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Medicine: isovist

 

PATIENT LEAFLET

ISOVISTŪ (iotrolan)

A guide to Isovist

This leaflet gives you some information about Isovist. The radiographer (specially trained X-ray staff) will explain how everything works and in what position you should lie on the X-ray table. You will then be given the Isovist.

X-rays, like radio waves, can pass through objects and can be focused to make a picture. When you have an X-ray, the beam of rays goes through your body where it is absorbed to differing degrees by different tissues, such as bones, muscles and organs. When the rays come out on the other side, they make a pattern of light and shade on a film. Isovist helps to make this pattern clearer. The film is then examined by a specialist who will make a diagnosis. If you have any questions or are not sure about anything, ask a member of staff from the X-ray department.

The name of this diagnostic aid is: Isovist (iotrolan)

What does Isovist contain?

Isovist contains iotrolan in a water-based solution for injection.

1ml Isovist 240 contains 0.513g of iotrolan.

Isovist 240 is supplied in: Packs of 10x10ml bottles.

Isovist 240 also contains the inactive ingredients:

calcium disodium edetate (additive number 385)
sodium bicarbonate (additive number 500)
sodium chloride
water for injections

Isovist is an injectable contrast medium (a dye) which contains iodine. It is used to show clearly the area your doctor wants to investigate.

Uses

To create an artificial contrast and clearly show the area of the spine, brain, joints, womb, breast, bile ducts and pancreas which your doctor wants to investigate.

Reasons for not receiving Isovist

You should not be given Isovist if you have either of the following:

  • Uncontrolled thyrotoxicosis (condition caused by too much thyroid hormone).
  • You must not have the uterus (womb) investigated with Isovist if you are pregnant or have inflammation of the pelvic cavity.

What you should know before you are given Isovist

If you are epileptic or have seizures you must tell the X-ray department.

If you are taking antidepressants or neuroleptics (drugs which treat mental disorders) you should talk to your doctor who may advise you to stop taking these 48 hours before the examination.

You should tell the X-ray department staff about any other medicine you are taking, in particular beta-blockers (drugs used to treat heart or blood pressure problems) or if you have been treated with a drug called interleukin.

Alcoholics or drug addicts may be more likely to have an epileptic fit.

If you suffer from hyperthyroidism (overactive thyroid gland) this may be made worse.

If you are going to have an iodine test for thyroid disease, Isovist may affect the results for 2 weeks or more after being given it.

If you have had an adverse reaction with any contrast medium or think you are allergic to iodine-containing contrast media you must tell the X-ray department.

If you have had any allergy in the past, tell the X-ray department.

If you are pregnant, tell the X-ray department.

If you have reduced kidney function you must tell the X-ray department.

How you will be given Isovist.

The dose of Isovist and how it will be given depends on the investigation. The dose range is between 1 and 30 ml. The X-ray department will decide how much Isovist is needed for your particular investigation. Isovist will be given immediately before the X-rays are taken.

You may be asked not to eat anything before your examination. The X-ray department should make sure you have had enough to drink and that imbalances in your body salts are corrected.

 

  • If you are having an investigation of your spine or brain, you will lie down and a small amount of fluid will first be taken out of the area to be investigated. This is to make room for the Isovist that will then be injected. It is then important that you remain as still as possible. After the investigation you will stay in bed for at least 1 hour with the head of your bed tilted up slightly.
  • If you are having an investigation of your joints, womb or breast, Isovist will be given directly into the area to be looked at.
  • If you are having an investigation of your bile ducts and pancreas, Isovist will be given via a tube which is passed down the gullet through the stomach and into the small bowel.

Overdosage

Overdosing is unlikely. If it does happen the specialist will treat any symptoms that follow.

Side effects

Severe side effects are extremely rare.

You may experience headache, nausea, vomiting, pain or an increase in existing pain in the back, nape of the neck or hands and feet.

Other symptoms which you may get are:

Hypersensitivity (allergic-type) reactions, severe headache lasting several days may rarely happen.

After spinal injection of contrast media, like Isovist, headache with fever or stiff neck may occur. These symptoms usually disappear within one week but you should tell your doctor.

You may feel slight muscle tension or pins and needles 2 to 6 hours after being given Isovist, but this is rare.

Convulsions (epileptic-like fits) may also occur. Rarely, the following short-term side-effects have been reported: loss of memory, confusion, hallucinations and delusions.

Delayed side effects may occasionally happen after being given contrast media, including Isovist. The most common delayed side effects are itching and rashes. If they occur you should tell your doctor.

You should tell the X-ray staff about any changes in your health or general sense of well-being that you notice while Isovist is being given, or after the administration of Isovist.

Expiry date:

The expiry date is printed on the label. The contrast medium should not be used after this date.

 

Medicamentweb.com, the website for Patient Information Leaflets, is dedicated to share information about pharmaceutical products with the general public, and is particularly interested in making PILs available online. Of course, this information cannot replace the advice of your GP, doctor or pharmacist. If you should be worried in any way about your health, we urge you to see a doctor.

 

 

 

 

 

 

 

 

 

 

 

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