Drug Facts
Composition & Profile
Identifiers & Packaging
HOW SUPPLIED Available as an aqueous lemon-vanilla flavored solution in bottles of 30 mL in packages of 25 (NDC 0019-4816-04). Storage Protect from light. Store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature]; Avoid excessive heat. If precipitation or solidification has occurred due to storage in the cold, the bottle should be brought to room temperature. Shake intermittently to redissolve any solids. As with all contrast media, containers should be inspected prior to use to ensure that breakage or other damage has not occurred during shipping and handling. All containers should be inspected for closure integrity. Damaged containers should not be used. Manufactured by: Liebel-Flarsheim Company LLC Raleigh, NC 27616 Made in USA GBT 48160817 Rev 08/17; PACKAGE LABEL - PRINCIPAL DISPLAY PANEL - Case Label MD-Gastroview ® 30 mL NDC 0019-4816-04 Diatrizoate Meglumine and Diatrizoate Sodium Solution U.S.P. 37% Organically Bound Iodine For Gastrointestinal Radiography Not For Parenteral Use Rx Only Store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature]; Avoid excessive heat. Each mL contains 660 mg diatrizoate meglumine and 100 mg diatrizoate sodium. Each 30 mL contains approximately 11 grams organically bound iodine, pH adjusted to 6 to 7.6 with sodium hydroxide. Inactive ingredients: Edetate Disodium Dihydrate, Lemon-Vanilla Flavor, Sodium Citrate, Sodium Hydroxide, Sodium Saccharin, Water for Injection. Single-Unit Container • Dilute before Use Discard unused portion • Protect from light Usual Dosage: See Package Insert. Dispense in Tight, Light Resistant Containers. Oral or rectal use only. Manufactured by: Liebel-Flarsheim Company LLC, Raleigh, NC 27616 Made in USA 11030916 Case Label
- HOW SUPPLIED Available as an aqueous lemon-vanilla flavored solution in bottles of 30 mL in packages of 25 (NDC 0019-4816-04). Storage Protect from light. Store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature]; Avoid excessive heat. If precipitation or solidification has occurred due to storage in the cold, the bottle should be brought to room temperature. Shake intermittently to redissolve any solids. As with all contrast media, containers should be inspected prior to use to ensure that breakage or other damage has not occurred during shipping and handling. All containers should be inspected for closure integrity. Damaged containers should not be used. Manufactured by: Liebel-Flarsheim Company LLC Raleigh, NC 27616 Made in USA GBT 48160817 Rev 08/17
- PACKAGE LABEL - PRINCIPAL DISPLAY PANEL - Case Label MD-Gastroview ® 30 mL NDC 0019-4816-04 Diatrizoate Meglumine and Diatrizoate Sodium Solution U.S.P. 37% Organically Bound Iodine For Gastrointestinal Radiography Not For Parenteral Use Rx Only Store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature]; Avoid excessive heat. Each mL contains 660 mg diatrizoate meglumine and 100 mg diatrizoate sodium. Each 30 mL contains approximately 11 grams organically bound iodine, pH adjusted to 6 to 7.6 with sodium hydroxide. Inactive ingredients: Edetate Disodium Dihydrate, Lemon-Vanilla Flavor, Sodium Citrate, Sodium Hydroxide, Sodium Saccharin, Water for Injection. Single-Unit Container • Dilute before Use Discard unused portion • Protect from light Usual Dosage: See Package Insert. Dispense in Tight, Light Resistant Containers. Oral or rectal use only. Manufactured by: Liebel-Flarsheim Company LLC, Raleigh, NC 27616 Made in USA 11030916 Case Label
Overview
MD-Gastroview (Diatrizoate Meglumine and Diatrizoate Sodium Solution) is a palatable lemon-vanilla flavored water-soluble iodinated radiopaque contrast medium for oral or rectal administration only. Each mL contains 660 mg diatrizoate meglumine and 100 mg diatrizoate sodium; pH has been adjusted to 6.0 to 7.6 with sodium hydroxide. Each mL contains approximately 4.8 mg (0.21 mEq) sodium and 367 mg organically bound iodine. MD-Gastroview does not contain the wetting agent polysorbate 80. The inactive ingredients are: Edetate Disodium Dihydrate, Lemon-Vanilla Flavor, Sodium Citrate, Sodium Hydroxide, Sodium Saccharin, Water for Injection. Air in the container is displaced with nitrogen. Diatrizoate meglumine is designated chemically as 1-deoxy-1-(methylamino)-D-glucitol 3,5-diacetamido-2,4,6-triiodobenzoate (salt); diatrizoate sodium is monosodium 3,5-diacetamido-2,4,6-triiodobenzoate. The two salts have the following structural formulae: Chemical Structure - MD Gastroview
Indications & Usage
MD-Gastroview (Diatrizoate Meglumine and Diatrizoate Sodium Solution) is indicated for radiographic examination of segments of the gastrointestinal tract (esophagus, stomach, proximal small intestine, and colon). The preparation is particularly indicated when a more viscous agent such as barium sulfate, which is not water-soluble, is not feasible or is potentially dangerous. MD-Gastroview may also be used as an adjunct to contrast enhancement in computed tomography of the torso (body imaging); the preparation is indicated, in conjunction with intravenous administration of a radiopaque contrast agent, when unenhanced imaging may not provide sufficient definition in distinguishing normal loops of bowel from adjacent organs or areas of suspected pathology.
Dosage & Administration
General This medium is not to be used for the preparation of solutions for parenteral administration. Oral or rectal use only. The routine preparatory measures employed for barium studies are also appropriate for this agent. For pediatric and severely cachectic patients, the maintenance of an intravenous fluid line may be advisable. Radiographic Examination of Segments of the Gastrointestinal Tract Oral Administration: Adult oral dosage may range from 30 to 90 mL (11 to 33 g iodine), depending on the nature of the examination and the size of the patient. For infants and children less than 5 years of age, 30 mL (11 g iodine) are usually adequate; for children 5 to 10 years of age, the suggested dose is 60 mL (22 g iodine). These pediatric doses may be diluted 1:1, if desired, with water, carbonated beverage, milk, or mineral oil. When used in infants, the solution may be given in a nursing bottle. Pediatric doses may also be used in dehydrated and/or debilitated adult patients. A 1:1 dilution is also recommended when the contrast medium is used in elderly cachectic individuals. For very young (under 10 kg) and debilitated children the dose should be diluted: 1 part MD-Gastroview (Diatrizoate Meglumine and Diatrizoate Sodium Solution) in 3 parts water is recommended. For Enemas or Enterostomy Instillations: MD-Gastroview should be diluted when it is used for enemas and enterostomy instillations. When used as an enema, the suggested dilution for adults is 240 mL (88 g iodine) in 1,000 mL of tap water. For children under 5 years of age, a 1:5 dilution in tap water is suggested; for children over 5 years of age, 90 mL (33 g iodine) in 500 mL of tap water is a suitable dilution. Tomography (Body Imaging) A usual adult dose is 240 mL of a dilute MD-Gastroview solution prepared by diluting 25 mL (9.17 g iodine) to one liter with tap water. Less dilute solutions [up to 77 mL (28.26 g iodine) diluted to one liter with tap water] may be used when indicated. The dose is administered orally about 15 to 30 minutes prior to imaging in order to permit the contrast medium to reach the pelvic loops.
Warnings & Precautions
WARNINGS Dehydration: Administration of hypertonic MD-Gastroview solutions may lead to hypovolemia and hypotension due to fluid loss from the intestine. A 1 in 4.6 (1:4.6) dilution of MD-Gastroview yields an approximately isotonic 16.5 percent diatrizoate salts solution; less dilute solutions are hypertonic and may lead to intraluminal movement of fluid with resulting hypovolemia. In young or debilitated children and in elderly cachectic persons, the loss of plasma fluid may be sufficient to cause a shock-like state. If MD-Gastroview is used in infants and children (under 10 kg) or in dehydrated or debilitated patients, the solution must be prepared using the specific dilutions described in DOSAGE AND ADMINISTRATION . In debilitated patients and in patients with electrolyte imbalances, postprocedural monitoring of hydration, serum osmolarity, electrolytes and clinical status is essential. In pediatric or severely debilitated patients, the maintenance of an open intravenous fluid line for rehydration may be advisable should hypotension or shock supervene. Electrolyte disturbances must be corrected prior to the administration of any hypertonic MD-Gastroview solutions. Aspiration: Aspiration of MD-Gastroview into the trachea and airways may result in serious pulmonary complications including, pulmonary edema, pneumonitis or death. Bronchial entry of any orally administered contrast medium causes a copious osmotic effusion. Therefore, avoid use of MD-Gastroview in patients with esophagotracheal fistula and minimize risks for pulmonary aspiration in all patients. If MD-Gastroview is given by nasogastric tube, the position of the tube in the stomach must be verified before administration. Anaphylactic Reactions: Anaphylactic reactions, including fatalities, have been reported with the use of MD-Gastroview. Patients at increased risk include those with a history of a previous reaction to a contrast medium, patients with a known sensitivity to iodine, and patients with a known clinical hypersensitivity (bronchial asthma, hay fever, and food allergies). Medical personnel trained in the treatment of anaphylactic reactions and the necessary drugs and medical equipment should always be readily available when MD-Gastroview is used.
Contraindications
Do not administer to patients with a known hypersensitivity to MD-Gastroview or any of its components.
Adverse Reactions
Most adverse reactions to enteral diagnostic radiopaque agents are mild and transitory. Nausea, vomiting and/or diarrhea, urticaria with erythema, hypoxia, acute dyspnea, tachyarrhythmia, and anaphylaxis have occurred following ingestion of the contrast medium, particularly when high concentrations or large volumes of solution are administered. Severe changes in serum osmolarity and electrolyte concentrations may produce shock-like states ( see WARNINGS ). It should be kept in mind that serious or anaphylactoid reactions that may occur with intravascular administration of radiopaque contrast agents are theoretically possible following administration by other routes.
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