U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry UNKNOWN
Molecular Formula C18H24I3N3O9
Molecular Weight 807.1113
Optical Activity UNSPECIFIED
Defined Stereocenters 0 / 2
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of IOVERSOL

SMILES

OCCN(C(=O)CO)C1=C(I)C(C(=O)NCC(O)CO)=C(I)C(C(=O)NCC(O)CO)=C1I

InChI

InChIKey=AMDBBAQNWSUWGN-UHFFFAOYSA-N
InChI=1S/C18H24I3N3O9/c19-13-11(17(32)22-3-8(29)5-26)14(20)16(24(1-2-25)10(31)7-28)15(21)12(13)18(33)23-4-9(30)6-27/h8-9,25-30H,1-7H2,(H,22,32)(H,23,33)

HIDE SMILES / InChI

Molecular Formula C18H24I3N3O9
Molecular Weight 807.1113
Charge 0
Count
Stereochemistry MIXED
Additional Stereochemistry No
Defined Stereocenters 0 / 2
E/Z Centers 0
Optical Activity UNSPECIFIED

Description
Curator's Comment: Description was created based on several sources, including: http://www.drugbank.ca/drugs/DB09134 https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=549d38db-d4ed-4708-8f76-7cdaa157063f

Ioversol is an organoiodine compound that used as a contrast medium. It features both a high iodine content, as well as several hydrophilic groups. It is indicated in adults for peripheral and coronary arteriography and left ventriculography, for excretory urography and computed tomography. Injections of contrast media are often associated with sensations of warmth and pain. Renal toxicity has been reported in a few patients with liver dysfunction who were given oral cholecystographic agents followed by intravascular contrast agents.

CNS Activity

Curator's Comment: Optiray (ioversol injection) does not accumulate in normal brain tissue due to the presence of the normal blood-brain barrier

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Diagnostic
OPTIRAY 320

Approved Use

Optiray 320 is indicated in adults for angiography throughout the cardiovascular system. The uses include cerebral, coronary, peripheral, visceral and renal arteriography, venography, aortography, and left ventriculography. Optiray 320 is also indicated for contrast enhanced computed tomographic imaging of the head and body, and intravenous excretory urography. Optiray 320 is indicated in children for angiocardiography, contrast enhanced computed tomographic imaging of the head and body, and intravenous excretory urography. Optiray 300 is indicated for cerebral angiography and peripheral arteriography. Optiray 300 is also indicated for contrast enhanced computed tomographic imaging of the head and body, venography, and intravenous excretory urography. Optiray 240 is indicated for cerebral angiography and venography. Optiray 240 is also indicated for contrast enhanced computed tomographic imaging of the head and body and intravenous excretory urography.

Launch Date

1988
Diagnostic
OPTIRAY 320

Approved Use

Optiray 320 is indicated in adults for angiography throughout the cardiovascular system. The uses include cerebral, coronary, peripheral, visceral and renal arteriography, venography, aortography, and left ventriculography. Optiray 320 is also indicated for contrast enhanced computed tomographic imaging of the head and body, and intravenous excretory urography. Optiray 320 is indicated in children for angiocardiography, contrast enhanced computed tomographic imaging of the head and body, and intravenous excretory urography. Optiray 300 is indicated for cerebral angiography and peripheral arteriography. Optiray 300 is also indicated for contrast enhanced computed tomographic imaging of the head and body, venography, and intravenous excretory urography. Optiray 240 is indicated for cerebral angiography and venography. Optiray 240 is also indicated for contrast enhanced computed tomographic imaging of the head and body and intravenous excretory urography.

Launch Date

1988
Diagnostic
OPTIRAY 320

Approved Use

Optiray 320 is indicated in adults for angiography throughout the cardiovascular system. The uses include cerebral, coronary, peripheral, visceral and renal arteriography, venography, aortography, and left ventriculography. Optiray 320 is also indicated for contrast enhanced computed tomographic imaging of the head and body, and intravenous excretory urography. Optiray 320 is indicated in children for angiocardiography, contrast enhanced computed tomographic imaging of the head and body, and intravenous excretory urography. Optiray 300 is indicated for cerebral angiography and peripheral arteriography. Optiray 300 is also indicated for contrast enhanced computed tomographic imaging of the head and body, venography, and intravenous excretory urography. Optiray 240 is indicated for cerebral angiography and venography. Optiray 240 is also indicated for contrast enhanced computed tomographic imaging of the head and body and intravenous excretory urography.

Launch Date

1988
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
1.45 mg/mL
50 mL single, intravenous
dose: 50 mL
route of administration: Intravenous
experiment type: SINGLE
co-administered:
HYDROGEN IODIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
2.36 mg/mL
150 mL single, intravenous
dose: 150 mL
route of administration: Intravenous
experiment type: SINGLE
co-administered:
HYDROGEN IODIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
1.74 mg × h/mL
50 mL single, intravenous
dose: 50 mL
route of administration: Intravenous
experiment type: SINGLE
co-administered:
HYDROGEN IODIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
4.43 mg × h/mL
150 mL single, intravenous
dose: 150 mL
route of administration: Intravenous
experiment type: SINGLE
co-administered:
HYDROGEN IODIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
2.06 h
50 mL single, intravenous
dose: 50 mL
route of administration: Intravenous
experiment type: SINGLE
co-administered:
HYDROGEN IODIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
2.04 h
150 mL single, intravenous
dose: 150 mL
route of administration: Intravenous
experiment type: SINGLE
co-administered:
HYDROGEN IODIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
100%
IOVERSOL plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
1.6 mg/kg 1 times / day single, intravenous
Recommended
Dose: 1.6 mg/kg, 1 times / day
Route: intravenous
Route: single
Dose: 1.6 mg/kg, 1 times / day
Sources:
unknown, 56 (15-86)
Health Status: unknown
Age Group: 56 (15-86)
Sex: M+F
Sources:
Other AEs: Angina...
AEs

AEs

AESignificanceDosePopulation
Angina
1.6 mg/kg 1 times / day single, intravenous
Recommended
Dose: 1.6 mg/kg, 1 times / day
Route: intravenous
Route: single
Dose: 1.6 mg/kg, 1 times / day
Sources:
unknown, 56 (15-86)
Health Status: unknown
Age Group: 56 (15-86)
Sex: M+F
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer

Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
no
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Opacification of urinary bladder and ureter at CT urography: effect of a log-rolling procedure and postvoiding residual bladder urine volume.
2008-06
Direct MR arthrography at 1.5 and 3.0 T: signal dependence on gadolinium and iodine concentrations--phantom study.
2008-06
4D-CT imaging with synchronized intravenous contrast injection to improve delineation of liver tumors for treatment planning.
2008-06
Detection of biliary duct narrowing and choledocholithiasis: accuracy of portal venous phase multidetector CT.
2008-05
Utility of contrast-enhanced endoscopic ultrasonography for diagnosis of small pancreatic carcinomas.
2008-04
A simple method to estimate the optimum iodine concentration of contrast material through microcatheters: hydrodynamic calculation with spreadsheet software.
2008-03-07
Multidetector-row computed tomography (CT) of blunt pancreatic injuries: can contrast-enhanced multiphasic CT detect pancreatic duct injuries?
2008-03
Incidence of ventricular fibrillation during left coronary arteriography in pigs: comparison of a solution of the nonionic dimer iodixanol with solutions of five different nonionic monomers.
2008-03
Adequacy of an early arterial phase low-volume contrast protocol in 64-detector computed tomography angiography for aortoiliac aneurysms.
2008-03
Contrast enhancement in cardiovascular MDCT: effect of body weight, height, body surface area, body mass index, and obesity.
2008-03
A dual contrast injection technique for multidetector computed tomography angiography of Fontan procedures.
2008-03
The fate of infrarenal abdominal aortic aneurysms after stent grafting: influence of thrombosis at side branch ostia.
2008-02-28
Lymph node enlargement in pulmonary arterial hypertension due to chronic thromboembolism.
2008-02
Transient homogeneously enhancing hepatic masses: can size predict benignity?
2008-02
Asialoerythropoietin prevents contrast-induced nephropathy.
2008-02
ECG-gated chest CT angiography with 64-MDCT and tri-phasic IV contrast administration regimen in patients with acute non-specific chest pain.
2008-02
Comparative rheology of low- and iso-osmolarity contrast agents at different temperatures.
2008-01-01
Is hand injection of central venous catheters for contrast-enhanced CT safe in children?
2007-12
NGAL is an early predictive biomarker of contrast-induced nephropathy in children.
2007-12
Fatal anaphylactoid reaction following ioversol administration.
2007-12
Quantification and detectability of in-stent stenosis with CT angiography and MR angiography in arterial stents in vitro.
2007-11
Spectrum of biliary abnormalities in hepatic hereditary hemorrhagic telangiectasia: demonstration by multidetector computed tomography.
2007-11
Definitive exclusion of biliary atresia in infants with cholestatic jaundice: the role of percutaneous cholecysto-cholangiography.
2007-09
Triphasic dynamic CT findings of 63 hepatic focal nodular hyperplasia in 46 patients: correlation with size and pathological findings.
2007-07-17
[What we can learn from a case of medical malpractice--a case of anaphylactoid shock after administration of nonionic contrast medium].
2007-07
64 MDCT in multiple trauma patients: imaging manifestations and clinical implications of active extravasation.
2007-07
Another case of transplacental passage of the non-ionic contrast agent ioversol.
2007-07
Infection scintigraphy: added value of single-photon emission computed tomography/computed tomography fusion compared with traditional analysis.
2007-06-01
Peritoneography in the diagnosis of peritoneal leaks in peritoneal dialysis.
2007-04
Transplacental passage of non-ionic contrast agents resulting in fetal bowel opacification: a mimic of pneumoperitoneum in the newborn.
2007-04
Modified scan protocol using multislice CT coronary angiography allows high quality acquisitions in obese patients: a case report.
2007-04
Effect of patient weight and scanning duration on contrast enhancement during pulmonary multidetector CT angiography.
2007-02
Serum neutrophil gelatinase-associated lipocalin as a marker of renal function in children with chronic kidney disease.
2007-01
Effect on bone induction of using contrast media to reconstitute recombinant human bone morphogenetic protein-2 in an ectopic model in rats.
2006-11
Drug eruption caused by the nonionic contrast medium iohexol. "Recall-like phenomenon" appearing on an area previously affected by herpes zoster.
2006-10
Irbesartan attenuates contrast media-induced NRK-52E cells apoptosis.
2006-10
A simple radiological technique for demonstration of incorrect positioning of a foley catheter with balloon inflated in the urethra of a male spinal cord injury patient.
2006-06-20
Drug eruptions to contrast media in Japan.
2006-05
The prevention of anaphylactoid reactions to iodinated radiological contrast media: a systematic review.
2006-04-27
Voxel-based mouse and rat models for internal dose calculations.
2006-04
Lung cancer detected in patients presenting to the Emergency Department studies for suspected pulmonary embolism on computed tomography pulmonary angiography.
2006-04
Multi-slice CT angiography for arterial evaluation in the injured lower extremity.
2006-03
Comparative study of vascular enhancement on post-contrast CT using three dosages of iodinated contrast media for the aim of detecting brain metastasis in patients with lung cancer.
2006-02
Renal function and cardiac angiography.
2006-01
Involvement of de novo ceramide synthesis in radiocontrast-induced renal tubular cell injury.
2006-01
Contrast enhancement in electron beam tomography of the heart: comparison of a monomeric and a dimeric iodinated contrast agent in 59 patients.
2006-01
CT-guided jejunostomy tube insertion.
2005-11
Small-bowel perfusion measurement: feasibility with single-compartment kinetic model applied to dynamic contrast-enhanced CT.
2005-11
Quantitative computed tomography perfusion of prostate cancer: correlation with whole-mount pathology.
2005-09
Staging of pancreatic cancer with multidetector CT in the setting of preoperative chemoradiation therapy.
2005-06-15
Patents

Sample Use Guides

In Vivo Use Guide
Curator's Comment: OPTIRAY (ioversol injection) is available in different concentrations: 240, 300, 320 and 350 mgI/mL.
Optiray (ioversol injection) 240, Optiray 300 or Optiray 320 is recommended for cerebral arteriography. The usual individual injection for visualization of the carotid or vertebral arteries is 2 to 12 mL. Aortic arch injection for a simultaneous four vessel study requires 20 to 50 mL. Total procedural doses should not usually exceed 200 mL. Optiray 300, Optiray 320 or Optiray 350 is recommended for peripheral arteriography. The dosage is 20-60 ml. Optiray 320 or Optiray 350 is recommended for coronary arteriography. The dosage is 6-40 mL. Optiray 320 is recommended for visceral arteriography, renal arteriography, and aortography procedures. The dosage is 9-45 mL. Optiray 240, Optiray 300, Optiray 320 or Optiray 350 is recommended for venography. The usual dose is 50 to 100 mL per extremity with smaller or larger volumes indicated in some cases. Dosage should not usually exceed 250 mL.
Route of Administration: Intravascular
In Vitro Use Guide
Ioversol 320 mgI/mL did not significantly inhibit clot lysis (14.9+/-11.5% decrease vs. control; p>0.3).
Substance Class Chemical
Created
by admin
on Mon Mar 31 18:23:59 GMT 2025
Edited
by admin
on Mon Mar 31 18:23:59 GMT 2025
Record UNII
N3RIB7X24K
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
IOVERSOL
INN   JAN   MART.   MI   ORANGE BOOK   USAN   USP   USP-RS   VANDF   WHO-DD  
INN   USAN  
Official Name English
OPTIRAY
Preferred Name English
IOVERSOL [JAN]
Common Name English
N,N'-BIS(2,3-DIHYDROXYPROPYL)-5-(N-(2-HYDROXYETHYL)GLYCOLAMIDO)-2,4,6-TRIIODOISOPHTHALAMIDE
Systematic Name English
MP 328
Code English
IOVERSOL [VANDF]
Common Name English
IOVERSOL [MI]
Common Name English
IOVERSOL [MART.]
Common Name English
IOVERSOL [ORANGE BOOK]
Common Name English
1,3-BENZENEDICARBOXAMIDE, N,N'-BIS(2,3-DIHYDROXYPROPYL)-5-((HYDROXYACETYL)(2-HYDROXYETHYL)AMINO)-2,4,6-TRIIODO-
Systematic Name English
IOVERSOL [USAN]
Common Name English
Ioversol [WHO-DD]
Common Name English
MP-328
Code English
IOVERSOL [USP-RS]
Common Name English
ioversol [INN]
Common Name English
IOVERSOL [USP MONOGRAPH]
Common Name English
Classification Tree Code System Code
WHO-VATC QV08AB07
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
NDF-RT N0000180185
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
WHO-ATC V08AB07
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
NCI_THESAURUS C28500
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
NDF-RT N0000010258
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
Code System Code Type Description
NCI_THESAURUS
C65947
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
PRIMARY
SMS_ID
100000091603
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
PRIMARY
LACTMED
Ioversol
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
PRIMARY
RXCUI
27792
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
PRIMARY RxNorm
DRUG CENTRAL
1471
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
PRIMARY
PUBCHEM
3741
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
PRIMARY
EPA CompTox
DTXSID2045521
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
PRIMARY
WIKIPEDIA
IOVERSOL
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
PRIMARY
ChEMBL
CHEMBL1200614
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
PRIMARY
DAILYMED
N3RIB7X24K
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
PRIMARY
DRUG BANK
DB09134
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
PRIMARY
FDA UNII
N3RIB7X24K
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
PRIMARY
RS_ITEM_NUM
1345104
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
PRIMARY
EVMPD
SUB08262MIG
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
PRIMARY
USAN
X-76
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
PRIMARY
MESH
C054871
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
PRIMARY
CAS
87771-40-2
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
PRIMARY
MERCK INDEX
m6379
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
PRIMARY Merck Index
INN
6007
Created by admin on Mon Mar 31 18:23:59 GMT 2025 , Edited by admin on Mon Mar 31 18:23:59 GMT 2025
PRIMARY
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