Ipodate sodium

Ipodate sodium

drugbox
IUPAC_name = sodium 3- [3-(dimethylaminomethylideneamino)-2,4,6-triiodophenyl] propanoate


width = 200
CAS_number = 5587-89-3
PubChem = 23671932
smiles = CN(C)C=NC1=C(C=C(C(=C1I)CCC(=O) [O-] )I)I. [Na+]
C = 12 | H = 12 | I = 3 | N = 2 | Na = 1 | O = 2
molecular_weight = 619.93906 g/mol
melting_point = 168-169
routes_of_administration = Intravenous
Ipodate sodium is an iodine-containing radiopaque contrast media used for X-rays. The drug is given intravenously and the resulting contrast allows for easy resolution of the blood vasculature. The drug goes by the trade name Oragrafin.

Other uses

Although not FDA approved, sodium ipodate has been used to treat Graves' Disease and Thyroid Storm, an extreme form of hyperthyroidism.

Grave's Disease

One study done by the Journal of Clinical Endocrinology & Metabolism [ - DC Shen, SY Wu, IJ Chopra, HW Huang, LR Shian, TY Bian, CY Jeng and DH Solomon. Long term treatment of Graves' hyperthyroidism with sodium ipodate. Journal of Clinical Endocrinology & Metabolism, Vol 61, 723-727 http://jcem.endojournals.org/cgi/content/abstract/61/4/723] showed that long-term treatment of Grave's disease with ipodate sodium (500 mg daily) reduced levels of T3 and T4 in the patients. This was done with minimal side effects, indicating possible clinical usefulness. Radioactive iodine treatment was also not effected, indicating concurrent usage with ipodate is feasible.

Thyroid Storm

In emergency situations, ipodate can be administered for thyroid storm. As the ipodate is metabolized, it releases iodine into circulation, helping bring the T3 and T4 levels back down. It is not considered a first-line approach, as potassium iodide and beta blockers have less potential for side-effects as well as FDA approval.

References


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