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Molecule

Gadoterate

Also known as gadoterate meglumine
Available on requestContrast media and diagnostics
Presentations
15
Brands
2
Manufacturers
2
Available from stock
0

Gadoterate is a gadolinium-based contrast agent indicated for intravenous use with magnetic resonance imaging (MRI) in brain (intracranial), spine and associated tissues in adult, among other approved uses. It is available as injection for intravenous use. MedsAcross supplies Gadoterate for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Gadolinium-based Contrast Agent, Magnetic Resonance Contrast Activity
ATC classification
V08CA02 Gadoterate · MRI contrast agent, subgroup V08CA
US FDA first approval
20 March 2013
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Intravenous
Dosage forms
Injection
Identifiers
UNII QVF9Y6955WCAS 72573-82-1DrugBank DB09132Q1490905

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

DOTAREM 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.

Source: US FDA prescribing information

How it works

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 magnetic field, gadoterate shortens the T1 and T2 relaxation times in target tissues. At recommended doses, the effect is observed with greatest sensitivity in the T1-weighted sequences.

Source: US FDA prescribing information

Dosing overview

Adult and pediatric patients: The recommended dose of DOTAREM is 0.2 mL/kg (0.1 mmol/kg) body weight administered as an intravenous bolus injection at a flow rate of approximately 2 mL/second for adults and 1 - 2 mL/second for pediatric patients (including term neonates). The dose is delivered by manual or power injection.

Source: US FDA prescribing information

Contraindications

History of clinically important hypersensitivity reactions to DOTAREM. Clinically important hypersensitivity reactions to DOTAREM.

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (risk associated with intrathecal use and nephrogenic systemic fibrosis): Risk Associated with Intrathecal Use Intrathecal administration of gadolinium-based contrast agents (GBCAs) can cause serious adverse reactions including death, coma, encephalopathy, and seizures. DOTAREM is not approved for intrathecal use. Hypersensitivity Reactions: Anaphylactoid/anaphylactic reactions with cardiovascular, respiratory or cutaneous manifestations, ranging from mild to severe, including death, have uncommonly occurred. Monitor patients closely for need of emergency cardiorespiratory support. Gadolinium Retention: Gadolinium is retained for months or years in brain, bone, and other organs.

Source: US FDA prescribing information

Side effects

The following clinically significant adverse reactions are described elsewhere in the labeling: Nephrogenic systemic fibrosis. Hypersensitivity reactions. Gadolinium Retention The most frequent (≥ 0.2%) adverse reactions in clinical studies were nausea, headache, injection site pain, injection site coldness, and rash.

Source: US FDA prescribing information

Interactions

Gadoterate does not interfere with serum and plasma calcium measurements determined by colorimetric assays. Specific drug interaction studies with DOTAREM have not been conducted.

Source: US FDA prescribing information

Storage

Storage Store at 25°C (77°F), excursions permitted to 15°C to 30°C (59°F to 86°F). Should solidification occur in the vial because of exposure to the cold, bring DOTAREM to room temperature before use. If allowed to stand at room temperature for a minimum of 90 minutes, DOTAREM should return to a clear, colorless to yellow solution.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

15 presentations of Gadoterate, sorted by availability.

MedicineManufacturerRegisterAvailability
Gadoterate 37690 mg/100 mL injectionIntravenousGeneric name—US FDAAvailable on request
Dotarem 3769 mg/10 mL injectionIntravenousGuerbetUS FDAAvailable on request
Dotarem 5653.5 mg/15 mL injectionIntravenousGuerbetUS FDAAvailable on request
Dotarem 7538 mg/20 mL injectionIntravenousGuerbetUS FDAAvailable on request
Gadoterate 1884.5 mg/5 mL injectionIntravenousGeneric name—US FDAAvailable on request
Gadoterate 3769 mg/10 mL injectionIntravenousGeneric name—US FDAAvailable on request
Gadoterate 5653.5 mg/15 mL injectionIntravenousGeneric name—US FDAAvailable on request
Gadoterate 7538 mg/20 mL injectionIntravenousGeneric name—US FDAAvailable on request
Clariscan 3769 mg/10 mL injectionIntravenousGE HealthcareUS FDAAvailable on request
Clariscan 5653.5 mg/15 mL injectionIntravenousGE HealthcareUS FDAAvailable on request
Clariscan 7538 mg/20 mL injectionIntravenousGE HealthcareUS FDAAvailable on request
Dotarem 1884.5 mg/5 mL injectionIntravenousGuerbetUS FDAAvailable on request
Dotarem 37690 mg/100 mL injectionIntravenousGuerbetUS FDAAvailable on request
Clariscan 1884.5 mg/5 mL injectionIntravenousGE HealthcareUS FDAAvailable on request
Clariscan 37690 mg/100 mL injectionIntravenousGE HealthcareUS FDAAvailable on request

Brands by market

2 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 20 March 2013Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Gadoterate available for export from India?

Yes, on request. MedsAcross lists 15 presentations of Gadoterate and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Gadoterate have?

The catalogue lists 2 brand names for Gadoterate, including Clariscan, Dotarem.

Is Gadoterate approved by the US FDA?

Yes. The US FDA first approved Gadoterate on 20 March 2013, according to Drugs@FDA.

Does Gadoterate need cold chain shipping?

No listed presentation of Gadoterate is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Gadoterate in?

Gadoterate is classified under ATC code V08CA02 (Gadoterate).

References

  1. DOTAREM prescribing information (Guerbet). U.S. National Library of Medicine, DailyMed. Retrieved 14 March 2025

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