iohexol
The iodine atoms in iohexol provide attenuation of X-rays in direct proportion to the concentration of iohexol. Since concentration changes over time, iohexol provides time-dependent image contrast which may assist in visualizing body structures.
OMNIPAQUE is approved for use in:
Intrathecal (e.g., myelography, cisternography)
Intra-arterial (e.g., ventriculography, arteriography)
Intravenous (e.g., CT imaging, urography, DSA)
Oral/Rectal (e.g., GI tract imaging, abdominal CT)
Intraarticular (e.g., arthrography)
Body cavities (e.g., ERCP, hysterosalpingography, VCU)
→ Pediatric and adult dosing tables provided [Pages 4–15].
9 mg/mL and 12 mg/mL
Intrathecal (Adults): Headache (18%), back/neck pain (8%), nausea (6%)
IV/IA (Adults): Pain (3%), arrhythmias (2%), nausea (2%), blurred vision (2%)
Oral (Adults): Diarrhea (42%), nausea (15%), vomiting (11%)
Pediatric data is similar in type and frequency [Pages 21–25].
Especially for hysterosalpingography, OMNIPAQUE is contraindicated:
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During or suspected pregnancy
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Menstruation or imminent menstruation
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6 months post-abortion
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30 days post-conization/curettage
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Genital tract infections
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Known or suspected reproductive tract neoplasia
Severe hypersensitivity including fatal anaphylaxis
Acute kidney injury, especially with existing renal issues
Cardiovascular events, including shock and arrest
Thyroid dysfunction in pediatric patients ≤3 years
Severe cutaneous adverse reactions (SJS, TEN, DRESS)
Increased risk of seizures with intrathecal use [Pages 18–20]