Isovue-m 200

— THERAPEUTIC CATEGORIES —
  • Imaging agents

Isovue-m 200 Generic Name & Formulations

General Description

Iopamidol 408mg/mL; soln for intrathecal administration; contains sodium 0.029mg, organically bound iodine 200mg per mL.

Pharmacological Class

Contrast media.

See Also

How Supplied

ISOVUE-M 200: Single dose vials (10mL)—10; ISOVUE-M 300: Single dose vials (15mL)—10

Manufacturer

Isovue-m 200 Indications

Indications

For intrathecal administration in adult neuroradiology inculding myelography (lumbar, thoracic, cervical, total columnar), and for contrast enhancement of computed tomographic (CECT) cisternography and ventriculography. For thoraco-lumbar myelography in children ≥2 years of age.

Isovue-m 200 Dosage and Administration

Adults and Children

See full labeling regarding dosing based on procedure.

Isovue-m 200 Contraindications

Contraindications

Concomitant corticosteroids. Repeat myelography in the event of technical failure. Significant local or systemic infections where bacteremia is likely.

Isovue-m 200 Boxed Warnings

Not Applicable

Isovue-m 200 Warnings/Precautions

Warnings/Precautions

Should be administered by professional trained in use of radiopaque agents in appropriate facilities with emergency treatment readily available. Increased intracranial pressure. Intracranial tumor. Abscess. Hematoma. History of convulsive disorder. Severe cardiovascular disease. Chronic alcoholism. Multiple sclerosis. Homozygous sickle cell disease. Multiple myeloma. Pheochromocytoma. Hyperthyroidism. Thyroid dysfunction (esp. children 0–3yrs); monitor. Diabetes. Patients with evidence of inadvertant intracranial entry of large or concentrated bolus of contrast medium: increased risk of seizures; consider prophylactic diazepam or barbiturate therapy. Direct intracisternal or ventricular administration for standard radiography: not recommended. Maintain elevation of head during procedure, on the stretcher, or in bed. Avoid excessive and active patient movement or straining. Maintain adequate hydration. Elderly. Pregnancy. Nursing mothers.

Isovue-m 200 Pharmacokinetics

Elimination

Renal. Half-life: ~2 hours.

Isovue-m 200 Interactions

Interactions

Concomitant drugs that lower seizure threshold (eg, phenothiazines, MAOIs, tricyclics, CNS stimulants, analeptics, major tranquilizers, antipsychotics): not recommended; discontinue 48hrs and for at least 24hrs post-procedure. May reduce iodine-binding capacity of thyroid tissue for up to 2 weeks.

Isovue-m 200 Adverse Reactions

Adverse Reactions

Headache, GI upset, back pain, leg pain, neck pain, hypotension, others.

Isovue-m 200 Clinical Trials

See Literature

Isovue-m 200 Note

Not Applicable

Isovue-m 200 Patient Counseling

See Literature