Meglumine Diatrizoate (0.66gm) + Sodium Diatrizoate (0.1gm) (Medical Monograph)

Overview

Meglumine Diatrizoate (0.66gm) + Sodium Diatrizoate (0.1gm) is a sterile, aqueous, ionic, high-osmolality iodinated contrast medium (HOCM) for intravascular administration. It is a combination of a meglumine salt and a sodium salt of diatrizoic acid, providing a total iodine concentration of approximately 370 mg I/mL. This composition is specifically formulated to reduce the risk of ventricular fibrillation and other cardiac arrhythmias compared to purely sodium-based ionic contrast media, while maintaining good radiographic density. It is widely used in diagnostic imaging procedures across India.

Uses

  • Intravenous Urography (IVU) / Excretory Urography
  • Peripheral Arteriography
  • Visceral Arteriography
  • Aortography
  • Selective Coronary Arteriography (with caution, using specific low-sodium formulations)
  • Cerebral Angiography (though LOCM is preferred)
  • Phlebography (Venography)
  • Arthrography
  • Hysterosalpingography
  • Retrograde Pyelography
  • Fistulography / Sinography

Side Effects

  • Sensation of warmth/flushing (70-80% of patients)
  • Metallic taste in mouth
  • Nausea
  • Mild vomiting
  • Pain at injection site
  • Mild urticaria (hives)

Detailed Pharmacology

Diatrizoate salts are radiopaque substances. Iodine (atomic number 53) has a high atomic mass, which effectively absorbs X-rays. When injected into blood vessels, body cavities, or ducts, it attenuates (blocks) X-rays to a much greater degree than surrounding tissues, creating a contrast between the lumen containing the agent and the adjacent tissue. This allows visualization of internal structures during radiographic procedures like angiography, urography, and hysterosalpingography.

Available Brands in India

BrandManufacturerPrice
Urografin 76% Bayer Zydus Pharma (formerly Bayer) Approx. ₹400 - ₹800 per 20 mL vial (Hospital/Institutional pricing varies)
Triografin J.B. Chemicals & Pharmaceuticals Ltd. Approx. ₹350 - ₹700 per 20 mL vial
Diat-76 Trikut Healthcare Pvt. Ltd. Approx. ₹300 - ₹650 per 20 mL vial
Urovision Taj Pharma Approx. ₹320 - ₹680 per 20 mL vial