The Basics

What is I 123-Labeled Human Serum Albumin?

Diagnostic agent.

Brand names for I 123-Labeled Human Serum Albumin

Na

How I 123-Labeled Human Serum Albumin is classified

Radiopharmaceuticals, Iodine Radioisotopes, Serum Albumin, Radio-Iodinated, Diagnostic Agents

I 123-Labeled Human Serum Albumin During Pregnancy

I 123-Labeled Human Serum Albumin pregnancy category

Category N/ANote that the FDA has deprecated the use of pregnancy categories, so for some medications, this information isn’t available. We still think it’s useful to list historical info, however, given what a common proxy this has been in the past.

What we know about taking I 123-Labeled Human Serum Albumin while pregnant

N/A

Taking I 123-Labeled Human Serum Albumin While Breastfeeding

What are recommendations for lactation if you're taking I 123-Labeled Human Serum Albumin?

Information in this record refers to the use of 123-labeled human serum albumin (I 123 HSA) as a diagnostic agent. The International Commission on Radiological Protection states that breastfeeding should be interrupted for more than 3 weeks following diagnostic use of I 123 HSA. This usually will result in permanent discontinuation of breastfeeding for this infant.[1] Mothers concerned about the level of radioactivity in their milk could ask to have it tested at a nuclear medicine facility at their hospital. When the radioactivity is at a safe level she may resume breastfeeding. A method for measuring milk radioactivity and determining the time when a mother can safely resume breastfeeding has been published.[2]

Maternal / infant drug levels

Information in this record refers to the use of 123-labeled human serum albumin (I 123 HSA) as a diagnostic agent. The International Commission on Radiological Protection states that breastfeeding should be interrupted for more than 3 weeks following diagnostic use of I 123 HSA. This usually will result in permanent discontinuation of breastfeeding for this infant.[1] Mothers concerned about the level of radioactivity in their milk could ask to have it tested at a nuclear medicine facility at their hospital. When the radioactivity is at a safe level she may resume breastfeeding. A method for measuring milk radioactivity and determining the time when a mother can safely resume breastfeeding has been published.[2]

Possible effects of I 123-Labeled Human Serum Albumin on milk supply

Relevant published information was not found as of the revision date.

Possible alternatives to I 123-Labeled Human Serum Albumin

None listed

List of References

Lactation sources: Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK501922/1. Mattsson S, Johansson L, Leide Svegborn S et al. Radiation dose to patients from radiopharmaceuticals: A compendium of current information related to frequently used substances. Annex D. Recommendations on breast-feeding interruptions. Ann ICRP. 2015;44 (2 Suppl):319-21. PMID: 26069086
2. Stabin MG, Breitz HB. Breast milk excretion of radiopharmaceuticals: mechanisms, findings, and radiation dosimetry. J Nucl Med. 2000;41:863-73. PMID: 10809203
3. Howe DB, Beardsley M, Bakhsh S. Appendix U. Model procedure for release of patients or human research subjects administered radioactive materials. In, NUREG-1556. Consolidated guidance about materials licenses. Program-specific guidance about medical use licenses. Final report. U.S. Nuclear Regulatory Commission Office of Nuclear Material Safety and Safeguards. 2008;9, Rev. 2. http://www.nrc.gov/reading-rm/doc-collections/nuregs/staff/sr1556/v9/r2/

Disclaimer: This material is provided for educational purposes only and is not intended for medical advice, diagnosis, or treatment. Consult your healthcare provider with any questions.

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