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Miraluma Side Effects, and Drug Interactions - Technetium Tc99m sestamibi
SIDE EFFECTS
Adverse events were evaluated in 3741 adults who were evaluated in clinical studies. Of these patients, 3068 (77% men, 22% women, and 0.7% of the patient’s genders were not recorded) were in cardiac clinical trials and 673 (100% women) in breast imaging trials. Cases of angina, chest pain, and death have occurred (see Warnings and Precautions). Adverse events reported at a rate of 0.5% or greater reported after receiving Technetium Tc99m Sestamibi administration are shown in the following table:
|
Table 9 Selected Adverse Events Reported in > 0.5% of Patients Who Received Technetium Tc99m Sestamibi in Either Breast or Cardiac Clinical Studies* |
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|
Body System |
Breast Studies |
Cardiac Studies |
||
|
Women |
Women |
Men |
Total |
|
|
n = 673 |
n = 685 |
n = 2361 |
n = 3046 |
|
|
Body as a Whole |
21 (3.1%) |
6 (0.9%) |
17 (0.7%) |
23 (0.8%) |
|
Headache |
11 (1.6%) |
2 (0.3%) |
4 (0.2%) |
6 (0.2%) |
|
Cardiovascular |
9 (1.3%) |
24(3.5%) |
75 (3.2%) |
99 (3.3%) |
|
Chest Pain/Angina |
0 (0%) |
18(2.6%) |
46 (1.9%) |
64 (2.1%) |
|
ST segment changes |
0 (0%) |
11(1.6%) |
29 (1.2%) |
40 (1.3%) |
|
Digestive System |
8 (1.2%) |
4 (0.6%) |
9 (0.4%) |
13 (0.4%) |
|
Nausea |
4 (0.6%) |
1 (0.1%) |
2 (0.1%) |
3 (0.1%) |
|
Special Senses |
132(19.6%) |
62(9.1%) |
160 (6.8%) |
222 (7.3%) |
|
Taste Perversion |
129(19.2%) |
60(8.8%) |
157 (6.6%) |
217 (7.1%) |
|
Parosmia |
8 (1.2%) |
6 (0.9%) |
10 (0.4%) |
16 (0.5%) |
|
*Excludes the 22 patients whose gender were not recorded. |
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In the clinical studies for breast imaging, breast pain was reported in 12 (1.7%) of the patients. In 11 of these patients the pain appears to be associated with biopsy/surgical procedures.
The following adverse reactions have been reported in £0.5% of patients: signs and symptoms consistent with seizure occurring shortly after administration of the agent; transient arthritis; angioedema, arrythmia, dizziness, syncope, abdominal pain, vomiting and severe hypersensitivity characterized by dyspnea, hypotension, bradycardia, asthenia, and vomiting within two hours after a second injection of Technetium Tc99m Sestamibi. A few cases of flushing, edema, injection site inflammation, dry mouth, fever, pruritis, rash, urticaria and fatigue have also been attributed to administration of the agent.
Specific drug-drug interactions have not been studied.
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