Iodixanol

Iodixanol
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Iodixanol is in a group of drugs called radiopaque (RAY dee oh payk) contrast agents. Iodixanol contains iodine, a substance that absorbs x-rays. Radiopaque contrast agents are used to allow blood vessels, organs, and other non-bony tissues to be seen more clearly on a CT scan or other radiologic (x-ray) examination.
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Our Company
The company, located in Yanhai Industrial Park-one of the largest pharmaceutical industrial zones in China-covers an area of 35 acres. Through its three product segments-Guaiacol derivatives, Epichlorohydrin derivatives, and Iodine contrast media-Haizhou Pharm offers a portfolio of products and services globally, including Active Pharmaceutical Ingredients (API), intermediates, fine chemicals, and custom manufacturing services.

GMP Service
With professional contract manufacturing project team and multi-functional workshops, the company is in long-term cooperation with famous global pharmaceutical enterprises, providing contract service under both GMP and none GMP conditions.

Certifications
Haizhou Pharm is ISO9001/14001 and OHSAS18001 approved, and ISO/OHSAS management philosophy deeps into whole process of the company.

Professional Contract Solutions
With professional contract manufacturing project team and multi-functional workshops, the company is in long-term cooperation with famous global pharmaceutical enterprises, providing contract service under both GMP and none GMP conditions.

 

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What is Iodixanol?

 

Iodixanol is in a group of drugs called radiopaque (RAY dee oh payk) contrast agents. Iodixanol contains iodine, a substance that absorbs x-rays. Radiopaque contrast agents are used to allow blood vessels, organs, and other non-bony tissues to be seen more clearly on a CT scan or other radiologic (x-ray) examination.

 

How is iodixanol used?

Iodixanol is injected into a vein through an IV. A healthcare provider will give you this injection just before your radiologic test.

You may be given medication to prevent certain side effects while you are receiving iodixanol.

Tell your caregivers if you feel any burning, pain, or swelling around the IV needle when iodixanol is injected.

Drink extra fluids before and after your radiologic test. Iodixanol can cause you to get dehydrated, which can lead to dangerous effects on your kidneys. Follow your doctor's instructions about the types and amount of fluids you should drink before and after your test.

Older adults may need special care to avoid becoming dehydrated. Your kidney function may need to be checked after you have received iodixanol.

Iodixanol can interfere with certain medical tests for up to 16 days after you are treated with this medicine. Tell any doctor who treats you that you have recently received iodixanol.

Iodixanol can make radioactive iodine less effective in people with thyroid cancer. This effect can last for up to 8 weeks after you receive iodixanol. Tell your doctor if you are scheduled to be treated with radioactive iodine I-131 or I-123.

 

Precautions While Using Iodixanol
 
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It is very important that your doctor check the progress of you or your child closely while you are receiving this medicine to see if the medicine is working properly and to decide if you should continue to receive it. Blood and urine tests may be needed to check for any unwanted effects.

This medicine may cause heart attack, stroke, and blood clotting problems during angiographic procedures. Tell your doctor right away if you or your child has chest pain that may spread to your arms, jaw, back, or neck, trouble breathing, nausea, unusual sweating, faintness, coughing up blood, numbness or weakness in your arm or leg, or on one side of your body, sudden or severe headache, or problems with vision, speech, or walking after receiving this medicine.

Check with your doctor right away if you have bloody urine, a decrease in frequency or amount of urine, an increase in blood pressure, increased thirst, loss of appetite, lower back or side pain, nausea, swelling of the face, fingers, or lower legs, trouble breathing, unusual tiredness or weakness, vomiting, or weight gain. These could be symptoms of a serious kidney problem.

This medicine may cause a serious allergic reaction, including anaphylaxis, which can be life-threatening and requires immediate medical attention. Tell your doctor right away if you have a rash, itching, hoarseness, trouble breathing, trouble swallowing, or any swelling of your hands, face, or mouth after using this medicine.

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Serious skin reactions, including Stevens-Johnson syndrome, toxic epidermal necrolysis, drug reaction with eosinophilia and systemic symptoms (DRESS), and acute generalized exanthematous pustulosis can occur with this medicine. Check with your doctor right away if you have black, tarry stools, blistering, peeling, or loosening of the skin, chest pain, chills, cough, diarrhea, fever, itching, joint or muscle pain, painful or difficult urination, red irritated eyes, red skin lesions, often with a purple center, sore throat, sores, ulcers, or white spots in the mouth or on the lips, swollen glands, unusual bleeding or bruising, or unusual tiredness or weakness.

This medicine may cause hypothyroidism (underactive thyroid) in children 3 years of age and younger. Check with your doctor right away if your child has depressed mood, dry skin and hair, feeling cold, hair loss, hoarseness or a husky voice, muscle cramps and stiffness, slowed heartbeat, weight gain, or unusual tiredness or weakness.

Tell your doctor right away if you or your child have mild, burning pain, feeling of warmth or coldness, peeling of the skin, redness, or swelling at the injection site.

Make sure your doctor knows if you or your child have had an allergic reaction to any dye or medicine given during a test or procedure.

While using this medicine, you may be exposed to radiation. Talk with your doctor if you have concerns about this.

Make sure any doctor or dentist who treats you knows that you are using this medicine. This medicine may affect the results of certain medical tests.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

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What Is Iodixanol Used For?

 

Iodixanol is a widely recognized contrast agent used in medical imaging, known by trade names such as Visipaque. It is a nonionic, iso-osmolar contrast medium primarily utilized for enhancing the visibility of various bodily tissues during radiographic procedures. The development and study of Iodixanol have been driven by several prominent pharmaceutical and research institutions, aimed at achieving a safer and more effective contrast agent. As a drug, it falls under the category of radiographic contrast media and is indicated for use in computed tomography (CT) scans, angiography, and other radiological imaging techniques. Research into Iodixanol has shown that it offers significant benefits over older contrast agents, particularly in terms of safety and patient tolerance.

The mechanism of action of Iodixanol revolves around its ability to enhance the contrast of structures in imaging studies. As a contrast agent, Iodixanol contains iodine, which has high atomic number and electron density, thus absorbing X-rays more effectively than surrounding tissues. When administered into the body, Iodixanol increases the attenuation of X-rays in the targeted area, enhancing the radiographic contrast and allowing for clearer, more detailed images. This is particularly useful in detecting and diagnosing conditions such as vascular diseases, tumors, and organ abnormalities. The iso-osmolarity of Iodixanol, meaning it has the same osmolarity as blood, minimizes the risk of adverse reactions compared to hyperosmolar contrast agents, making it a preferable choice, especially for patients with compromised kidney function or those at high risk of contrast-induced nephropathy.

Administering Iodixanol involves various methods depending on the diagnostic requirements. It can be delivered intravenously, intra-arterially, or intrathecally, with the route of administration chosen based on the specific type of imaging procedure. For instance, intravenous administration is commonly used for CT scans, while intra-arterial may be preferred for angiography. The onset of action of Iodixanol is rapid, typically occurring within seconds to minutes after administration, as it quickly disperses through the bloodstream to the targeted tissues. The dosage and volume of Iodixanol used depend on the patient's age, weight, health status, and the specific diagnostic requirement. Proper hydration before and after the procedure is often recommended to facilitate the clearance of the contrast agent from the body and reduce the risk of nephrotoxicity.

Despite its safety profile, Iodixanol can cause side effects, although they are generally mild and transient. Common side effects include nausea, vomiting, headache, dizziness, and a warm or flushing sensation. In rare cases, more severe reactions can occur, such as anaphylaxis, which requires immediate medical intervention. Iodixanol is contraindicated in patients with a known hypersensitivity to iodinated contrast media or any components of the drug. It should also be used with caution in patients with severe renal impairment, severe cardiovascular disease, or thyroid disorders, as these conditions may increase the risk of adverse reactions. Pre-procedural screening and appropriate pre-medication protocols can help mitigate the risks associated with Iodixanol administration.

Interactions with other drugs are an important consideration when using Iodixanol. Nephrotoxic medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs), aminoglycosides, and certain chemotherapeutic agents, can exacerbate the risk of kidney damage when used concurrently with Iodixanol. Additionally, medications affecting thyroid function, like amiodarone, may interact with the iodine in Iodixanol, potentially leading to thyroid dysfunction. Patients on metformin, particularly those with preexisting renal impairment, should be monitored carefully, as the combination with Iodixanol can increase the risk of lactic acidosis. It is crucial to inform healthcare providers of all medications and supplements being taken to appropriately manage potential interactions and ensure the safe use of Iodixanol.

 

What Is The Mechanism Of Iodixanol?
 

Iodixanol is a nonionic, water-soluble iodine-based contrast agent commonly used in medical imaging procedures such as X-rays, computed tomography (CT) scans, and angiography. Its primary role is to enhance the visibility of blood vessels, organs, and other anatomical structures, thereby aiding in the accurate diagnosis of various medical conditions. Understanding the mechanism of action of Iodixanol involves exploring its chemical properties, how it interacts with the body, and its pharmacokinetics.

 

Chemically, Iodixanol is a dimeric compound, which means it consists of two identical molecular units linked together. This dimeric structure contributes to its high iodine content, which is crucial for its effectiveness as a contrast agent. Iodine atoms are dense and absorb X-rays efficiently, creating a stark contrast between the tissues where the agent accumulates and those where it does not. The high atomic number of iodine (Z=53) allows it to absorb X-rays more effectively than surrounding tissues, thereby enhancing image contrast.

 

The administration of Iodixanol usually occurs intravenously. Once injected into the bloodstream, it circulates through the vascular system and distributes into various tissues. Due to its water solubility, Iodixanol easily mixes with blood and other bodily fluids, ensuring even distribution. The contrast agent is also designed to be isotonic with blood, meaning it has the same osmolarity as blood plasma. This isotonicity reduces the risk of adverse reactions compared to other contrast media that are hypertonic and can cause osmotic imbalances.

 

When Iodixanol reaches the target area, its iodine atoms absorb the X-rays, creating a detailed image on the X-ray film or digital detector. For example, in a CT scan, the enhanced contrast helps to delineate structures like blood vessels, tumors, and other abnormalities more clearly. In angiography, Iodixanol helps visualize the blood vessels, enabling the detection of blockages, aneurysms, and other vascular conditions.

 

The pharmacokinetics of Iodixanol involve its absorption, distribution, metabolism, and excretion. Given that it is administered intravenously, Iodixanol bypasses the absorption phase and goes directly into systemic circulation. It distributes rapidly throughout the extracellular fluid compartments. One of the key advantages of Iodixanol is its minimal protein binding, which reduces the likelihood of interference with endogenous substances and other medications.

 

Iodixanol is not metabolized by the body; instead, it remains chemically unchanged and is primarily excreted through the kidneys via glomerular filtration. Its elimination half-life can vary depending on renal function but is generally around two hours in patients with normal kidney function. In patients with impaired renal function, the elimination half-life may be prolonged, necessitating careful monitoring and possibly dosage adjustments.

 

Safety is a significant consideration with any contrast agent. Iodixanol is known for having a favorable safety profile, with a lower incidence of adverse reactions compared to some other contrast agents. Common side effects may include mild discomfort at the injection site, nausea, or a warm sensation. Serious adverse reactions are rare but can include allergic reactions, nephrotoxicity, and cardiovascular events. Pre-screening patients for risk factors and monitoring during and after the procedure can help mitigate these risks.

 

 
Our Factory

 

The company, located in Yanhai Industrial Park, one of the largest pharmaceutical industrial zones in China, covers an area of 35 acres. Through its three product segments - Guaiacol derivatives, Epichlorohydrin derivatives and Iodine contrast media - Haizhou Pharm offers a portfolio of products and services globally, including Active Pharmaceutical Ingredients (API), Intermediates, fine chemicals and Customs manufacturing service.

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FAQ

 

Q: What is iodixanol used for?

A: Iodixanol injection is used to help diagnose or find problems in the brain, heart, head, blood vessels, kidneys, bladder, and other parts of the body. It is an iodinated contrast agent.

Q: What is the function of iodixanol?

A: Iodixanol is a contrast agent commonly used during coronary angiography, particularly in individuals with renal dysfunction, as it is believed to be less toxic to the kidneys than most other intravascular contrast agents. It is an imaging contrast agent with the same osmolality as blood (290mOsm/kg H20).

Q: What is another name for iodixanol?

A: Iodixanol, sold under the brand name Visipaque, is an iodine-containing non-ionic radiocontrast agent. It is available as a generic medication.

Q: What does iodine contrast do to your body?

A: Iodinated contrast media exposure can potentially cause incident hyperthyroidism and incident overt hypothyroidism." Hyperthyroidism is the effect of iodine being a substrate of thyroid hormones, and is then called the Jod-Basedow phenomenon.

Q: How much does iodixanol cost?

A: The cost for iodixanol (320 mg/mL) injectable solution is around $473 for a supply of 500 milliliters, depending on the pharmacy you visit.

Q: What is an adverse reaction to iodixanol?

A: Side effects that you should report to your doctor or health care professional as soon as possible: allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue. pain, redness, or irritation at site where injected. rash, fever, and swollen lymph nodes.

Q: What type of contrast is iodixanol?

A: Safety, tolerance, and pharmacokinetics of iodixanol injection, a nonionic, isosmolar, hexa-iodinated contrast agent.

Q: What is the difference between iodixanol and iohexol?

A: The assumed general concept is that iohexol has not only higher iodine concentration but also higher osmolarity, which will absorb water and have a subsequent dilution effect [12]. Iodixanol has a lower iodine concentration, but the isoosmolarity characteristic might prevent the contrast bolus from overdilution.

Q: What happens if you take iodine everyday?

A: Can iodine be harmful? Yes, if you get too much. Getting high levels of iodine can cause some of the same symptoms as iodine deficiency, including goiter (an enlarged thyroid gland). High iodine intakes can also cause thyroid gland inflammation and thyroid cancer.

Q: What are the benefits of iodixanol?

A: Radiopaque contrast agents are used to allow blood vessels, organs, and other non-bony tissues to be seen more clearly on a CT scan or other radiologic (x-ray) examination. Iodixanol is used to help diagnose certain disorders of the brain, blood vessels, heart, kidneys, and other internal organs.

Q: What is the viscosity of iodixanol?

A: The viscosity of all iodixanol (Visipaque) solutions is less than or equal to that of iohexol (Omnipaque) 350 mg I/ml. Iodixanol itself is an amorphorus and hygroscopic solid which is freely soluble in water. Partition coefficients show that iodixanol is even more hydrophilic than the nonionic monomers such as iohexol.

Q: Is iohexol safe?

A: Contrast dye products like Omnipaque (iohexol) can cause severe, and even fatal, kidney problems. Your risk is higher if you have certain factors like older age, diabetes, or taking medications that can cause kidney problems.

Q: How does iodixanol gradient work?

A: In the iodixanol gradient method, each iodixanol fraction has a different function. The 60% layer acts as a cushion for the AAV, so the virus will sit between the 40% and 60% fractions. The 40% and 25% layers remove contaminants with lower densities than intact virions, such as empty capsids.

 

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