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DSSTox_CID_3158
Also known as: 60166-93-0, Iopamiron, Isovue, Iopamiro, Niopam, Solutrast
Molecular Formula
C17H22I3N3O8
Molecular Weight
777.1  g/mol
InChI Key
XQZXYNRDCRIARQ-LURJTMIESA-N
FDA UNII
JR13W81H44

A non-ionic, water-soluble contrast agent which is used in myelography, arthrography, nephroangiography, arteriography, and other radiological procedures.
Iopamidol is a Radiographic Contrast Agent. The mechanism of action of iopamidol is as a X-Ray Contrast Activity.
1 2D Structure

DSSTox_CID_3158

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
1-N,3-N-bis(1,3-dihydroxypropan-2-yl)-5-[[(2S)-2-hydroxypropanoyl]amino]-2,4,6-triiodobenzene-1,3-dicarboxamide
2.1.2 InChI
InChI=1S/C17H22I3N3O8/c1-6(28)15(29)23-14-12(19)9(16(30)21-7(2-24)3-25)11(18)10(13(14)20)17(31)22-8(4-26)5-27/h6-8,24-28H,2-5H2,1H3,(H,21,30)(H,22,31)(H,23,29)/t6-/m0/s1
2.1.3 InChI Key
XQZXYNRDCRIARQ-LURJTMIESA-N
2.1.4 Canonical SMILES
CC(C(=O)NC1=C(C(=C(C(=C1I)C(=O)NC(CO)CO)I)C(=O)NC(CO)CO)I)O
2.1.5 Isomeric SMILES
C[C@@H](C(=O)NC1=C(C(=C(C(=C1I)C(=O)NC(CO)CO)I)C(=O)NC(CO)CO)I)O
2.2 Other Identifiers
2.2.1 UNII
JR13W81H44
2.3 Synonyms
2.3.1 MeSH Synonyms

1. B 15,000

2. B 15000

3. B-15,000

4. B-15000

5. B15,000

6. B15000

7. Gastromiro

8. Iopamidol, (+-)-isomer

9. Iopamidol, (r)-isomer

10. Iopamidol, Sodium Salt, (s)-isomer

11. Iopamiro

12. Isovue

13. Isovue 370

14. Jopamidol

15. Niopam

16. Solutrast

17. Solutrast 370

18. Solutrast Gastro

19. Sq 13,396

2.3.2 Depositor-Supplied Synonyms

1. 60166-93-0

2. Iopamiron

3. Isovue

4. Iopamiro

5. Niopam

6. Solutrast

7. Iomapidol

8. Gastromiro

9. Iopamidolum

10. B-15000

11. Sq-13396

12. Sq 13,396

13. 62883-00-5

14. (s)-n,n'-bis(2-hydroxy-1-(hydroxymethyl)ethyl)-2,4,6-triiodo-5-lactamidoisophthalamide

15. L-(+)-n,n'-bis(2-hydroxy-1-hydroxymethylethyl)-2,4,6-triiodo-5-lactamide Isophthalamide

16. L-5alpha-hydroxypropionylamino-2,4,6-triiodoisophthalic Acid Di(1,3-dihydroxy-2-propylamide)

17. Chebi:31711

18. Jr13w81h44

19. (s)-n1,n3-bis(1,3-dihydroxypropan-2-yl)-5-(2-hydroxypropanamido)-2,4,6-triiodoisophthalamide

20. Iopamidol 300

21. Solutrast 370

22. Ncgc00016892-01

23. Oypalomin

24. Isovue 370

25. Cas-60166-93-0

26. Dsstox_cid_3158

27. Dsstox_rid_76896

28. Dsstox_gsid_23158

29. 1,3-benzenedicarboxamide, N,n'-bis(2-hydroxy-1-(hydroxymethyl)ethyl)-5-((2-hydroxy-1-oxopropyl)amino)-2,4,6-triiodo-, (s)-

30. 1-n,3-n-bis(1,3-dihydroxypropan-2-yl)-5-[[(2s)-2-hydroxypropanoyl]amino]-2,4,6-triiodobenzene-1,3-dicarboxamide

31. Iopamiron 300

32. Iopamiron 370

33. Jopamiron 200

34. Iopamiro 370

35. Isovue-370

36. Niopam 300

37. Iopamidolum [inn-latin]

38. N,n'-bis(1,3-dihydroxypropan-2-yl)-5-{[(2s)-2-hydroxypropanoyl]amino}-2,4,6-triiodobenzene-1,3-dicarboxamide

39. Iopamidol-200

40. Iopamidol-250

41. Iopamidol-300

42. Iopamidol-370

43. Scanlux-300

44. Scanlux-370

45. Isovue-128

46. Isovue-200

47. Isovue-250

48. Isovue-300

49. Isovue-m 200

50. Isovue-m 300

51. Einecs 262-093-6

52. B 15000

53. Brn 6250226

54. Iopamyron

55. Sq 13396

56. Unii-jr13w81h44

57. Hsdb 8075

58. Iopamiron (tn)

59. Iopamidol-200 In Plastic Container

60. Iopamidol-250 In Plastic Container

61. Iopamidol-300 In Plastic Container

62. Iopamidol-370 In Plastic Container

63. Isovue (tn)

64. Iopamidol [usan:usp:inn:ban:jan]

65. Iopamidol [inn]

66. Iopamidol [jan]

67. Iopamidol [mi]

68. Iopamidol [usan]

69. Prestwick0_000871

70. Prestwick1_000871

71. Prestwick2_000871

72. Prestwick3_000871

73. Iopamidol [vandf]

74. Iopamidol (jp17/usp)

75. Iopamidol [mart.]

76. Iopamidol [who-dd]

77. L-5alpha-idrossipropionilamino-2,4,6-triiodoisoftal-di(1,3-diidrossi-2-propilamide)

78. Schembl27781

79. Bspbio_000941

80. Spbio_002862

81. Bpbio1_001037

82. Iopamidol [ep Impurity]

83. Iopamidol [orange Book]

84. Chembl1200932

85. Dtxsid1023158

86. Iopamidol [ep Monograph]

87. Iopamidol [usp Monograph]

88. Hms1570p03

89. Hms2097p03

90. Hms3714p03

91. Pharmakon1600-01502304

92. Act03261

93. Hy-b0684

94. Zinc3830947

95. Tox21_110668

96. Nsc759636

97. S4532

98. Akos015891034

99. Tox21_110668_1

100. Ccg-213024

101. Db08947

102. Ks-1421

103. Ncgc00016892-02

104. Ncgc00016892-04

105. (s)-n,n Inverted Exclamation Marka-bis[2-hydroxy-1-(hydroxymethyl)ethyl]-2,4,6-triiodo-5-lactamidoisophthalamide

106. (s)-n,n'-bis(2-hydroxy-1-(hydroxymethyl)ethyl)-5-((2-hydroxy-1-oxopropyl)amino)-2,4,6-triiodoisophthaldiamide

107. 1,3-benzenedicarboxamide, N,n'-bis(2-hydroxy-1-(hydroxymethyl)ethyl)-5-(((2s)-2-hydroxy-1-oxopropyl)amino)-2,4,6-triiodo-

108. N1,n3-bis(1,3-dihydroxypropan-2-yl)-5-(2-hydroxypropanoylamino)-2,4,6-triiodo-benzene-1,3-dicarboxamide

109. Ab00513941

110. D01797

111. H11976

112. Hydroxypropanamido)-2,4,6-triiodoisophthalamide

113. Ab00513941_02

114. 166i930

115. A834067

116. Q424788

117. Q-201245

118. (s)-n1,n3-bis(1,3-dihydroxypropan-2-yl)-5-(2-

119. Brd-k75868704-001-01-2

120. (s)-n,n'-bis[2-hydroxy-1-(hydroxymethyl)ethyl]-5-[(2-hydroxy-1-oxopropyl)amino]-2,4,6-triiodo-1,3-benzenedicarboxamide

121. N,n'-bis[2-hydroxy-1-(hydroxymethyl)ethyl]-5-[[(2s)-2-hydroxy-1-oxopropyl]amino]-2,4,6-triiodo-1,3-benzenedicarboxamide

122. N,n'-bis[2-hydroxy-1-(hydroxymethyl)ethyl]-5-{[(2s)-2-hydroxypropanoyl]amino}-2,4,6-triiodobenzene-1,3-dicarboxamide

123. N1,n3-bis(1,3-dihydroxypropan-2-yl)-5-[(2s)-2-hydroxypropanamido]-2,4,6-triiodobenzene-1,3-dicarboxamide

2.4 Create Date
2005-06-24
3 Chemical and Physical Properties
Molecular Weight 777.1 g/mol
Molecular Formula C17H22I3N3O8
XLogP3-2.4
Hydrogen Bond Donor Count8
Hydrogen Bond Acceptor Count8
Rotatable Bond Count10
Exact Mass776.8541 g/mol
Monoisotopic Mass776.8541 g/mol
Topological Polar Surface Area188 Ų
Heavy Atom Count31
Formal Charge0
Complexity583
Isotope Atom Count0
Defined Atom Stereocenter Count1
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Information
1 of 22  
Drug NameIopamidol-250
Active IngredientIopamidol
Dosage FormInjectable
RouteInjection
Strength51%
Market StatusPrescription
CompanyFresenius Kabi Usa

2 of 22  
Drug NameIopamidol-300
Active IngredientIopamidol
Dosage FormInjectable
RouteInjection
Strength61%
Market StatusPrescription
CompanyFresenius Kabi Usa

3 of 22  
Drug NameIopamidol-370
Drug LabelISOVUE (Iopamidol Injection) formulations are stable, aqueous, sterile, and nonpyrogenic solutions for intravascular administration. Each bottle is to be used as a Pharmacy Bulk Package for dispensing multiple single dose preparations utilizing a sui...
Active IngredientIopamidol
Dosage FormInjectable
RouteInjection
Strength76%
Market StatusPrescription
CompanyFresenius Kabi Usa

4 of 22  
Drug NameIsovue-200
Drug LabelISOVUE (Iopamidol Injection) formulations are stable, aqueous, sterile, and nonpyrogenic solutions for intravascular administration. Each bottle is to be used as a Pharmacy Bulk Package for dispensing multiple single dose preparations utilizing a sui...
Active IngredientIopamidol
Dosage FormInjectable
RouteInjection
Strength41%
Market StatusPrescription
CompanyBracco

5 of 22  
Drug NameIsovue-250
Drug LabelDiagnostic NONIONIC RADIOPAQUE CONTRAST MEDIAFor Intrathecal Administration in NeuroradiologyIncluding Myelography (Lumbar, Thoracic, Cervical, Total Columnar) Pediatric Myelography (Lumbar, Thoracic), and for Contrast Enhancement of Computed Tomogra...
Active IngredientIopamidol
Dosage FormInjectable
RouteInjection
Strength51%
Market StatusPrescription
CompanyBracco

6 of 22  
Drug NameIsovue-300
Drug LabelISOVUE (Iopamidol Injection) formulations are stable, aqueous, sterile, and nonpyrogenic solutions for intravascular administration. Each bottle is to be used as a Pharmacy Bulk Package for dispensing multiple single dose preparations utilizing a sui...
Active IngredientIopamidol
Dosage FormInjectable
RouteInjection
Strength61%
Market StatusPrescription
CompanyBracco

7 of 22  
Drug NameIsovue-370
Active IngredientIopamidol
Dosage FormInjectable
RouteInjection
Strength76%
Market StatusPrescription
CompanyBracco

8 of 22  
Drug NameIsovue-m 200
Drug LabelISOVUE (lopamidol Injection) formulations are stable, aqueous, sterile, and nonpyrogenic solutions for intravascular administration.Each mL of ISOVUE-200 (lopamidol Injection 41%) provides 408 mg iopamidol with 1 mg tromethamine and 0.26 mg edetate c...
Active IngredientIopamidol
Dosage FormInjectable
RouteInjection
Strength41%
Market StatusPrescription
CompanyBracco

9 of 22  
Drug NameIsovue-m 300
Active IngredientIopamidol
Dosage FormInjectable
RouteInjection
Strength61%
Market StatusPrescription
CompanyBracco

10 of 22  
Drug NameScanlux-300
Active IngredientIopamidol
Dosage FormInjectable
RouteInjection
Strength61%
Market StatusPrescription
CompanySanochemia Corp Usa

11 of 22  
Drug NameScanlux-370
Active IngredientIopamidol
Dosage FormInjectable
RouteInjection
Strength76%
Market StatusPrescription
CompanySanochemia Corp Usa

12 of 22  
Drug NameIopamidol-250
Active IngredientIopamidol
Dosage FormInjectable
RouteInjection
Strength51%
Market StatusPrescription
CompanyFresenius Kabi Usa

13 of 22  
Drug NameIopamidol-300
Active IngredientIopamidol
Dosage FormInjectable
RouteInjection
Strength61%
Market StatusPrescription
CompanyFresenius Kabi Usa

14 of 22  
Drug NameIopamidol-370
Drug LabelISOVUE (Iopamidol Injection) formulations are stable, aqueous, sterile, and nonpyrogenic solutions for intravascular administration. Each bottle is to be used as a Pharmacy Bulk Package for dispensing multiple single dose preparations utilizing a sui...
Active IngredientIopamidol
Dosage FormInjectable
RouteInjection
Strength76%
Market StatusPrescription
CompanyFresenius Kabi Usa

15 of 22  
Drug NameIsovue-200
Drug LabelISOVUE (Iopamidol Injection) formulations are stable, aqueous, sterile, and nonpyrogenic solutions for intravascular administration. Each bottle is to be used as a Pharmacy Bulk Package for dispensing multiple single dose preparations utilizing a sui...
Active IngredientIopamidol
Dosage FormInjectable
RouteInjection
Strength41%
Market StatusPrescription
CompanyBracco

16 of 22  
Drug NameIsovue-250
Drug LabelDiagnostic NONIONIC RADIOPAQUE CONTRAST MEDIAFor Intrathecal Administration in NeuroradiologyIncluding Myelography (Lumbar, Thoracic, Cervical, Total Columnar) Pediatric Myelography (Lumbar, Thoracic), and for Contrast Enhancement of Computed Tomogra...
Active IngredientIopamidol
Dosage FormInjectable
RouteInjection
Strength51%
Market StatusPrescription
CompanyBracco

17 of 22  
Drug NameIsovue-300
Drug LabelISOVUE (Iopamidol Injection) formulations are stable, aqueous, sterile, and nonpyrogenic solutions for intravascular administration. Each bottle is to be used as a Pharmacy Bulk Package for dispensing multiple single dose preparations utilizing a sui...
Active IngredientIopamidol
Dosage FormInjectable
RouteInjection
Strength61%
Market StatusPrescription
CompanyBracco

18 of 22  
Drug NameIsovue-370
Active IngredientIopamidol
Dosage FormInjectable
RouteInjection
Strength76%
Market StatusPrescription
CompanyBracco

19 of 22  
Drug NameIsovue-m 200
Drug LabelISOVUE (lopamidol Injection) formulations are stable, aqueous, sterile, and nonpyrogenic solutions for intravascular administration.Each mL of ISOVUE-200 (lopamidol Injection 41%) provides 408 mg iopamidol with 1 mg tromethamine and 0.26 mg edetate c...
Active IngredientIopamidol
Dosage FormInjectable
RouteInjection
Strength41%
Market StatusPrescription
CompanyBracco

20 of 22  
Drug NameIsovue-m 300
Active IngredientIopamidol
Dosage FormInjectable
RouteInjection
Strength61%
Market StatusPrescription
CompanyBracco

21 of 22  
Drug NameScanlux-300
Active IngredientIopamidol
Dosage FormInjectable
RouteInjection
Strength61%
Market StatusPrescription
CompanySanochemia Corp Usa

22 of 22  
Drug NameScanlux-370
Active IngredientIopamidol
Dosage FormInjectable
RouteInjection
Strength76%
Market StatusPrescription
CompanySanochemia Corp Usa

4.2 Therapeutic Uses

/EXPERIMENTAL THER:/ Meconium obstruction of prematurity (MO) often occurs in extremely low-birth weight (ELBW) infants, and its treatment is quite a challenge for neonatologists. /Investigators/ attempted to establish a method of primary treatment for MO of prematurity in ELBW infants. An iopamidol enema with 50 cm H2O static pressure was performed as the primary treatment. This procedure is safe and effective and /was recommended/ as the first treatment for MO in ELBW infants. The procedure was performed 50 times in 23 infants and no complications occurred. Out of 23 patients, 20 (88%) improved, but the other 3 did not. In the failure group, the procedure was performed on a significantly later date and the mortality rate was higher (12.5 vs. 67%). This procedure is safe and effective. /The authors/ recommend this as the first treatment for MO in ELBW infants.

PMID:19184049 Nakaoka T et al; Pediatr Surg Int 25 (3): 273-6 (2009)


/EXPERIMENTAL THER:/ ... Ninety mice used in this study were divided into three groups: lipiodol, iopamidol, and normal saline. The test compounds were given by submucosal injection to the gastric wall of anesthetized mice. The specimens were subjected to histopathological examination. The mean grades of acute inflammatory response after iopamidol and lipiodol injection were significantly higher than control group. However, there was no significant difference between iopamidol and lipiodol injection. The mean grade of chronic inflammatory response and fibrosis showed no differences between groups. The presence or absence of fibrinoid necrosis and mesothelial hyperplasia showed no statistical differences at each time point between groups. The foam cell, which is similar to human signet ring cell carcinoma, were not identified in normal saline and iopamidol group, but were detected by postoperative day 7 in lipiodol group. /It was concluded/ that iopamidol and lipiodol when used as a contrast media of CT lymphography is an available material for preoperative sentinel node navigation surgery for gastric cancer with an acceptable incidence of pathological alterations in a mouse model. /The/ results are potentially useful to clinical (human) application.

PMID:22347708 Full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3278638 Hwang SH et al; J Korean Surg Soc 82 (2): 70-8 (2012)


Hematomas and intraparenchymal bleeders seldom demonstrate any contrast enhancement. However, in cases of intraparenchymal clot, for which there is no obvious clinical explanation, contrast media administration may be helpful in ruling out the possibility of associated arteriovenous malformation. /Included in US product label/

US Natl Inst Health; DailyMed. Current Medication Information for ISOVUE (iopamidol) injection, solution (January 2012). Available from, as of June 5, 2012: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=416ab996-a2e8-4fe1-a9c9-f10b86df3bb5


Arteriovenous malformations and aneurysms will show contrast enhancement. For these vascular lesions, the enhancement is probably dependent on the iodine content of the circulating blood pool. /Included in US product label/

US Natl Inst Health; DailyMed. Current Medication Information for ISOVUE (iopamidol) injection, solution (January 2012). Available from, as of June 5, 2012: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=416ab996-a2e8-4fe1-a9c9-f10b86df3bb5


For more Therapeutic Uses (Complete) data for Iopamidol (9 total), please visit the HSDB record page.


4.3 Drug Warning

Focal and generalized motor seizures have been reported after intrathecal use of water-soluble contrast agents including iopamidol. In several of those cases reported with iopamidol, higher than recommended doses were employed. Therefore avoid: deviations from recommended neuroradiologic procedure or patient management; use in patients with a history of epilepsy unless medically justified; overdosage; intracranial entry of a bolus or premature diffusion of a high concentration of the medium; failure to maintain elevation of the head during the procedure, on the stretcher, and in bed; excessive and particularly active patient movement or straining.[US Natl Inst Health; DailyMed. Current Medication Information for ISOVUE-M (iopamidol) injection, solution

Bracco Diagnostics Inc] (January 2012). Available from, as of June 5, 2012: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=11e893d2-0183-4581-b908-c8b7302c7edb


FDA Pregnancy risk category B: NO EVIDENCE OF RISK IN HUMANS. Adequate, well controlled studies in pregnant women have not shown increased risk of fetal abnormalities despite adverse findings in animals, or, in the absents of adequate human studies, animal studies show no fetal risk. The chance of fetal harm is remote but remains a possibility.

US Natl Inst Health; DailyMed. Current Medication Information for ISOVUE (iopamidol) injection, solution (January 2012). Available from, as of June 5, 2012: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=416ab996-a2e8-4fe1-a9c9-f10b86df3bb5


Use of medications that may lower the seizure threshold (phenothiazine derivatives, including those used for their antihistaminic properties; tricyclic antidepressants; MAO inhibitors; CNS stimulants; analeptics; antipsychotic agents) should be carefully evaluated. While the contributory role of such medications has not been established, some physicians have discontinued these agents at least 48 hours before and for at least 24 hours following intrathecal use.[US Natl Inst Health; DailyMed. Current Medication Information for ISOVUE-M (iopamidol) injection, solution

Bracco Diagnostics Inc] (January 2012). Available from, as of June 5, 2012: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=11e893d2-0183-4581-b908-c8b7302c7edb


Direct intracisternal or ventricular administration for standard radiography (without computerized tomographic enhancement) is not recommended. Inadvertent intracranial entry of a large or concentrated bolus of the contrast medium, which increases the risk of neurotoxicity, can be prevented by careful patient management. Also, effort should be directed to avoid rapid dispersion of the medium causing inadvertent rise to intracranial levels (e.g., by active patient movement). If such intracranial entry of the medium occurs, prophylactic anticonvulsant treatment with diazepam or barbiturates orally for 24 to 48 hours should be considered.[US Natl Inst Health; DailyMed. Current Medication Information for ISOVUE-M (iopamidol) injection, solution

Bracco Diagnostics Inc] (January 2012). Available from, as of June 5, 2012: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=11e893d2-0183-4581-b908-c8b7302c7edb


For more Drug Warnings (Complete) data for Iopamidol (37 total), please visit the HSDB record page.


4.4 Drug Indication

FDA Label


5 Pharmacology and Biochemistry
5.1 MeSH Pharmacological Classification

Contrast Media

Substances used to allow enhanced visualization of tissues. (See all compounds classified as Contrast Media.)


5.2 FDA Pharmacological Classification
5.2.1 Active Moiety
IOPAMIDOL
5.2.2 FDA UNII
JR13W81H44
5.2.3 Pharmacological Classes
X-Ray Contrast Activity [MoA]; Radiographic Contrast Agent [EPC]
5.3 ATC Code

V - Various

V08 - Contrast media

V08A - X-ray contrast media, iodinated

V08AB - Watersoluble, nephrotropic, low osmolar x-ray contrast media

V08AB04 - Iopamidol


5.4 Absorption, Distribution and Excretion

Radiographic contrast media (CM) induce renal vasoconstriction and may initiate induced nephropathy. Endothelin (ET), a vasoconstrictor, and nitric oxide (NO), a vasodilator, which are synthesized in the kidney by the vascular endothelium as well as by tubular epithelial and glomerular mesangial cells, are key modulators of renal circulation after CM administration. Intravascular CM, in addition, induces pronounced diuresis and natriuresis. The aim of the present study was to evaluate and compare changes in endogenous vasoactive mediators and contrast-induced natriuresis after CM administration. Diagnostic angiographic procedures were performed in 14 patients (9 males and 5 females) using the non-ionic CM Iopamidol. Before and immediately after angiography, venous blood and urine samples were obtained. The urinary excretion of ET-1 and nitrates/nitrites (NOx), and the fractional excretion of sodium (FENa) were measured and analyzed. The urinary excretion of both ET-1 and NOx increased significantly (p < 0.05) after angiography, and urinary ET-1 and NOx excretion was correlated with an increase in FENa (p < 0.05). Exposure to CM in humans is associated with an increase in urinary ET and NOx. The excretion of sodium following CM administration is associated with an increase in urinary ET and NOx. ET and NO might be important in the renal change in humans after CM administration.

PMID:16015005 Murakami R et al; Nephron Clin Pract 101 (3): c150-4 (2005)


No iodinated compound other than Iopamidol was found in the urine of subjects who received intrathecal injection of 10 mL of Iopamiro "300". The compound was neither metabolized nor altered in its optical configuration and urinary iodide content was always in the normal range. Between 72 and 85% of injected Iopamidol was excreted within 72 h of injection.

PMID:6687926 Pitre D et al; Neuroradiology 25 (1): 37-8 (1983)


It is not known whether this drug is excreted in human milk.

US Natl Inst Health; DailyMed. Current Medication Information for ISOVUE (iopamidol) injection, solution (January 2012). Available from, as of June 5, 2012: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=416ab996-a2e8-4fe1-a9c9-f10b86df3bb5


The pharmacokinetics of iopamidol in both normal and abnormal tissue have been shown to be variable. Contrast enhancement appears to be greatest soon after administration of the contrast medium, and following intraarterial rather than intravenous administration. ...

US Natl Inst Health; DailyMed. Current Medication Information for ISOVUE (iopamidol) injection, solution (January 2012). Available from, as of June 5, 2012: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=416ab996-a2e8-4fe1-a9c9-f10b86df3bb5


For more Absorption, Distribution and Excretion (Complete) data for Iopamidol (8 total), please visit the HSDB record page.


5.5 Metabolism/Metabolites

No significant metabolism, deiodination, or biotransformation occurs.

US Natl Inst Health; DailyMed. Current Medication Information for ISOVUE (iopamidol) injection, solution (January 2012). Available from, as of June 5, 2012: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=416ab996-a2e8-4fe1-a9c9-f10b86df3bb5


5.6 Biological Half-Life

The pharmacokinetics of iopamidol 370 (Iopamiro), a non-ionic water soluble organic iodine compound, were studied in adults with different degrees of chronic renal failure and in healthy volunteers. After 50 mL were administered i.v., plasma and urine levels were determined. The main pharmacokinetic parameters were calculated on the basis of bi-compartmental open model. There were significant differences from healthy volunteers in half-life beta, which increased with the degree of renal failure as the clearance values decreased. Half-life beta was equal to 1.67 h in healthy volunteers, 4.24 h in patients with mild renal failure and 10.03 h in patients with severe renal failure. The clearance decreased as follows: 0.11 (L/h kg) in healthy volunteers, 0.06 (L/h kg) in patients with mild renal failure and 0.02 (L/h kg) in patients with severe renal failure. No significant differences were found in distribution volume values nor in half-life alpha.

PMID:2222559 Corradi A et al; Arzneimittelforschung 40 (7): 830-2 (1990)


The pharmacokinetics of intravenously administered iopamidol in normal subjects conform to an open two-compartment model with first order elimination (a rapid alpha phase for drug distribution and a slow beta phase for drug elimination). The elimination serum or plasma half-life is approximately two hours; the half-life is not dose dependent.

US Natl Inst Health; DailyMed. Current Medication Information for ISOVUE (iopamidol) injection, solution (January 2012). Available from, as of June 5, 2012: https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=416ab996-a2e8-4fe1-a9c9-f10b86df3bb5


5.7 Mechanism of Action

To test the hypothesis that iodinated contrast media may induce an elevation in serum potassium level, /contrast media was administered to rabbits and tested in-vitro according to four protocols./ Protocol A: After intravenous infusion of contrast media into six rabbits, alterations of potassium ion concentrations were measured. Protocol B: Fresh rabbit blood was mixed in vitro with contrast media, and the fluctuations in potassium were monitored over a 30-minute period. Protocol C: Similar to protocol B, except that blood from humans with no reaction to contrast media was used. For protocol A, blood potassium levels increased above baseline levels. The elevations were statistically significant (P < .05). For protocol B, diatrizoate and ioxaglate caused a gradual increase in blood potassium levels, but iopamidol did not. In protocol C, all three contrast media caused statistically significant elevation in potassium levels. The release of potassium was statistically significant at 5 minutes (P < .05 for diatrizoate and ioxaglate, and P < .01 for iopamidol). The mean release rates (+/- standard deviation) by means of linear regression analysis were 0.0190 mmol/min +/- 0.0112 with diatrizoate, 0.0159 mmol/min +/- 0.0057 with iopamidol, and 0.0088 mmol/min +/- 0.0033 with ioxaglate. Iodinated contrast media increase blood potassium levels causing release of potassium into intravascular spaces. This potassium release may play some role in contrast medium-induced adverse reactions.

PMID:8685334 Hayakawa K, Shimizu Y; Radiology 200 (2): 407-11 (1996)


The synthesis of prostaglandins and other metabolic products of arachidonic acid (AA) was investigated in isolated perfused lungs of hamsters during the infusion of various concentrations of meglumine diatrizoate and iopamidol. Forty nmol of (14)C-AA was infused into the pulmonary circulation with radiographic contrast media (RCM), and prostaglandins, thromboxanes, and metabolites of lipoxygenases were analyzed from the nonrecirculating perfusion effluent. Arachidonate infusion increased the perfusion pressure. This pressor response was decreased by iopamidol ... The amount of radioactivity was decreased in the perfusion effluent and increased in lung lipids by iopamidol. ... Almost all arachidonate metabolites were decreased significantly by iopamidol when compared with hypertonic saline ...

PMID:6413449 Paajanen H et al; Invest Radiol 18 (4): 375-81 (1983)


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