Ultravist® (iopromide) Injection
Ultravist® is a proven X-ray contrast medium with a broad range of FDA-approved indications.
As a proven X-ray contrast medium, Ultravist® has a broad range of indications for intravenous and intra-arterial uses:
- Intra-arterial Procedures1
- - 300 mgI/mL for cerebral arteriography and peripheral arteriography
- - 370 mgI/mL for coronary arteriography and left ventriculography, visceral angiography, and aortography
- Intravenous Procedures1
- - 240 mgI/mL for peripheral venography
- - 300 mgI/mL for excretory urography
- - 300 mgI/mL and 370 mgI/mL for contrast Computed Tomography (CT) of the head and body (intrathoracic, intra-abdominal and retroperitoneal regions) for the evaluation of neoplastic and non-neoplastic lesions
- - The usefulness of contrast enhancement for the investigation of the retrobulbar space of low grade or infiltrative glioma has not been demonstrated
Ultravist® is contraindicated for intrathecal use. Inadvertent intrathecal administration may cause death, convulsions, cerebral hemorrhage, coma, paralysis, arachnoiditis, acute renal failure, cardiac arrest, seizures, rhabdomyolysis, hyperthermia, and brain edema.
ULTRAVIST® INJECTION-A BALANCED CONTRAST MEDIUM
Developed by Bayer Healthcare LLC, Ultravist® Injection was launched in Europe in 1985, and is now in its 30th year as a global brand. In 1995, it was approved for use in radiographic procedures by the FDA and introduced in the United States. Ultravist® Injection is supported by Bayer HealthCare LLC, a world leader in diagnostics serving the radiology community and specialists worldwide.
Ultravist® Injection has been proven in a number of large-scale studies. US clinical trials included 1,142 patients. Overall, 24% of patients receiving Ultravist® during clinical trials experienced one or more adverse reactions (ARs).¹
MOST FREQUENT ARs IN IOPROMIDE GROUP¹
The possibility of serious life-threatening reactions should always be considered when administering Ultravist®.
- In clinical trials, 7 out of 1142 patients died 5 days or later following administration of Ultravist®. Also, 10 patients experienced serious adverse events.
Reference: 1. Ultravist Injection [package insert]. Berlin, Germany: Bayer HealthCare Pharmaceuticals; 2015.Back to top
- Visually inspect Ultravist® for particulate matter and/or discoloration, whenever solution and container permit. Do not administer Ultravist® if particulate matter and/or discoloration is observed.
- Determine the volume and concentration of Ultravist® Injection to be used, taking into account factors such as age, body weight, size of the vessel, and the rate of blood flow within the vessel; consider also extent of opacification required, structure(s) or area to be examined, disease processes affecting the patient, and equipment and technique to be employed. Specific dose adjustments for age, gender, weight and renal function have not been studied for Ultravist® Injection. As with all iodinated contrast agents, lower doses may have less risk. The efficacy of Ultravist® Injection below doses recommended has not been established.
- The maximum recommended total dose of iodine in adults is 86 grams; a maximum recommended total dose of iodine has not been established for pediatric patients.
- Hydrate patients adequately prior to and following the administration of Ultravist® [see Warnings and Precautions in the Full Prescribing Information]
- Warming Ultravist® to body temperature shortly before administration may help improve tolerability and ease of injection
The volume and rate of injection of the contrast agent will vary depending on the injection site and the area being examined. Inject contrast at rates approximately equal to the flow rate in the vessel being injected.
- Cerebral Arteriography (300 mgI/mL), Coronary Arteriography and Left Ventriculography (370 mgI/mL), Peripheral Arteriography (300 mgI/mL): see Table 1.
- Aortography and Visceral Angiography (370 mgI/mL): Use a volume and rate of contrast injection proportional to the blood flow and related to the vascular and pathological characteristics of the specific vessels being studied. Do not exceed 225 mL as total dose for the procedure.
Table 1: SUGGESTED SINGLE INJECTION DOSES FOR ADULT INTRO-ARTERIAL PROCEDURES¹
- Peripheral Venography (240 mgI/mL): Inject the minimum volume necessary to visualize satisfactorily the structures under examination. Do not exceed 250 mL as total dose for the procedure.
- Contrast Computed Tomography (CT) (300 mgI/mL and 370 mgI/mL) and Excretory Urography (300 mgI/mL): see Table 2.
Table 2: SUGGESTED ULTRAVIST INJECTION DOSING FOR ADULT INTRAVENOUS CONTRAST ADMINISTRATION
The recommended dose in children over 2 years of age for the following evaluations is:
- Intra-arterial: Cardiac chambers and related arteries (370 mgI/mL): Inject 1 to 2 milliliters per kilogram (mL/kg). Do not exceed 4 mL/kg as total dose.
- Intravenous: Contrast Computerized Tomography or Excretory Urography (300 mgI/mL): Inject 1 to 2 mL/kg. Do not exceed 3 mL/kg as total dose.
The safety and efficacy relationships of other doses, concentrations or procedures have not been established [see Use in Specific Populations (8.4) and Clinical Pharmacology (12.3) in the Full Prescribing Information].
Dosage Forms and Strengths
Ultravist® Injection is a nonionic, sterile, clear, colorless to slightly yellow, odorless, pyrogen-free aqueous solution of iopromide, containing 2.42 mg/mL tromethamine buffer and 0.1 mg/mL edetate calcium disodium stabilizer. Ultravist Injection is available in three strengths:
- 240 mg I/mL provides 498.72 mg/mL iopromide
- 300 mg I/mL provides 623.4 mg/mL iopromide
- 370 mg I/mL provides 768.86 mg/mL iopromide
Reference: 1.Ultravist Injection [package insert]. Berlin, Germany: Bayer HealthCare Pharmaceuticals; 2015.Back to top
Formulation and Packaging
Ultravist® Injection is available as a stable, ready-to-use aqueous solution of iopromide in vials or bottles in concentrations of 240 mg, 300 mg, and 370 mg iodine per mL. Ultravist® is available in a number of vial sizes including the 500 mL Pharmacy Bulk Package.
- Color-coded vials for easy identification of concentration
- Integrated hanger labels
- Clear glass vials/bottles for examination of product clarity
- Peel-off product identification labels
- Pharmacy bulk package offers industry-leading 10-hour stand time, allowing flexibility to use doses as needed
If you have a question about reimbursement, please contact the Reimbursement Support Hotline:
- Telephone: 1-800-423-7539
In today's cost-conscious healthcare environment, Bayer HealthCare LLC offers a comprehensive line of quality imaging products at competitive prices combined with highly regarded service and support. Knowing that purchasers have unique requirements, we do our best to provide creative yet competitive contracts that go beyond just meeting product needs. Additional purchasing resources are described below.
Bayer HealthCare LLC's partnership with McKesson Specialty Care Solutions (1-877-259-4624) combines Bayer's commitment to our customers with the drug distribution of McKesson, focused on delivering the right product to the right place at the right time. McKesson's reputation for reliable service makes them an ideal solution through which to source your Bayer HealthCare LLC imaging products.
Additional independent suppliers are listed below in alphabetical order.