Product image of Niopam (Iopamidol) supplied by GNH India

Niopam

Active Ingredient:
Iopamidol
Origin:
EU

Niopam (Iopamidol)

Iopamidol, the active ingredient in Niopam, is an iodinated contrast agent presented as a solution for injection for intra‑arterial and intravenous use. It provides radiopaque contrast to enhance visualization of vascular structures and organs during imaging procedures such as angiography, CT scans, and urography, and is approved for use throughout the European Union.

GNH India supplies Niopam as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, diagnostic imaging centres and clinics worldwide, ensuring consistent quality and regulatory compliance across markets.

Manufacturer / TM Owner

Bracco Imaging S.P.A.

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Indications & Clinical Uses

Niopam, an iodinated contrast agent, is employed in radiographic procedures that require enhanced visualization of vascular and organ structures.

  • Angiography: improves delineation of blood vessels during catheter‑based imaging.
  • Computed tomography (CT) imaging: increases tissue contrast to aid diagnosis of lesions and vascular anatomy.
  • Intravenous urography: highlights urinary tract structures for functional assessment.
  • Myelography: provides clear contrast of the spinal canal and nerve roots.
  • Contrast‑enhanced radiographic examinations: facilitates detailed imaging of organs such as liver, heart and lungs.

How It Works

  • Iopamidol contains a high density of iodine atoms that absorb X‑ray photons, thereby increasing the radiodensity of blood and extracellular fluid where it circulates. After intravenous or intra‑arterial administration, the compound distributes rapidly in the vascular and interstitial compartments, creating a temporary radiopaque window that outlines anatomical structures during imaging. Its low osmolarity and non‑ionic nature reduce the risk of adverse reactions compared with older high‑osmolar contrast media.

Side Effects

Adverse reactions to Niopam may vary in frequency and severity.

Common Side Effects

  • Warmth or flushing sensation at injection site
  • Nausea or vomiting
  • Mild headache
  • Transient hypotension

Serious or Rare Side Effects

  • Severe allergic reaction or anaphylaxis
  • Acute renal impairment or contrast‑induced nephropathy
  • Pulmonary edema or respiratory distress
  • Cardiac arrhythmias

Precautions & Warnings

When using Niopam, several precautions should be observed to minimize risk.

  • Assess renal function: evaluate serum creatinine and eGFR before administration.
  • Review allergy history: identify prior reactions to iodinated contrast or iodine‑containing substances.
  • Use lowest effective dose: tailor volume to imaging requirement and patient size.
  • Monitor vital signs: observe blood pressure and heart rate during and after injection.
  • Avoid in patients with known iodine hypersensitivity: consider alternative imaging methods.
  • Store at ambient temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Niopam may interact with certain medicines, requiring attention to avoid clinically significant effects.

Major Interactions (Avoid)

  • Metformin in patients with impaired renal function: risk of lactic acidosis; discontinue metformin before and after contrast exposure.
  • Concurrent use of other iodinated contrast agents within 24 hours: cumulative iodine load may increase toxicity.

Moderate Interactions (Monitor Closely)

  • Thyroid hormone therapy: excess iodine can alter thyroid function; monitor thyroid tests.
  • Diuretics: may affect renal clearance of contrast; observe renal parameters.
  • NSAIDs: can compound renal stress; assess kidney function during use.

Frequently Asked Questions

Niopam contains iopamidol, an iodinated contrast agent that is administered intravenously or intra‑arterially to improve the visibility of blood vessels, organs and tissues during radiographic procedures such as angiography, computed tomography (CT), intravenous urography, myelography and other contrast‑enhanced examinations.

Iopamidol provides radiopacity by delivering a high concentration of iodine atoms that absorb X‑ray photons. After injection, it distributes in the vascular and interstitial spaces, creating a temporary window of increased radiodensity that outlines anatomical structures, allowing clinicians to differentiate normal from pathological tissues on imaging studies.

The dose of Niopam is determined by the prescribing physician based on the specific imaging study, patient weight, renal function and the required level of contrast enhancement. The healthcare professional selects the appropriate volume and concentration to achieve optimal image quality while minimizing exposure.

The safety of iopamidol‑containing contrast agents in pregnancy and lactation has not been definitively established. Use is generally reserved for situations where the diagnostic benefit outweighs potential risk, and the decision should be made by the treating physician in consultation with obstetric specialists.

To place an order, submit an enquiry on the Niopam product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and the necessary import documentation.

Niopam (iopamidol) is a non‑ionic, low‑osmolar contrast medium, which typically offers a lower incidence of adverse reactions compared with older high‑osmolar agents. Its iodine concentration provides comparable image quality to other low‑osmolar agents such as iohexol, while its safety profile is favorable for patients with moderate renal risk.

Niopam should be stored at ambient temperature, below 25 °C, in its original sealed container. Protect the solution from direct sunlight, moisture and extreme temperature fluctuations. Do not freeze or shake the vial before use; inspect for particulate matter or discoloration prior to administration.

Niopam is supplied as a sterile solution for injection and is administered intravenously or intra‑arterially by a qualified healthcare professional. The injection is typically performed using a power injector or manual bolus, following aseptic technique and appropriate dosing calculations for the intended imaging study.

The most serious risks include severe allergic reactions such as anaphylaxis, contrast‑induced nephropathy leading to acute renal failure, and cardiovascular events like profound hypotension or arrhythmias. Prompt recognition and emergency management are essential if these reactions occur during or after administration.

Niopam is contraindicated in patients with a known hypersensitivity to iopamidol or any iodinated contrast media, as well as in individuals with uncontrolled severe renal impairment where the risk of contrast‑induced nephropathy outweighs diagnostic benefit. Clinicians should also exercise caution in patients with uncontrolled thyroid disease or a history of severe allergic reactions.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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