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Omnipaque 180 Generic Name & Formulations
Legal Class
Rx
General Description
Iohexol 388mg (equivalent to 180mg of organic iodine) per mL; soln; preservative-free.
Pharmacological Class
Radiographic contrast medium.
How Supplied
Omnipaque 140 (50mL)—10; Omnipaque 180 (10mL, 20mL)—10; Omnipaque 240 (10mL, 20mL, 50mL, 100mL, 150mL, 200mL)—10; Omnipaque 300 (10mL, 30mL, 50mL, 75mL, 100mL, 125mL, 150mL, 200mL)—10; Omnipaque 350 (50mL, 75mL, 100mL, 125mL, 150mL, 200mL, 250mL)—10
Manufacturer
Generic Availability
NO
Omnipaque 180 Indications
Indications
Intrathecal administration: in adults and children, for myelography (lumbar, thoracic, cervical, total columnar) and computerized tomography [CT] (myelography, cisternography, ventriculography [adults only]). Oral or rectal: in children, for oral and rectal radiographic examination of the GI tract.
Omnipaque 180 Dosage and Administration
Adults and Children
See full labeling for dosing based on procedure.
Omnipaque 180 Contraindications
Contraindications
Omnipaque 140 and 350: for intrathecal use. Omnipaque body cavity 240 and 300: for hysterosalpingography during pregnancy or suspected pregnancy, menstruation or when menstruation is imminent, within 6 months after termination of pregnancy, within 30 days after conization or curettage, when signs of infection are present in any portion of the genital tract including the external genitalia, and when reproductive tract neoplasia is known or suspected.
Omnipaque 180 Boxed Warnings
Boxed Warning
Risks with inadvertent intrathecal administration of Omnipaque 140 and 350 injection.
Omnipaque 180 Warnings/Precautions
Warnings/Precautions
Do not administer Omnipaque 140 and 350 intrathecally: severe reactions may occur (eg, death, convulsions/seizures, cerebral hemorrhage, coma, paralysis, arachnoiditis, acute renal failure, cardiac arrest, rhabdomyolysis, hyperthermia, brain edema). Have emergency treatment and trained personnel readily available. Monitor for hypersensitivity reactions. Cardiovascular disease (monitor). Pheochromocytoma. Homozygous sickle cell disease. Homocystinuria: avoid angiocardiography. Hyperthyroidism. Thyroid dysfunction (esp. children 0–3yrs); monitor. Renal impairment or risk of (eg, diabetes, dehydration, multiple myeloma, CHF, advanced vascular disease). History of severe cutaneous reaction: avoid. Ensure adequate hydration. Avoid extravasation (esp. in arterial or venous disease). Elderly. Pregnancy. Nursing mothers: consider interrupting; pump/discard breast milk for 10hrs after administration.
Omnipaque 180 Pharmacokinetics
See Literature
Omnipaque 180 Interactions
Interactions
Concomitant drugs that lower seizure threshold (eg, phenothiazines): not recommended with intrathecal use. Discontinue metformin at time of, or prior to Omnipaque in patients with eGFR 30–60mL/min/1.73m2, history of hepatic impairment, alcoholism, heart failure, or will be given intra-arterial contrast; reevaluate eGFR 48hrs after procedure and restart metformin if renally stable. Increased risk of kidney injury with concomitant nephrotoxic drugs or diuretics. Discontinue CNS active drugs (eg, MAOIs, tricyclics, CNS stimulants, analeptics, tranquilizers, antipsychotics) ≥48hrs before myelography and for ≥24hrs post-procedure. Caution with beta-blockers. May interfere with thyroid uptake of radioactive iodine and decrease efficacy in thyroid carcinoma for up to 6–8 weeks. May reduce iodine-binding capacity of thyroid tissue for up to 2 weeks.
Omnipaque 180 Adverse Reactions
Adverse Reactions
Intrathecal: headache, backache, neckache, stiffness, neuralgia, nausea, vomiting, dizziness. IV: inj site reactions, pain, arrhythmias, angina/chest pain, hypotension, vertigo, vision abnormalities, headache, taste perversion, nausea; severe skin reactions (eg, SJS, TEN, AGEP, DRESS). Oral: diarrhea, nausea, vomiting, abdominal pain, flatulence, headache; children: also, fever, hypotension, urticaria. Body cavities: pain, swelling, heat sensation. Angiocardiography: thromboembolism. Hypersensitivity reactions, acute kidney injury, cardiovascular reactions.
Omnipaque 180 Clinical Trials
See Literature
Omnipaque 180 Note
Not Applicable
Omnipaque 180 Patient Counseling
See Literature
