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ERBIUM CITRATE (169Er) colloidal CIS BIO INTERNACIONAL 111 MBq/ML INJECTABLE SUSPENSION

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About the medicine

How to use ERBIUM CITRATE (169Er) colloidal CIS BIO INTERNACIONAL 111 MBq/ML INJECTABLE SUSPENSION

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introducción

Prospecto: información para el paciente

Citrato de erbio (169Er) coloidal CIS bio international 111 MBq/ml suspensión inyectable

citrato de erbio (169Er)

Lea todo el prospecto detenidamente antes de empezar a usar este medicamento porque contiene información importante para usted..

  • Conserve este prospecto, ya que puede tener que volver a leerlo.
  • Si tiene alguna duda, consulte al médico nuclear que supervisa el procedimiento.
  • Si experimenta efectos adversos, consulte al médico nuclear, incluso si se trata de efectos adversos que no aparecen en este prospecto.Ver sección 4.

Contenido del prospecto:

1.Qué es Citrato de erbio (169Er) coloidal CIS bio international y para qué se utiliza

2.Antes de usar Citrato de erbio (169Er) coloidal CIS bio international

3.Cómo usar Citrato de erbio (169Er) coloidal CIS bio international

4.Posibles efectos adversos

5.Conservación de Citrato de erbio (169Er) coloidal CIS bio international

6.Contenido del envase e información adicional

1. Qué es Citrato de erbio (169Er) coloidal CIS bio international y para qué se utiliza

Este medicamento es un radiofármaco únicamente para uso terapéutico.

Citrato de erbio (169Er) coloidal CIS bio international está indicado en adultos en el tratamiento de las artritis durante los brotes inflamatorios de las articulaciones pequeñas de la mano y el pie, cuando fracasa el tratamiento intraarticular con corticoides, o cuando éste está contraindicado.

La administración de Citrato de erbio (169Er) coloidal CIS bio international implica recibir una pequeña cantidad de radiactividad. Su médico y el médico nuclear consideran que el beneficio clínico que usted obtendrá de este procedimiento con el radiofármaco es supera el riesgo debido a la radiación.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. Qué necesita saber antes de empezar a usar Citrato de erbio (169Er) coloidal CIS bio international

Citrato de erbio (169Er) coloidal CIS bio international no debe utilizarse:

  • Si es alérgico (hipersensible) al citrato de erbio (169Er) o a alguno de los demás componentes de este medicamento (indicados en la sección 6).
  • Si usted está embarazada o cree que puede estarlo.
  • Usted está dando el pecho a su hijo/a.
  • En niños y pacientes jóvenes menores de 20 años.
  • Si usted sufre una infección en la articulación a tratar.
  • Si usted sufre infecciones locales o presencia de alteraciones de piel en la zona de inyección.
  • Si tiene una rotura reciente de un quiste sinovial.

Advertencias y precauciones

Tenga especial cuidado con Citrato de erbio (169Er) coloidal CIS bio international y consulte al especialista en medicina nuclear:

  • Si usted se ha sometido a algún procedimiento con medios de contraste de rayos X en los últimos 3 días
  • Si usted es una mujer en edad fértil

Antes de la administración deCitrato de erbio (169Er) coloidal CIS bio internationaldebe evitar el embarazo mediante un método anticonceptivo efectivo mantenido durante varios meses después del tratamiento.

Niños y adolescentes

Comunique a su especialista en medicina nuclear si tiene menos de 20 años.

Uso de Citrato de erbio (169Er) coloidal CIS bio international con otros medicamentos:

Informe al especialista en medicina nuclear si está tomando, ha tomado recientemente o podría tener que tomar cualquier otro medicamento, incluso los adquiridos sin receta.

Informe a su médico nuclear si usted se ha sometido a algún procedimiento con medios de contraste de rayos X en los últimos 3 días porque puede interferir con el resultado del tratamiento.

Embarazo y lactancia

Si usted está embarazada o en periodo de lactancia, cree que podría estar embarazada o tiene intención de quedarse embarazada, consulte a su médico especialista en medicina nuclear antes de que se le administre este medicamento.

Debe informar a médico nuclear antes de la administración de Citrato de erbio (169Er) coloidal CIS bio international si existe alguna posibilidad de que esté embarazada, si presenta un retraso en el período o si está en periodo de lactancia. De hecho, el citrato de erbio (169Er) no debe ser administrado a mujeres embarazadas o en periodo de lactancia. Si usted es una mujer en edad fértil debe utilizar medidas anticonceptivas eficaces antes de la administración de este medicamento y mantenerlas varios meses después del tratamiento.

En caso de duda, es importante que consulte al médico especialista en medicina nuclear que supervisará el procedimiento.

Conducción y uso de máquinas

No se recomienda conducir vehículos o usar máquinas debido a la inmovilización de la articulación después de la administración.

Citrato de erbio (169Er) coloidal CIS bio international contiene menos de 23 mg de sodio (1mmol) por dosis; esto es, esencialmente “exento de sodio”.

3. Cómo se utiliza Citrato de erbio (169Er) coloidal CIS bio international

Hay normas estrictas sobre el uso, manipulación y eliminación de radiofármacos. Citrato de erbio (169Er) coloidal CIS bio international sólo se utilizará en instalaciones especiales controladas. Este producto sólo será manejado y le será administrado por personal entrenado y cualificado para usarlo de forma segura. Esas personas pondrán especial cuidado en el uso seguro de este producto y le informarán de sus acciones

El médico nuclear que supervise el procedimiento decidirá la cantidad de Citrato de erbio (169Er) coloidal CIS bio international que debe usarse en su caso. Esta será la cantidad mínima necesaria para obtener el efecto deseado. La cantidad generalmente recomendada para administrar a un adulto esde 10 a 80 MBq (Megabequerelio, la unidad utilizada para expresar la radiactividad) según la articulación a tratar.

Administración deCitrato deerbio (169Er) coloidalCIS bio international y realización del procedimiento

Citrato de erbio (169Er) coloidal CIS bio international lo inyecta su médico nuclear directamente en las articulaciones pequeñas de las manos y los pies.

Pueden ser tratadas varias articulaciones de forma simultánea o sucesiva

No se repite una inyección del producto radiactivo en una articulación hasta que han pasado al menos seis meses.

Después de la administración de Citrato de erbio (169Er) coloidal CIS bio international debería:

  • Tener la articulación inmovilizada 2 días (férulas o reposo en cama)
  • Usar un método anticonceptivo eficaz durante varios meses después del tratamiento para evitar cualquier embarazo.

El médico nuclear le informará si necesita tomar alguna precaución después de recibir este medicamento. Consulte a su médico nuclear si tiene alguna duda.

Si ha recibido másCitrato deerbio (169Er)coloidal CIS bio internationalde la que se debiera:

Es improbable una sobredosis porque usted recibirá una dosis única de Citrato de erbio (169Er) coloidal CIS bio international por articulación controlada con precisión por el médico nuclear que supervise el procedimiento. Sin embargo, en caso de sobredosis, usted recibirá el tratamiento apropiado.

Si tiene alguna duda sobre el uso de Citrato de erbio (169Er) coloidal CIS bio international, pregunte al médico nuclear que supervisa el procedimiento.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Posibles efectos adversos

Al igual que todos los medicamentos, este medicamento puede producir efectos adversos, aunque no todas las personas los sufran.

Los efectos adversos más frecuentemente observados tras la sinoviortesis con Citrato de erbio (169Er) coloidal CIS bio international son:

  • Muy frecuentes (pueden afectar amás de 1 cada 10 personas): dolor, inflamación del sitio de inyección, artritis aguda (reaparición de inflamación durante la primera semana después de la administración).
  • Frecuentes (pueden afectar hasta 1 de cada 10 personas): fiebre, disfunción de la movilidad de la articulación, pigmentación de la piel.
  • Muy raras (pueden afectar hasta 1 de cada 10.000 personas):enrojecimiento, alteración grave de la piel con ampollas.
  • Frecuencia no conocida (no puede estimarse a partir de los datos disponibles):infección secundaria en la articulación, inflamación de la articulación, necrosis de piel, sarpullido y picor.

Este radiofármaco liberará pequeñas cantidades de radiación ionizante asociada mínimamente al riesgo de cáncer o defectos hereditarios.

Comunicación de efectos adversos

Si experimenta cualquier tipo de efecto adverso, informe a su médico especialista en medicina nuclear, incluso si se trata de cualquier efecto adverso no incluido en este prospecto. También puede comunicarlos directamente a través del Sistema Español de Farmacovigilancia de Medicamentos de Uso Humano: https://www.notificaram.es.

Mediante la comunicación de efectos adversos usted puede contribuir a proporcionar más información sobre la seguridad de este medicamento.

5. Conservación de Citrato de erbio (169Er) coloidal CIS bio international

No tendrá que almacenar este medicamento. Este medicamento se almacena bajo la responsabilidad del especialista en instalaciones apropiadas. El almacenamiento de radiofármacos se realizará conforme a la normativa nacional sobre materiales radiactivos.

6. Contenido del envase e información adicional

Composición deCitrato deerbio (169Er) coloidalCIS bio international

  • El principio activo es Citrato de erbio (169Er).
  • Los demás componentes son: ácido nítrico, hidróxido de sodio, cloruro de sodio y agua para preparaciones inyectables.

Aspecto del Citrato de erbio (169Er) coloidal CIS bio international y contenido del envase

Citrato de erbio (169Er) coloidal CIS bio international se presenta en forma de suspensión inyectable, en vial multidosis.

Tamaño del envase: Viales de vidrio de 15 ml, sellados con tapón de goma y cápsula de aluminio. Contiene entre 0,1 y 10,0 ml, que corresponden a una actividad entre 11 y 1110 MBq a la fecha y hora de calibración.

Titular de la autorización de comercialización y responsable de la fabricación:

CIS bio international

RN 306 - Saclay

B.P. 32

F-91192 Gif-sur-Yvette Cedex

FRANCIA

Puede solicitar más información sobre este medicamento dirigiéndose al representante local del Titular de la autorización de comercialización:

Curium Pharma Spain, S.A. Avda. Dr. Severo Ochoa, 29

28100-Alcobendas

Tfno.: 91 4841989

Este prospecto fue revisado por última vez en Junio de 2020

La información detallada de este medicamento está disponible en la página Web de la Agencia Española de Medicamentos y Productos Sanitarios (AEMPS) http://www.aemps.gob.es/

La siguiente información está destinada únicamente a médicos o profesionales sanitarios:

La ficha técnica completa de Citrato de erbio (169Er) coloidal CIS bio international se incluye como documento separado, en el envase del producto con el fin de proporcional a los profesionales sanitarios

otra información científica y práctica adicional sobre la administración y uso de este radiofármaco.

Por favor, consulte la Ficha Técnica.

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Discuss questions about ERBIUM CITRATE (169Er) colloidal CIS BIO INTERNACIONAL 111 MBq/ML INJECTABLE SUSPENSION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Currently (since 2025), he works as a Medical Oncologist at Institut Català d’Oncologia (Girona, Spain). Previously, he completed his residency in Medical Oncology and was involved in clinical research at Hospital Universitari Germans Trias i Pujol.

Dr. Chekhun has a strong academic and scientific background. He served as a lecturer in Internal Medicine at O.O. Bohomolets National Medical University and conducted research in experimental oncology at the R.E. Kavetsky Institute of Experimental Pathology, Oncology and Radiobiology.

Earlier in his career, he worked as a medical oncologist at the Kyiv City Clinical Oncological Center and contributed to regulatory evaluation of medicinal products at the State Expert Center of the Ministry of Health of Ukraine.

When to consult Dr. Chekhun:

  •  for diagnosis or clarification of a cancer diagnosis
  •  to obtain a second opinion on an existing treatment plan 
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  •  when choosing between treatment options (chemotherapy, targeted therapy, immunotherapy) 
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Consultation format

Dr. Chekhun provides online consultations, where you can receive:

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Important:
Prescription and monitoring of medications must be carried out by your treating physician in an in-person (offline) setting. An online consultation does not replace a face-to-face visit but helps you make more informed decisions about your treatment.

Dr. Sviatoslav Chekhun combines clinical practice, research, and international experience, enabling him to provide patients with modern, evidence-based approaches in oncology.

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Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
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  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
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Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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Taisiia Proida is a general practitioner with a specialization in mental health and a cognitive behavioral therapist (CBT), a member of the European Psychiatric Association. She offers online consultations for adults aged 18 and over, combining evidence-based medicine with an individualised approach to mental health care. She specialises in consultations and ongoing support for a wide range of mental health concerns, including: 

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You can consult Dr. Nazarchuk for:

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During consultations, Dr. Nazarchuk takes a thorough, structured approach — analysing symptoms, identifying potential causes, and helping patients make informed decisions. Whether treatment, further investigation, or monitoring is needed, he explains each step clearly so you understand your health and how best to manage it.

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Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques. For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance. Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults. In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions. Patients commonly seek his care for: 

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Get ERBIUM CITRATE (169Er) colloidal CIS BIO INTERNACIONAL 111 MBq/ML INJECTABLE SUSPENSION Prescription Online

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Frequently Asked Questions

Is a prescription required for ERBIUM CITRATE (169Er) colloidal CIS BIO INTERNACIONAL 111 MBq/ML INJECTABLE SUSPENSION?

ERBIUM CITRATE (169Er) colloidal CIS BIO INTERNACIONAL 111 MBq/ML INJECTABLE SUSPENSION requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

What is the active substance in ERBIUM CITRATE (169Er) colloidal CIS BIO INTERNACIONAL 111 MBq/ML INJECTABLE SUSPENSION?

The active ingredient in ERBIUM CITRATE (169Er) colloidal CIS BIO INTERNACIONAL 111 MBq/ML INJECTABLE SUSPENSION is erbium (169Er) citrate colloid. This information helps identify medicines with the same composition but different brand names.

Who manufactures ERBIUM CITRATE (169Er) colloidal CIS BIO INTERNACIONAL 111 MBq/ML INJECTABLE SUSPENSION?

ERBIUM CITRATE (169Er) colloidal CIS BIO INTERNACIONAL 111 MBq/ML INJECTABLE SUSPENSION is manufactured by Cis Bio International. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of ERBIUM CITRATE (169Er) colloidal CIS BIO INTERNACIONAL 111 MBq/ML INJECTABLE SUSPENSION online?

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether ERBIUM CITRATE (169Er) colloidal CIS BIO INTERNACIONAL 111 MBq/ML INJECTABLE SUSPENSION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

How to buy ERBIUM CITRATE (169Er) colloidal CIS BIO INTERNACIONAL 111 MBq/ML INJECTABLE SUSPENSION in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy ERBIUM CITRATE (169Er) colloidal CIS BIO INTERNACIONAL 111 MBq/ML INJECTABLE SUSPENSION in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to ERBIUM CITRATE (169Er) colloidal CIS BIO INTERNACIONAL 111 MBq/ML INJECTABLE SUSPENSION?

Other medicines with the same active substance (erbium (169Er) citrate colloid) include Rhenium Sulfide (186Re) Colloidal CIS BIO INTERNATIONAL 148-370 MBq/mL Injectable Suspension, Yttrium Citrate (90 Y) Colloidal CIS BIO INTERNATIONAL 37-370 MBq/ml Injectable Suspension, SODIUM IODIDE (I131) CURIUM PHARMA SPAIN 37-7400 MBq CAPSULES. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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