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Details

Stereochemistry ABSOLUTE
Molecular Formula C20H14I6N2O6.2C7H17NO5
Molecular Weight 1530.1889
Optical Activity UNSPECIFIED
Defined Stereocenters 8 / 8
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of IODIPAMIDE MEGLUMINE

SMILES

CNC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO.CNC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO.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=DGIAUNUPXILTJW-VRWDCWMNSA-N
InChI=1S/C20H14I6N2O6.2C7H17NO5/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;2*1-8-2-4(10)6(12)7(13)5(11)3-9/h5-6H,1-4H2,(H,27,29)(H,28,30)(H,31,32)(H,33,34);2*4-13H,2-3H2,1H3/t;2*4-,5+,6+,7+/m.00/s1

HIDE SMILES / InChI

Molecular Formula C7H17NO5
Molecular Weight 195.2136
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 4 / 4
E/Z Centers 0
Optical Activity UNSPECIFIED

Molecular Formula C20H14I6N2O6
Molecular Weight 1139.7618
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

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
Distributing pattern of the bile duct of the caudate lobe on computed tomography with drip infusion cholangiography and its surgical significance.
2004 Jan-Feb
Volume rendering of three-dimensional drip infusion CT cholangiography in patients with suspected obstructive biliary disease: a retrospective study.
2005 Dec
The value of drip infusion cholangiography using multidetector-row helical CT in patients with choledocholithiasis.
2005 Oct
[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
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.
Substance Class Chemical
Created
by admin
on Fri Dec 15 15:02:13 UTC 2023
Edited
by admin
on Fri Dec 15 15:02:13 UTC 2023
Record UNII
X064O0Y1A4
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
IODIPAMIDE MEGLUMINE
ORANGE BOOK   USP   VANDF  
Common Name English
IODIPAMIDE MEGLUMINE [ORANGE BOOK]
Common Name English
ENDOGRAPHIN
Common Name English
BILIGRAFIN
Brand Name English
ENDOCISTOBIL
Common Name English
IODIPAMIDE MEGLUMINE COMPONENT OF SINOGRAFIN
Common Name English
CAVUMBREN
Common Name English
IODIPAMIDE MEGLUMINE [USP IMPURITY]
Common Name English
SINOGRAFIN COMPONENT IODIPAMIDE MEGLUMINE
Common Name English
ADIPIODONE MEGLUMINE
WHO-DD  
Common Name English
D-GLUCITOL, 1-DEOXY-1-(METHYLAMINO)-, 3,3'-((1,6-DIOXO-1,6-HEXANEDIYL)DIIMINO)BIS(2,4,6-TRIIODOBENZOATE) (2:1)
Common Name English
IODIPAMIDE BIS(N-METHYLGLUCAMINE) SALT
Common Name English
METHYL GLUCAMINE BILIGRAFIN
Common Name English
INTRABILIX
Brand Name English
BILIPOLINUM
Common Name English
IODIPAMIDE BIS(N-METHYLGLUCAMINE) SALT [MI]
Common Name English
ENDOGRAFIN
Common Name English
CHOLOGRAF-N-METHYLGLUCAMINE
Common Name English
METHYLGLUCAMINE IODIPAMIDE
Common Name English
IODIPAMIDE MEGLUMINE [VANDF]
Common Name English
TRANSBILIX
Brand Name English
MEGLUMINE IODIPAMIDE
Common Name English
MEGLUMINE ADIPIODONE [MART.]
Common Name English
Adipiodone meglumine [WHO-DD]
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C28500
Created by admin on Fri Dec 15 15:02:13 UTC 2023 , Edited by admin on Fri Dec 15 15:02:13 UTC 2023
Code System Code Type Description
RXCUI
29456
Created by admin on Fri Dec 15 15:02:13 UTC 2023 , Edited by admin on Fri Dec 15 15:02:13 UTC 2023
PRIMARY RxNorm
CHEBI
31704
Created by admin on Fri Dec 15 15:02:13 UTC 2023 , Edited by admin on Fri Dec 15 15:02:13 UTC 2023
PRIMARY
MESH
C006753
Created by admin on Fri Dec 15 15:02:13 UTC 2023 , Edited by admin on Fri Dec 15 15:02:13 UTC 2023
PRIMARY
PUBCHEM
636408
Created by admin on Fri Dec 15 15:02:13 UTC 2023 , Edited by admin on Fri Dec 15 15:02:13 UTC 2023
PRIMARY
SMS_ID
100000181334
Created by admin on Fri Dec 15 15:02:13 UTC 2023 , Edited by admin on Fri Dec 15 15:02:13 UTC 2023
PRIMARY
ECHA (EC/EINECS)
222-534-5
Created by admin on Fri Dec 15 15:02:13 UTC 2023 , Edited by admin on Fri Dec 15 15:02:13 UTC 2023
PRIMARY
NCI_THESAURUS
C47566
Created by admin on Fri Dec 15 15:02:13 UTC 2023 , Edited by admin on Fri Dec 15 15:02:13 UTC 2023
PRIMARY
EPA CompTox
DTXSID90951411
Created by admin on Fri Dec 15 15:02:13 UTC 2023 , Edited by admin on Fri Dec 15 15:02:13 UTC 2023
PRIMARY
CAS
3521-84-4
Created by admin on Fri Dec 15 15:02:13 UTC 2023 , Edited by admin on Fri Dec 15 15:02:13 UTC 2023
PRIMARY
EVMPD
SUB00307MIG
Created by admin on Fri Dec 15 15:02:13 UTC 2023 , Edited by admin on Fri Dec 15 15:02:13 UTC 2023
PRIMARY
DRUG BANK
DBSALT001312
Created by admin on Fri Dec 15 15:02:13 UTC 2023 , Edited by admin on Fri Dec 15 15:02:13 UTC 2023
PRIMARY
FDA UNII
X064O0Y1A4
Created by admin on Fri Dec 15 15:02:13 UTC 2023 , Edited by admin on Fri Dec 15 15:02:13 UTC 2023
PRIMARY
MERCK INDEX
m6335
Created by admin on Fri Dec 15 15:02:13 UTC 2023 , Edited by admin on Fri Dec 15 15:02:13 UTC 2023
PRIMARY
CHEBI
31176
Created by admin on Fri Dec 15 15:02:13 UTC 2023 , Edited by admin on Fri Dec 15 15:02:13 UTC 2023
PRIMARY
ChEMBL
CHEMBL1165268
Created by admin on Fri Dec 15 15:02:13 UTC 2023 , Edited by admin on Fri Dec 15 15:02:13 UTC 2023
PRIMARY
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PARENT -> SALT/SOLVATE
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ACTIVE MOIETY