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Iodixanol

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Chemical compound

Pharmaceutical compound
Iodixanol
Clinical data
Trade namesVisipaque
Other names5-amino]-2-hydroxy-propyl]amino]-N,N'-bis(2,3-dihydroxypropyl)-2,4,6-triiodo-benzene-1,3-dicarboxamide
AHFS/Drugs.comMultum Consumer Information
ATC code
Legal status
Legal status
Pharmacokinetic data
Protein bindingNegligible
MetabolismExcreted unchanged
Elimination half-life2.1 hours
ExcretionKidney
Identifiers
IUPAC name
  • 5-{N--2,4,6-triiodophenyl}acetamido)-2-hydroxypropyl]acetamido}-1-N,3-N-bis(2,3-dihydroxypropyl)-2,4,6-triiodobenzene-1,3-dicarboxamide
CAS Number
PubChem CID
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
CompTox Dashboard (EPA)
ECHA InfoCard100.124.306 Edit this at Wikidata
Chemical and physical data
FormulaC35H44I6N6O15
Molar mass1550.191 g·mol
3D model (JSmol)
SMILES
  • Ic1c(C(=O)NCC(O)CO)c(I)c(C(=O)NCC(O)CO)c(I)c1N(C(=O)C)CC(O)CN(C(=O)C)c2c(I)c(c(I)c(c2I)C(=O)NCC(O)CO)C(=O)NCC(O)CO
InChI
  • InChI=1S/C35H44I6N6O15/c1-13(52)46(30-26(38)20(32(59)42-3-15(54)9-48)24(36)21(27(30)39)33(60)43-4-16(55)10-49)7-19(58)8-47(14(2)53)31-28(40)22(34(61)44-5-17(56)11-50)25(37)23(29(31)41)35(62)45-6-18(57)12-51/h15-19,48-51,54-58H,3-12H2,1-2H3,(H,42,59)(H,43,60)(H,44,61)(H,45,62)
  • Key:NBQNWMBBSKPBAY-UHFFFAOYSA-N
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Iodixanol, sold under the brand name Visipaque, is an iodine-containing non-ionic radiocontrast agent.

It is available as a generic medication.

Medical uses

The radiocontrast agent is given intravenously for computed tomography (CT) imaging of the head, body, excretory urography and venography. The radiocontrast agent is also given intra-arterially for angiography imaging.

Adverse effects

About 30% of those received intravenous iodixanol injection has warmth, pain, or discomfort at the site of the injection. Other adverse effects include: taste perversion (3.5%), nausea (2.8%), and headache (2.5%).

Society and culture

Available forms

The contrast can either be given intra-arterialy or intravenously.

Veterinary uses

Iodixanol is also the active ingredient in a number of 'cushion' products used during the centrifugation of stallion semen. It is layered underneath the extended stallion semen allowing for a higher g force to be used with less sperm damage and better recovery rates. Post centrifugation the supernatant above and the cushion below is removed, leaving a concentrated sperm pellet in the conical tube.

References

  1. "FDA-sourced list of all drugs with black box warnings (Use Download Full Results and View Query links.)". nctr-crs.fda.gov. FDA. Retrieved 22 October 2023.
  2. Spencer CM, Goa KL (December 1996). "Iodixanol. A review of its pharmacodynamic and pharmacokinetic properties and diagnostic use as an x-ray contrast medium". Drugs. 52 (6): 899–927. doi:10.2165/00003495-199652060-00013. PMID 8957160. S2CID 195690679.
  3. "2022 First Generic Drug Approvals". U.S. Food and Drug Administration (FDA). 3 March 2023. Archived from the original on 30 June 2023. Retrieved 30 June 2023.
  4. "Competitive Generic Therapy Approvals". U.S. Food and Drug Administration (FDA). 29 June 2023. Archived from the original on 29 June 2023. Retrieved 29 June 2023.
  5. ^ "Visipaque (iodixanol injection)" (PDF). US Food and Drug Administration. 1 September 2008. Archived from the original (PDF) on 8 April 2022.
  6. Waite JA, Love CC, Brinsko SP, Teague SR, Salazar JL, Mancill SS, Varner DD (September 2008). "Factors impacting equine sperm recovery rate and quality following cushioned centrifugation". Theriogenology. 70 (4): 704–14. doi:10.1016/j.theriogenology.2008.04.047. PMID 18573520.

External links

Contrast media (V08)
X-ray and CT
Iodinated,
Water soluble
Nephrotropic,
high osmolar
Nephrotropic,
low osmolar
Hepatotropic
Iodinated,
Water insoluble
Non-iodinated
MRI
Paramagnetic
Superparamagnetic
Other
Ultrasound
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