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| | | | Result : Searchterm 'Osmolality' found in 1 term [ ] and 19 definitions [ ]
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The first-generation contrast agents were all ionic monomers, consisting of a tri-iodinated benzene ring with 2 organic side chains and a carboxyl group. Diatrizoate or iothalamate are common iodinated anions, conjugated with a cation, sodium or meglumine. The ionization at the carboxyl-cation bond makes the agent water soluble.
Ionic monomers have the highest osmolality (high-osmolar contrast media (HOCM) possess an osmolality seven to eight times higher than plasma) of the different groups of contrast agents (CM ratio=1.5) and the lowest viscosity. The osmolality in solutions of ionic monomers ranges from 600 to 2100 mOsm/kg (human plasma = 290 mOsm/kg). These high osmolality is related to some of the adverse reactions. HOCM's have been widely replaced by newer contrast agents with improved tolerability and safety profiles.
Examples of HOCM's are Renografin®-60, Hypaque™ and Conray®.
See also Ionic Contrast Agents.
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|  |  | | Low-Osmolar Contrast Media | |
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Nonionic contrast agents are a group of contrast media that do not dissociate into charged particles. Many of the side effects of contrast agents are due to the injection of a solution with high osmolality compared to blood. Nonionic contrast agents have a low osmolality and tend to have less toxicity. However, as with all iodinated contrast agents, serious or fatal reactions have been associated with their use.
Due to their lower neurotoxicity, nonionic contrast agents can also be used for myelography. The only FDA approved agent, iodixanol, is iso-osmolar to blood, which makes it preferable for examinations of the central nervous system and cardiovascular studies. Because of its higher costs relative to other nonionic agents, the use is sometimes reserved for patients with high risk of nephrotoxicity.
See also Nonionic Dimer, Nonionic Monomer and CM Ratio.
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Ultravist® is an iodinated contrast agent with low osmolality and low viscosity, enabling ease of administration and rapid iodine delivery rate. Ultravist® is available in 4 concentrations. Introduced in Europe 1985 and in the US in 1995, Ultravist® is being used today in over 100 countries worldwide.
See also Low-Osmolar Contrast Media.
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Drug Information and Specification |
| NAME OF COMPOUND |
Iopromide |
| DEVELOPER |
Bayer Schering Pharma AG |
| INDICATION |
Brain and body computed tomography, urography, angiography |
| APPLICATION |
Intravascular |
| PHARMACOKINETIC |
Renal excretion |
| CHEMICAL BOND |
Nonionic monomer |
| OSMOLALITY |
483, 607, 774 mosm/kgH2O |
| IODINE CONCENTRATION |
240, 300 an 370 mg/mL |
| DOSAGE |
Depending on the used concentration and imaging procedure |
| PREPARATION |
Ready-to-use product |
| STORAGE |
Store at 25°C (77°F); excursions permitted
to 15° - 30° Celsius (59 - 86° Fahrenheit), protect from light. |
| PRESENTATION |
200 mL and 500 mL bottles |
| DO NOT RELY ON THE INFORMATION PROVIDED HERE, THEY ARE NOT A SUBSTITUTE FOR THE ACCOMPANYING
PACKAGE INSERT! |
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| | | Further Reading: | | Basics: |  | |  |  | Radiocontrast | | 'Radiocontrast agents (also simply contrast agents or contrast materials) are compounds used to improve the visibility of internal ...' | | May 2007 by en.wikipedia.org |
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