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Ipodate sodium

From Wikipedia, the free encyclopedia
Chemical compound
Pharmaceutical compound
Ipodate sodium
Clinical data
Trade namesOragrafin
Routes of
administration
oral,Intravenous
ATC code
Identifiers
  • sodium 3-(3-{[(dimethylamino)methylidene]amino}-2,4,6-triiodophenyl)propanoate
CAS Number
PubChemCID
ChemSpider
UNII
ChEMBL
CompTox Dashboard(EPA)
ECHA InfoCard100.013.587Edit this at Wikidata
Chemical and physical data
FormulaC12H12I3N2NaO2
Molar mass619.943 g·mol−1
3D model (JSmol)
Melting point168–169 °C (334–336 °F)
  • CN(C)/C=N/c1c(cc(c(c1I)CCC(=O)[O-])I)I.[Na+]
  • InChI=1S/C12H13I3N2O2.Na/c1-17(2)6-16-12-9(14)5-8(13)7(11(12)15)3-4-10(18)19;/h5-6H,3-4H2,1-2H3,(H,18,19);/q;+1/p-1/b16-6+;
  • Key:ZFHZUGUCWJVEQC-FPUQOWELSA-M

Ipodate sodium (sodium iopodate) is aniodine-containing radiopaquecontrast media used forX-rays. The drug is given orally and the resulting contrast allows for easy resolution of the bile duct and gall bladder.

Other uses

[edit]

Although not FDA approved, ipodate sodium has been used to treatGraves' disease andthyroid storm, an extreme form of hyperthyroidism.

Graves' disease

[edit]

Long-term treatment of Graves' disease with ipodate sodium (500 mg, daily) given by mouth reduced levels ofT3 andT4 in the patients.[1] This was done with minimal side effects, indicating possible clinical usefulness. Iodine uptake was also noted to return to normal within seven days, indicating control with ipodate with rapid follow up treatment with131I is feasible.

Thyroid storm

[edit]

In emergency situations, ipodate can be administered forthyroid storm. As the ipodate is metabolized, it releases iodine into circulation, helping bring theT3 andT4 levels back down. Ipodate also inhibits the conversion of T4 to T3 (which is more potent). It is not considered a first-line approach, aspotassium iodide andbeta blockers have less potential for side-effects. Ipodate sodium lacks FDA approval for this use.

References

[edit]
  1. ^Shen DC, Wu SY, Chopra IJ, Huang HW, Shian LR, Bian TY, et al. (October 1985)."Long term treatment of Graves' hyperthyroidism with sodium ipodate".The Journal of Clinical Endocrinology and Metabolism.61 (4):723–7.doi:10.1210/jcem-61-4-723.PMID 3928675. Archived fromthe original on 2008-07-25. Retrieved2008-04-14.
X-ray and CT
Iodinated,
Water soluble
Nephrotropic,
high osmolar
Nephrotropic,
low osmolar
Hepatotropic
Iodinated,
Water insoluble
Non-iodinated
MRI
Paramagnetic
Superparamagnetic
Other
Ultrasound
Thyroid therapy (H03)
Thyroid hormones
Antithyroid preparations
Thyroid peroxidase
inhibitors (thioamide)
Blockconversion of
T4 toT3
Sodium-iodide symporter
inhibitor
Other
Receptor
(ligands)
THRTooltip Thyroid hormone receptor
Agonists
Thyromimetics
(selective agonists)
Antagonists
Transporter
(blockers)
NISTooltip Sodium-iodide symporter
 
Enzyme
(inhibitors)
TPOTooltip Thyroid peroxidase
DIOTooltip Iodothyronine deiodinase
Others
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