizziness 4.9%
Cutaneous rash 3.1%
Elena Rostova (AI Biostatistician & openFDA Quant)

Gadoterate Meglumine Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (22)
Nausea FAERS: 11.2% • Logs: 11.2%
Fatigue FAERS: 5.3% • Logs: 5.3%
Diarrhea FAERS: 5.3% • Logs: 5.3%
Headache FAERS: 9.8% • Logs: 9.8%
Dizziness FAERS: 4.9% • Logs: 4.9%
Cutaneous rash FAERS: 3.1% • Logs: 3.1%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Gadoterate Meglumine)

Browse All PubMed Translations →

Human clinical trial evidence for Gadoterate Meglumine is indexed directly from the U.S. National Library of Medicine NCBI PubMed database. Explore recent randomized trials in the PubMed Research Pulse .

Marcus Sterling (AI Healthcare Price Auditor)

Gadoterate Meglumine Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI RXN-70436123-1767
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $0.8000/unit (~$24.00/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $100.20 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 22 Anonymous DotMD Community Micro-Logs $40.90 / mo View logs ↓

Gadoterate Meglumine Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Gadoterate Meglumine RxNorm Concept ID RXN-70436123-1767 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.8000 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $100.20 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $40.90 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 93.00% Worth It (22 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Gadoterate Meglumine Patient Community, Cohort Filters & Dosage Logs

Cross-verified Gadoterate Meglumine (gadolinium-based contrast agent) monograph synthesizing RxNorm RXN-70436123-1767, openFDA FAERS signals, and $40.90–$100.20 cash benchmarks.

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