Peringatan Keamanan

Non-ionic radiocontrast agents like iodixanol are cytotoxic to renal cells. The toxic effects include apoptosis, cellular energy failure, disruption of calcium homeostasis, and disturbance of tubular cell polarity, and are thought to be linked to oxidative stress.

Iodixanol

DB01249

small molecule approved

Deskripsi

Iodixanol is a nonionic hydrophilic compound commonly used as a contrast agent 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.

Struktur Molekul 2D

Berat 1550.1819
Wujud solid

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) 2.1 hours. In patients with significantly impaired renal function (mean creatinine clearance rate, 9.91 [± 3.58] mL per minute), the plasma half-life is increased to 23 hours.
Volume Distribusi * 0.26 L/kg
Klirens (Clearance) -

Absorpsi

Data absorpsi tidak tersedia.

Metabolisme

Excreted unchanged

Rute Eliminasi

In adults, approximately 97% of the injected dose of iodixanol is excreted unchanged in urine within 24 hours, with less than 2% excreted in feces within five days post-injection.

Interaksi Obat

727 Data
Aldesleukin The risk of a hypersensitivity reaction to Iodixanol is increased when it is combined with Aldesleukin.
Metformin The risk or severity of adverse effects can be increased when Iodixanol is combined with Metformin.
Cyclosporine Cyclosporine may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Icosapent Icosapent may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cefotiam Cefotiam may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Mesalazine Mesalazine may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cefmenoxime Cefmenoxime may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cefmetazole Cefmetazole may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Pamidronic acid Pamidronic acid may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Tenofovir disoproxil Tenofovir disoproxil may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Indomethacin Indomethacin may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cidofovir Cidofovir may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cefpiramide Cefpiramide may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Ceftazidime Ceftazidime may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Loracarbef Loracarbef may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cefalotin Cefalotin may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Nabumetone Nabumetone may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Ketorolac Ketorolac may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Tenoxicam Tenoxicam may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Celecoxib Celecoxib may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cefotaxime Cefotaxime may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Tolmetin Tolmetin may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Foscarnet Foscarnet may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Rofecoxib Rofecoxib may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Piroxicam Piroxicam may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Methotrexate Methotrexate may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cephalexin Cephalexin may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Fenoprofen Fenoprofen may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Valaciclovir Valaciclovir may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Valdecoxib Valdecoxib may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Diclofenac Diclofenac may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Sulindac Sulindac may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Bacitracin Bacitracin may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Amphotericin B Amphotericin B may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cephaloglycin Cephaloglycin may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Flurbiprofen Flurbiprofen may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Adefovir dipivoxil Adefovir dipivoxil may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Pentamidine Pentamidine may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Etodolac Etodolac may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Mefenamic acid Mefenamic acid may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Acyclovir Acyclovir may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Naproxen Naproxen may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Sulfasalazine Sulfasalazine may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Phenylbutazone Phenylbutazone may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Meloxicam Meloxicam may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Carprofen Carprofen may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cefaclor Cefaclor may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Diflunisal Diflunisal may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Tacrolimus Tacrolimus may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Ceforanide Ceforanide may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Salicylic acid Salicylic acid may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Meclofenamic acid Meclofenamic acid may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Acetylsalicylic acid Acetylsalicylic acid may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Carboplatin Carboplatin may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Oxaprozin Oxaprozin may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Ketoprofen Ketoprofen may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Balsalazide Balsalazide may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Ibuprofen Ibuprofen may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cefditoren Cefditoren may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Atazanavir Atazanavir may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Colistimethate Colistimethate may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cefuroxime Cefuroxime may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cefapirin Cefapirin may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cefadroxil Cefadroxil may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cefprozil Cefprozil may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Ceftriaxone Ceftriaxone may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Olsalazine Olsalazine may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Lumiracoxib Lumiracoxib may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cefamandole Cefamandole may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cefazolin Cefazolin may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cefonicid Cefonicid may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cefoperazone Cefoperazone may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cefotetan Cefotetan may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cefoxitin Cefoxitin may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Ceftizoxime Ceftizoxime may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cefradine Cefradine may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Magnesium salicylate Magnesium salicylate may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Salsalate Salsalate may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Choline magnesium trisalicylate Choline magnesium trisalicylate may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cefepime Cefepime may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cefacetrile Cefacetrile may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Ceftibuten Ceftibuten may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cefpodoxime Cefpodoxime may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Antrafenine Antrafenine may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Aminophenazone Aminophenazone may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Antipyrine Antipyrine may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Tiaprofenic acid Tiaprofenic acid may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Lopinavir Lopinavir may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Etoricoxib Etoricoxib may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Hydrolyzed Cephalothin Hydrolyzed Cephalothin may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cephalothin Group Cephalothin Group may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Oxyphenbutazone Oxyphenbutazone may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Latamoxef Latamoxef may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Nimesulide Nimesulide may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Benoxaprofen Benoxaprofen may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Metamizole Metamizole may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Zomepirac Zomepirac may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Ceftobiprole Ceftobiprole may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Cimicoxib Cimicoxib may decrease the excretion rate of Iodixanol which could result in a higher serum level.
Ceftaroline fosamil Ceftaroline fosamil may decrease the excretion rate of Iodixanol which could result in a higher serum level.

Referensi & Sumber

Synthesis reference: Ole Homestad, "Preparation of iodixanol." U.S. Patent US20020010368, issued January 24, 2002.
Artikel (PubMed)
  • PMID: 8957160
    Spencer CM, Goa KL: Iodixanol. A review of its pharmacodynamic and pharmacokinetic properties and diagnostic use as an x-ray contrast medium. Drugs. 1996 Dec;52(6):899-927.
  • PMID: 17081087
    McCullough PA: Renal safety of iodixanol. Expert Rev Cardiovasc Ther. 2006 Sep;4(5):655-61.

Contoh Produk & Brand

Produk: 6 • International brands: 3
Produk
  • Iodixanol
    Injection, solution • 320 mg/1mL • Intravascular • US • Generic • Approved
  • Iodixanol
    Injection, solution • 270 mg/1mL • Intravascular • US • Generic • Approved
  • Visipaque
    Injection, solution • 270 mg/1mL • Intravascular • US • Approved
  • Visipaque
    Injection, solution • 320 mg/1mL • Intravascular • US • Approved
  • Visipaque 270
    Solution • 550 mg / mL • Intra-arterial; Intravenous • Canada • Approved
  • Visipaque 320
    Solution • 652 mg / mL • Intra-arterial; Intravenous • Canada • Approved
International Brands
  • Visipaque
  • Visipaque 270
  • Visipaque 320

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