Iodipamide Meglumine

Table of contents

  • Brand Names
  • Drug Combinations
  • Chemistry
  • Pharmacologic Category
  • Therapeutic Use
  • Contraindications
  • Pregnancy and Lactation Implications
  • Warnings and Precautions
  • Adverse Reactions
  • Genes that may be involved
  • Drug Interactions
  • Dosage

Brand Names

North America

Canada: Cholografin Meglumine; USA: Cholografin Meglumine.

Drug combinations

Iodipamide Meglumine and Diatrizoate Meglumine

Chemistry

Iodipamide Meglumine: C~20~H~14~I~6~N~2~O~6~ 2C~7~H~17~NO~5~. Mw: 1530.19. Benzoic acid, 3,3′-[(1,6-dioxo-1,6-hexanediyl)diimino]bis[2,4,6-triiodo-, compd. with 1-deoxy-1-(methylamino)-D-glucitol (1:2). CAS-3521-84-4; CAS-606-17-7 (iodipamide); CAS-6284-40-8 (meglumine).

Pharmacologic Category

Diagnostic Agents; Imaging Agents; Iodinated Contrast Media. Radiological/Contrast Media. (ATC-Code: V08AC).

Mechanism of action

Therapeutic use

Contrast medium for intravenous cholangiography and cholecystography.

Pregnancy and lactiation implications

Reproduction studies not conducted. In general, iodinated contrast media agents are avoided during pregnancy unless essential for diagnosis.

Unlabeled use

Contraindications

Hypersensitivity to iodipamide salts or any component of the formulation. Intrathecal procedures. Concomitant severe renal and hepatic dysfunction.

Warnings and precautions

Pre-treatment with corticosteroids (prednisone) and antihistamines (diphenhydramine) may decrease frequency/severity of allergic reactions. May exacerbate sickling in sickle cell disease. Associated with nephrotoxicity. Contraindicated in severe hepatic impairment. Caution in mild-to-moderate liver disease, hypertension, debilitated patients, pheochromocytoma, previous reaction to contrast dye or iodine-based contrast media, asthma, renal impairment or predisposed to contrast-induced nephrotoxicity (diabetes, the elderly, concomitant medications such as metformin). Never use for intrathecal administration (acute renal failure, cardiac arrest, cerebral hemorrhage, coma, death, paralysis, and seizures can occur).

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