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Details

Stereochemistry ACHIRAL
Molecular Formula C20H14I6N2O6
Molecular Weight 1139.7618
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of IODIPAMIDE

SMILES

OC(=O)C1=C(I)C=C(I)C(NC(=O)CCCCC(=O)NC2=C(I)C=C(I)C(C(O)=O)=C2I)=C1I

InChI

InChIKey=FFINMCNLQNTKLU-UHFFFAOYSA-N
InChI=1S/C20H14I6N2O6/c21-7-5-9(23)17(15(25)13(7)19(31)32)27-11(29)3-1-2-4-12(30)28-18-10(24)6-8(22)14(16(18)26)20(33)34/h5-6H,1-4H2,(H,27,29)(H,28,30)(H,31,32)(H,33,34)

HIDE SMILES / InChI

Description
Curator's Comment: Description was created based on several sources, including http://www.drugbank.ca/drugs/DB04711

Iodipamide is used as a contrast agent for cholecystography and intravenous cholangiography. Following intravenous administration of Cholografin Meglumine, iodipamide is carried to the liver where it is rapidly secreted. The contrast medium appears in the bile within 10 to 15 minutes after injection, thus permitting visualization of the hepatic and common bile ducts, even in cholecystectomized patients. Iodipamide (Cholografin Meglumine) is indicated for intravenous cholangiography and cholecystography as follows: (a) visualization of the gallbladder and biliary ducts in the differential diagnosis of acute abdominal conditions, (b) visualization of the biliary ducts, especially in patients with symptoms after cholecystectomy, and (c) visualization of the gallbladder in patients unable to take oral contrast media or to absorb contrast media from the gastrointestinal tract. The biliary ducts are readily visualized within about 25 minutes after administration, except in patients with impaired liver function. The gallbladder begins to fill within an hour after injection; maximum filling is reached after two to two and one-half hours. Organic iodine compounds block x-rays as they pass through the body, thereby allowing body structures containing iodine to be delineated in contrast to those structures that do not contain iodine. The degree of opacity produced by these iodinated organic compounds is directly proportional to the total amount (concentration and volume) of the iodinated contrast agent in the path of the x-rays. Iodipamide's primary excretion through the hepato-biliary system and concentration in bile allows visualization of the gallbladder and biliary ducts.

CNS Activity

Curator's Comment: Iodohippurate and iodipamide are removed from the CSF partly by saturable and presumably active transport, and iodipamide is transported both by the same system as iodohippurate and also by a separate hippurate-insensitive one. Choroid plexus can be one locus of this transport.

Originator

Curator's Comment: Langecker, Hawart and Junkmann developed the first hepatic-biliary X-ray CM, iodipamide (adipiodone; Bili- grafin); in 1953, W. Frommhold introduced it into routine practice. Following experiments with a 40 per cent lithium salt, the manufacturers (Schering A. G.) in 1954 produced Biligrafin in the form of a methylglucamine salt, which is now on the market in 30 and 50 per cent solutions.

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Diagnostic
CHOLOGRAFIN MEGLUMINE

Approved Use

intravenous cholangiography and cholecystography

Launch Date

-4.948992E11
Doses

Doses

DosePopulationAdverse events​
20 mL single, intravenous
Dose: 20 mL
Route: intravenous
Route: single
Dose: 20 mL
Sources:
unhealthy, 19 - 83 years
n = 45
Health Status: unhealthy
Age Group: 19 - 83 years
Sex: M+F
Population Size: 45
Sources:
Other AEs: Hypotension, Nausea...
Other AEs:
Hypotension (severe, 1 patient)
Nausea (3 patients)
Urticaria (2 patients)
Wheezing (1 patient)
Pruritus (1 patient)
Tingling (1 patient)
Nasal congestion (1 patient)
Coughing (1 patient)
Sources:
60 mL single, intravenous
Dose: 60 mL
Route: intravenous
Route: single
Dose: 60 mL
Sources:
healthy, 66 years
n = 1
Health Status: healthy
Age Group: 66 years
Sex: F
Population Size: 1
Sources:
Other AEs: Hepatotoxicity...
AEs

AEs

AESignificanceDosePopulation
Coughing 1 patient
20 mL single, intravenous
Dose: 20 mL
Route: intravenous
Route: single
Dose: 20 mL
Sources:
unhealthy, 19 - 83 years
n = 45
Health Status: unhealthy
Age Group: 19 - 83 years
Sex: M+F
Population Size: 45
Sources:
Nasal congestion 1 patient
20 mL single, intravenous
Dose: 20 mL
Route: intravenous
Route: single
Dose: 20 mL
Sources:
unhealthy, 19 - 83 years
n = 45
Health Status: unhealthy
Age Group: 19 - 83 years
Sex: M+F
Population Size: 45
Sources:
Pruritus 1 patient
20 mL single, intravenous
Dose: 20 mL
Route: intravenous
Route: single
Dose: 20 mL
Sources:
unhealthy, 19 - 83 years
n = 45
Health Status: unhealthy
Age Group: 19 - 83 years
Sex: M+F
Population Size: 45
Sources:
Tingling 1 patient
20 mL single, intravenous
Dose: 20 mL
Route: intravenous
Route: single
Dose: 20 mL
Sources:
unhealthy, 19 - 83 years
n = 45
Health Status: unhealthy
Age Group: 19 - 83 years
Sex: M+F
Population Size: 45
Sources:
Wheezing 1 patient
20 mL single, intravenous
Dose: 20 mL
Route: intravenous
Route: single
Dose: 20 mL
Sources:
unhealthy, 19 - 83 years
n = 45
Health Status: unhealthy
Age Group: 19 - 83 years
Sex: M+F
Population Size: 45
Sources:
Urticaria 2 patients
20 mL single, intravenous
Dose: 20 mL
Route: intravenous
Route: single
Dose: 20 mL
Sources:
unhealthy, 19 - 83 years
n = 45
Health Status: unhealthy
Age Group: 19 - 83 years
Sex: M+F
Population Size: 45
Sources:
Nausea 3 patients
20 mL single, intravenous
Dose: 20 mL
Route: intravenous
Route: single
Dose: 20 mL
Sources:
unhealthy, 19 - 83 years
n = 45
Health Status: unhealthy
Age Group: 19 - 83 years
Sex: M+F
Population Size: 45
Sources:
Hypotension severe, 1 patient
20 mL single, intravenous
Dose: 20 mL
Route: intravenous
Route: single
Dose: 20 mL
Sources:
unhealthy, 19 - 83 years
n = 45
Health Status: unhealthy
Age Group: 19 - 83 years
Sex: M+F
Population Size: 45
Sources:
Hepatotoxicity
60 mL single, intravenous
Dose: 60 mL
Route: intravenous
Route: single
Dose: 60 mL
Sources:
healthy, 66 years
n = 1
Health Status: healthy
Age Group: 66 years
Sex: F
Population Size: 1
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG



OverviewOther

Other InhibitorOther SubstrateOther Inducer







Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
no [Activation >10 uM]
no [Activation >10 uM]
no [Activation >10 uM]
no [Activation >10 uM]
no [Activation >10 uM]
unlikely [IC50 >969.9 uM]
yes [IC50 111 uM]
yes [IC50 5.7 uM]
yes [Inhibition 10 uM]
yes [Inhibition 10 uM]
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Iodipamide kinetics: capacity-limited biliary excretion with simultaneous pseudo-first-order renal excretion.
1977 Dec
Thallium-201 accumulation in a patient with brain abscess.
2002 Jul
[The effect of diagnostic contrast media on the activity of lactate dehydrogenase in rat blood].
2002 Jul-Aug
Multi-slice three-dimensional spiral CT cholangiography: a new technique for diagnosis of biliary diseases.
2002 Nov
Virtual CT cholangiography in patients with choledocholithiasis.
2003 Jul-Aug
[Impact of spiral CT cholangiography on suspected obstructive jaundice].
2003 May
Distributing pattern of the bile duct of the caudate lobe on computed tomography with drip infusion cholangiography and its surgical significance.
2004 Jan-Feb
Accuracy of computed tomographic intravenous cholangiography (CT-IVC) with iotroxate in the detection of choledocholithiasis.
2005 Aug
Volume rendering of three-dimensional drip infusion CT cholangiography in patients with suspected obstructive biliary disease: a retrospective study.
2005 Dec
Concordance of second-order portal venous and biliary tract anatomies on MDCT angiography and MDCT cholangiography.
2005 Jan
Stability of doxorubicin combined with Radioselectan, a contrast agent, for chemoembolization.
2005 Jun
The value of drip infusion cholangiography using multidetector-row helical CT in patients with choledocholithiasis.
2005 Oct
Spiral computed tomography-intravenous cholangiography with three-dimensional reconstructions for imaging the biliary tree.
2006 Apr
Cholecystocolonic fistula diagnosed with CT-intravenous cholangiography.
2006 Oct
Crystallographic analysis of human serum albumin complexed with 4Z,15E-bilirubin-IXalpha.
2008 Aug 29
Rapid analysis of iodinated X-ray contrast media in secondary and tertiary treated wastewater by direct injection liquid chromatography-tandem mass spectrometry.
2008 Dec 12
CT cholangiography in potential liver donors: effect of premedication with intravenous morphine on biliary caliber and visualization.
2008 Jun
Determining binding sites of drugs on human serum albumin using FIA-QCM.
2008 Sep 15
[Hyponatremia induced by iodipamide: three cases report].
2009 Jul
Cystic artery bleeding due to blunt gallbladder injury: computed tomography findings and treatment with transcatheter arterial embolization.
2010 Feb
Fate of nine recycled water trace organic contaminants and metal(loid)s during managed aquifer recharge into a anaerobic aquifer: Column studies.
2010 Mar
Intravenous 64-multi-detector row CT-cholangiography of porcine livers: a feasibility study with definition of the temporal window for optimal bile duct delineation.
2010 Sep
Patents

Patents

Sample Use Guides

The usual adult dose is 20 mL. For infants and children, the suggested dose is 0.3 to 0.6 mL/kg of body weight; the dosage for infants and children should not exceed 20 mL.
Route of Administration: Intravenous
In Vitro Use Guide
Hepatocytes (2x10^6 per ml) were incubated at 37C, pH 7.4 under O2/CO2 atmosphere (95%/5%) with 4.3 uM, 8.6 uM and 12.9 uM iodipamide to attain approximately 1, 2, and 3 nmol/mg cell protein concentration, respectively, in ~20 min.
Name Type Language
IODIPAMIDE
MI   USP   USP-RS  
Common Name English
ADIPIODONE
INN   JAN   MART.  
INN  
Official Name English
IODIPAMIDE [USP-RS]
Common Name English
IODIPAMIDE [USP MONOGRAPH]
Common Name English
BENZOIC ACID, 3,3'-((1,6-DIOXO-1,6-HEXANEDIYL)DIIMINO)BIS(2,4,6-TRIIODO-
Common Name English
adipiodone [INN]
Common Name English
Adipiodone [WHO-DD]
Common Name English
ADIPIODONE [JAN]
Common Name English
3,3'-(ADIPOYLDIIMINO)BIS(2,4,6-TRIIODOBENZOIC ACID)
Systematic Name English
ADIPIODONE [MART.]
Common Name English
IODIPAMIDE [MI]
Common Name English
CHOLOGRAFIN
Brand Name English
NSC-757423
Code English
Classification Tree Code System Code
NDF-RT N0000180185
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
WHO-VATC QV08AC04
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
NCI_THESAURUS C28500
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
WHO-ATC V08AC04
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
NDF-RT N0000010258
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
Code System Code Type Description
MERCK INDEX
m6335
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
PRIMARY Merck Index
DRUG BANK
DB04711
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
PRIMARY
LACTMED
Iodipamide
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
PRIMARY
DRUG CENTRAL
1455
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
PRIMARY
CAS
606-17-7
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
PRIMARY
RXCUI
5936
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
PRIMARY RxNorm
HSDB
8066
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
PRIMARY
ECHA (EC/EINECS)
210-105-5
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
PRIMARY
FDA UNII
TKQ858A3VW
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
PRIMARY
NCI_THESAURUS
C61791
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
PRIMARY
EVMPD
SUB05273MIG
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
PRIMARY
WIKIPEDIA
ADIPIODONE
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
PRIMARY
SMS_ID
100000087685
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
PRIMARY
INN
313
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
PRIMARY
EPA CompTox
DTXSID6023153
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
PRIMARY
ChEMBL
CHEMBL1165268
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
PRIMARY
NSC
757423
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
PRIMARY
MESH
D007458
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
PRIMARY
CHEBI
31176
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
PRIMARY
RS_ITEM_NUM
1343007
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
PRIMARY
IUPHAR
7400
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
PRIMARY
PUBCHEM
3739
Created by admin on Fri Dec 15 15:08:32 UTC 2023 , Edited by admin on Fri Dec 15 15:08:32 UTC 2023
PRIMARY