Last update Aug. 17, 2026

Gadoteridol

Compatible

Safe product and/or breastfeeding is the best option.

A gadolinium chelate with similar effects and uses to those of gadopentetic acid. Used as a contrast agent in magnetic resonance imaging. Administered intravenously.

As of the date of the last update, we found no published data on its excretion in breast milk.

The various gadolinium-based contrast agents used for magnetic resonance imaging (MRI) are considered compatible with breastfeeding because they are rapidly eliminated (elimination half-life of less than 2 hours) with minimal metabolism and are virtually unabsorbable when taken orally. They are structurally very similar to one another, and for some of them, there is data indicating no or minimal excretion into breast milk. Less than 1% of the dose administered to the mother ends up in breast milk. (ACR 2026, Wang 2012)

Due to their low oral bioavailability, intestinal absorption is less than 1% of any dose the infant may have ingested. (Wang 2012)

Most experts and scientific societies in radiology agree that there is no need to wait before breastfeeding following an MRI scan. (ACR 2026 p98, Bookwalter 2025, Mattsson 2021, ESUR 2018, ACOG 2017, Puac 2017, Cova 2014, Quintana 2014, Patenaude 2014, Sachs 2013, Tremblay 2012, Wang 2012, Chen 2008, Newman 2007, Webb 2005)

Some authors and professional societies recommend avoiding gadolinium-based contrast agents with a high risk of nephrogenic systemic fibrosis in breastfeeding women, especially during the neonatal period—specifically gadoversetamide, gadodiamide, and gadopentetate—and instead choosing low-risk agents such as gadoterate, gadoteridol, and gadobutrol. (Puac 2017, Quintana 2014, EMA 2010)


See below the information of this related product:

Alternatives

We do not have alternatives for Gadoteridol since it is relatively safe.

Suggestions made at e-lactancia are done by APILAM team of health professionals, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it. The pharmaceutical industry contraindicates breastfeeding, mistakenly and without scientific reasons, in most of the drug data sheets.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.

Thank you for helping to protect and promote breastfeeding.

José María Paricio, founder of e-lactancia.

Other names

Gadoteridol in other languages or writings:

Group

Gadoteridol belongs to this group or family:

Tradenames

Main tradenames from several countries containing Gadoteridol in its composition:

Pharmacokinetics

Variable Value Unit
Oral Bioavail. Baja - Poor %
Molecular weight 559 daltons
1.6 hours

References

  1. ACR - American College of Radiology Committee on Drugs and Contrast Media. ACR Manual on Contrast Media. 2010- American College of Radiology. Consulted on Aug. 17, 2026 Abstract Full text (link to original source)
  2. Bookwalter CA, McDonald RJ, Packard AT, Little JT, McDonald JS, Watson RE. Contrast Media in Pregnant and Lactating Patients, From the AJR Special Series on Contrast Media. AJR Am J Roentgenol. 2025 Apr;224(4):e2431415. Abstract Full text (link to original source)
  3. Mattsson S, Leide-Svegborn S, Andersson M. X-RAY AND MOLECULAR IMAGING DURING PREGNANCY AND BREASTFEEDING-WHEN SHOULD WE BE WORRIED? Radiat Prot Dosimetry. 2021 Oct 12;195(3-4):339-348. Abstract Full text (link to original source)
  4. ESUR. European Society of Urogenital Radiology. ESUR guidelines on contrast media. 2018;Version 10.0 Guidelines. C.5. PREGNANCY AND LACTATION 2018 Abstract Full text (link to original source)
  5. ACOG Committee Opinion No. 723: Guidelines for Diagnostic Imaging During Pregnancy and Lactation. Obstet Gynecol. 2017 Oct;130(4):e210-e216. Abstract Full text (link to original source)
  6. Puac P, Rodríguez A, Vallejo C, Zamora CA, Castillo M. Safety of Contrast Material Use During Pregnancy and Lactation. Magn Reson Imaging Clin N Am. 2017 Abstract
  7. Patenaude Y, Pugash D, Lim K, Morin L; Diagnostic Imaging Committee, Lim K, Bly S, Butt K, Cargill Y, Davies G, Denis N, Hazlitt G, Morin L, Naud K, Ouellet A, Salem S; Society of Obstetricians and Gynaecologists of Canada. The use of magnetic resonance imaging in the obstetric patient. J Obstet Gynaecol Can. 2014 Abstract
  8. Cova MA, Stacul F, Quaranta R, Guastalla P, Salvatori G, Banderali G, Fonda C, David V, Gregori M, Zuppa AA, Davanzo R. Radiological contrast media in the breastfeeding woman: a position paper of the Italian Society of Radiology (SIRM), the Italian Society of Paediatrics (SIP), the Italian Society of Neonatology (SIN) and the Task Force on Breastfeeding, Ministry of Health, Italy. Eur Radiol. 2014 Abstract
  9. Quintana Rodríguez I. Uso de contrastes radiológicos en la mujer lactante y en niños.. CbSERAM nº 8/14 – Agosto 2014 Abstract Full text (link to original source) Full text (in our servers)
  10. Sachs HC; Committee On Drugs. The transfer of drugs and therapeutics into human breast milk: an update on selected topics. Pediatrics. 2013 Sep;132(3):e796-809. Abstract Full text (link to original source) Full text (in our servers)
  11. Tremblay E, Thérasse E, Thomassin-Naggara I, Trop I. Quality initiatives: guidelines for use of medical imaging during pregnancy and lactation. Radiographics. 2012 Abstract Full text (link to original source) Full text (in our servers)
  12. Wang PI, Chong ST, Kielar AZ, Kelly AM, Knoepp UD, Mazza MB, Goodsitt MM. Imaging of pregnant and lactating patients: part 1, evidence-based review and recommendations. AJR Am J Roentgenol. 2012 Abstract Full text (link to original source) Full text (in our servers)
  13. EMA. Assessment report for Gadolinium-containing contrast agents. 2010 Full text (in our servers)
  14. Chen MM, Coakley FV, Kaimal A, Laros RK Jr. Guidelines for computed tomography and magnetic resonance imaging use during pregnancy and lactation. Obstet Gynecol. 2008 Abstract
  15. Lin SP, Brown JJ. MR contrast agents: physical and pharmacologic basics. J Magn Reson Imaging. 2007 Abstract
  16. Newman J. Breastfeeding and radiologic procedures. Can Fam Physician. 2007 Abstract Full text (link to original source) Full text (in our servers)
  17. Webb JA, Thomsen HS, Morcos SK; Members of Contrast Media Safety Committee of European Society of Urogenital Radiology (ESUR). The use of iodinated and gadolinium contrast media during pregnancy and lactation. Eur Radiol. 2005 Jun;15(6):1234-40. Epub 2004 Dec 18. Abstract

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