General Description
Iodipamide sodium (also known as adipiodone) is an ionic, high‑osmolar, tri‑iodinated contrast agent specifically developed for intravenous cholangiography and cholecystography. It is administered intravenously, where it is taken up by hepatocytes and excreted into the bile, opacifying the biliary tract.
Mechanism of Action
Iodipamide contains six iodine atoms per molecule, providing high X‑ray attenuation. Following intravenous injection, the drug is rapidly bound to plasma albumin and transported to the liver. It is actively taken up by hepatocytes via organic anion transport proteins (OATPs) and secreted into the bile without significant metabolism. The resulting concentration in the bile duct and gallbladder allows radiographic visualization.
Application
Iodipamide was indicated for oral cholecystography (when given orally as the calcium salt) and intravenous cholangiography to detect gallstones, biliary obstruction, or bile duct abnormalities. Its use has been superseded by endoscopic retrograde cholangiopancreatography (ERCP), magnetic resonance cholangiopancreatography (MRCP), and non‑ionic CT contrast.