The disposition of gadodiamide (CAS 122795-43-1) injection (Omniscan(R
)), a nonionic paramagnetic contrast-enhancing medium developed for ma
gnetic resonance imaging, was characterized in the pregnant and lactat
ing rat. After a single intravenous dose of 0.3 mmol/kg C-14-labeled g
adodiamide to rats on day 18 of gestation, the maximum levels of radio
activity in the fetus were attained at 5 min, and were approximately 1
70 times lower than those in the maternal plasma. The AUC ratio of fet
al to maternal blood was less than 0.1. Moreover, the distribution per
centage of radioactivity in the fetus were on the average 0.01% of the
administered dose up to 4 h, and trace amounts of radioactivity were
present in fetal tissues at 24 h after dosing. Whole body autoradiogra
phy showed that the smallest amounts of radioactivity were present in
the fetus, whereas the highest concentrations of radioactivity were no
ted in the fetal membrane and the kidney at 24 h after dosing. These r
esults indicate that exposure of the developing rat fetus to gadodiami
de after maternal drug administration is quantitatively small. The rad
ioactivity levels in the milk increased with time, reaching a maximum
1 h after dosing, and gradually decreased to levels below detection li
mits over 8 h. A comparison of the AUCs of milk and plasma showed the
comparatively small amounts of the drug excreted into milk.