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Iopamidol vs. Omnipaque

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Iopamidol

(Isovue)

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Omnipaque

(iohexol)

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Summary for Iopamidol

Prescription only

Iopamidol (Isovue) is a contrast agent that helps imaging tests show blood vessels, organs, and the space in your spine more clearly. It's used in adults and children for procedures like CT-scans and X‑rays. Depending on the test, it might be given by mouth or injected into your vein, artery, or spine. It's given by a healthcare professional just before or during your imaging test. Common side effects include pain or warmth at the injection site, a hot flush, or nausea.

Indications for Iopamidol

Pros and Cons for Iopamidol

Pros

  • Many FDA‑approved imaging uses
  • Can be used in adults and children
  • Typically given as one dose

Cons

  • Can cause serious allergic reactions
  • Can worsen kidney function
  • Can trigger thyroid problems

Common Side Effects for Iopamidol

Injected into the spine

  • Headache (16%)
  • Nausea (7%)
  • Vomiting (4%)
  • Back pain (2%)
  • Leg pain (1%)
  • Neck pain (1%)
  • Low blood pressure (1%)

Injected into vein or artery

  • Pain (3%)
  • Hot flashes (2%)
  • Burning sensation (1%)
  • Nausea (1%)
  • Warmth (1%)

Warnings for Iopamidol

  • Risks with injecting Isovue into the spine
  • Serious allergic and skin reactions
  • Kidney problems
  • Heart problems
  • Blood clots
  • Leakage and injection site reactions
  • Worsening thyroid problems
  • High blood pressure in people with pheochromocytoma
  • Sickle cell crisis

Summary for Omnipaque

Prescription only

Omnipaque (iohexol) is an iodine-containing contrast agent that's used to help providers see inside of your body on a CT scan. Omnipaque (iohexol) can be injected into many different areas of the body. It can also be given by mouth or rectally when providers need to see parts of the gut. Side effects can depend on how you receive Omnipaque (iohexol), but generally include headache, dizziness, nausea, vomiting, and diarrhea. Omnipaque (iohexol) might not be the best option if you have an iodine allergy.

Indications for Omnipaque

  • Diagnostic imaging during a CT scan

Pros and Cons for Omnipaque

Pros

  • Can be used to see many different parts of the body
  • Can be given by many administration routes (e.g., by mouth, injection)
  • The oral (by mouth) version is neutral-tasting and can be mixed with water, milk, juice, or carbonated drinks
  • Can be used in adults and children

Cons

  • Might not be the best option if you have an iodine allergy
  • Can cause short-term kidney problems
  • Can cause rare, but life-threatening, skin reactions
  • Might not be a good option during pregnancy

Common Side Effects for Omnipaque

Injection into the spine

  • Adults

    • Headaches (18%)
    • Pain (back, neck, stiffness; 8%)
    • Nausea (6%)
    • Vomiting (3%)
  • Children

    • Headache (9%)
    • Vomiting (6%)

Injection into blood vessels

  • Adults

    • Pain (3%)
    • Irregular heart rhythm (2%)
    • Vision changes (2%)
    • Nausea (2%)
  • Children

    • Vomiting (2%)

Oral (by mouth)

  • Adults

    • Diarrhea (42%)
    • Nausea (15%)
    • Vomiting (11%)
    • Stomach pain (7%)
  • Children

    • Diarrhea (36%)
    • Vomiting (9%)
    • Nausea (5%)
    • Fever (5%)

Warnings for Omnipaque

  • Trained healthcare provider only
  • Serious allergic reactions
  • Serious allergic skin reactions
  • Kidney problems
  • Low blood pressure and shock
  • Risk of heart attack or stroke
  • Worsening hyperthyroidism (high thyroid hormone)
  • Hypothyroidism (low thyroid hormone) in children
  • High blood pressure in people with pheochromocytoma
  • Sickle cell crisis

Prices with our coupons for Iopamidol vs. Omnipaque

Price Card Drug Icon
Iopamidol1 vial / 10ml of 41%
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Omnipaque1 bottle / 500ml of 12mg/ml
$14.91$17.39
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