Can you take Lutetium lu 177 vipivotide tetraxetan with Urografin 325?
1 drug interaction and 9 additional warnings found for the following 2 drugs:
- lutetium lu 177 vipivotide tetraxetan
- Urografin 325 (diatrizoate)
Drug interactions
Major drug interactions
Major:
diatrizoate lutetium Lu 177 vipivotide tetraxetan
Applies to: Urografin 325 (diatrizoate) and lutetium lu 177 vipivotide tetraxetan
Before you undergo any imaging procedure where diatrizoate may be given by injection, let your doctor know if you are currently being treated with lutetium Lu 177 vipivotide tetraxetan. Injection of diatrizoate and similar contrast agents can sometimes cause kidney damage, and combining it with other medications that can also affect the kidney such as lutetium Lu 177 vipivotide tetraxetan may increase that risk. If you have been receiving lutetium Lu 177 vipivotide tetraxetan, your doctor may need to take special precautionary measures before, during and after the contrast injection, particularly if you also have other risk factors such as diabetes, preexisting kidney problems, dehydration, old age, congestive heart failure, low blood pressure, anemia, and multiple myeloma. Alternatively, if the risk is too great, your doctor may choose to perform a different imaging procedure where injection of a contrast is not needed. Following the procedure, you should drink plenty of fluids to keep yourself hydrated and to help flush the contrast agent out of your kidneys. Seek medical attention if you develop signs and symptoms that may suggest kidney damage such as nausea, vomiting, loss of appetite, increased or decreased urination, sudden weight gain or weight loss, fluid retention, swelling, shortness of breath, muscle cramps, tiredness, weakness, dizziness, confusion, and irregular heart rhythm. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
Food/lifestyle interactions
No alcohol/food interactions were found. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.
Disease interactions
9 potential interactions Applies to: 9 conditions, including Allergies, Heart Failure, Asthma, Myasthenia Gravis, and Multiple Myeloma.
Allergies
Moderate:
Urografin 325
The diatrizoate in Urografin 325 has a moderate potential interaction with Allergies.
Iodinated contrast media such as ioversol, can cause life-threatening or fatal hypersensitivity reactions including anaphylaxis and anaphylactic shock. Manifestations include respiratory arrest, laryngospasm, bronchospasm, angioedema, and shock. Most severe reactions develop shortly after the start of the injection (e.g. within 1 to 3 minutes), but delayed reactions may occur. There is an increased risk in patients with a history of a previous reaction to contrast agent, and known allergies (i.e., bronchial asthma, drug, or food allergies), and other hypersensitivities. Caution is advised on these patients. Premedication with antihistamines or corticosteroids to avoid or minimize possible allergic reactions may reduce both their incidence and severity.
Asthma
Moderate:
Urografin 325
The diatrizoate in Urografin 325 has a moderate potential interaction with Asthma.
Iodinated contrast media such as ioversol, can cause life-threatening or fatal hypersensitivity reactions including anaphylaxis and anaphylactic shock. Manifestations include respiratory arrest, laryngospasm, bronchospasm, angioedema, and shock. Most severe reactions develop shortly after the start of the injection (e.g. within 1 to 3 minutes), but delayed reactions may occur. There is an increased risk in patients with a history of a previous reaction to contrast agent, and known allergies (i.e., bronchial asthma, drug, or food allergies), and other hypersensitivities. Caution is advised on these patients. Premedication with antihistamines or corticosteroids to avoid or minimize possible allergic reactions may reduce both their incidence and severity.
Bone Marrow Depression/Low Blood Counts
Moderate:
lutetium lu 177 vipivotide tetraxetan
lutetium Lu 177 vipivotide tetraxetan has a moderate potential interaction with Bone Marrow Depression/Low Blood Counts.
Lutetium Lu 177 vipivotide tetraxetan can cause severe and life-threatening myelosuppression (including anemia, thrombocytopenia, leukopenia, neutropenia); caution is recommended in at-risk patients. Complete blood counts should be performed before and during therapy.
Heart Failure
Moderate:
Urografin 325
The diatrizoate in Urografin 325 has a moderate potential interaction with Heart Failure.
Due to the transitory increase in the circulatory osmotic load, injections with urographic agents should be used with caution in patients with congestive heart failure. Such patients should be observed for several hours following the procedure to detect delayed hemodynamic disturbances.
Immunodeficiency
Moderate:
lutetium lu 177 vipivotide tetraxetan
lutetium Lu 177 vipivotide tetraxetan has a moderate potential interaction with Immunodeficiency.
Lutetium Lu 177 vipivotide tetraxetan can cause severe and life-threatening myelosuppression (including anemia, thrombocytopenia, leukopenia, neutropenia); caution is recommended in at-risk patients. Complete blood counts should be performed before and during therapy.
Multiple Myeloma
Moderate:
Urografin 325
The diatrizoate in Urografin 325 has a moderate potential interaction with Multiple Myeloma.
A definite risk exists in the use of intravascular contrast agents in patients who are known to have multiple myeloma. In such cases, anuria has developed resulting in progressive uremia, renal failure and eventually death. Although neither the contrast agent nor dehydration has separately proved to be the cause of anuria in myeloma, it has been speculated that the combination of both may be causative factors. The risk in patients with myeloma is not a contraindication to the procedure; however, partial dehydration in the preparation of these patients for the examination is not recommended since this may predispose to precipitation of myeloma protein in the renal tubules. Myeloma, which occurs most commonly in persons over 40, should be considered before instituting intravascular administration of contrast agents.
Myasthenia Gravis
Moderate:
Urografin 325
The diatrizoate in Urografin 325 has a moderate potential interaction with Myasthenia Gravis.
The administration of iodinated contrast media may aggravate the symptoms of myasthenia gravis. Caution is advised when using these agents in patients with this condition.
Pheochromocytoma
Major:
Urografin 325
The diatrizoate in Urografin 325 has a major potential interaction with Pheochromocytoma.
Administration of radiopaque materials to patients known or suspected of having pheochromocytoma should be performed with extreme caution. If, in the opinion of the physician, the possible benefits of such procedures outweigh the considered risk, the procedures should be performed with the absolute minimum amount of injected radiopaque medium. The blood pressure should be assessed throughout the procedure and measures for treatment of a hypertensive crisis should be available.
Renal Dysfunction
Moderate:
lutetium lu 177 vipivotide tetraxetan
lutetium Lu 177 vipivotide tetraxetan has a moderate potential interaction with Renal Dysfunction.
Exposure of lutetium Lu 177 vipivotide tetraxetan is expected to increase with the degree of renal dysfunction. No dose adjustment is recommended for patients with mild (baseline CrCl 60 to 89 mL/min by Cockcroft-Gault) to moderate (CrCl 30 to 59 mL/min) renal dysfunction; as these patients may be at greater risk of toxicity, renal function and adverse reactions should be monitored frequently. Pharmacokinetics and safety of lutetium Lu 177 vipivotide tetraxetan have not been studied in patients with severe (CrCl 15 to 29 mL/min) renal dysfunction or end-stage renal disease; caution is advised in these patients.
More resources
lutetium lu 177 vipivotide tetraxetan
A total of 224 drugs are known to interact with lutetium lu 177 vipivotide tetraxetan.
- Lutetium lu 177 vipivotide tetraxetan is in the drug class therapeutic radiopharmaceuticals.
- Lutetium lu 177 vipivotide tetraxetan is used to treat Prostate Cancer.
Urografin 325
A total of 174 drugs are known to interact with Urografin 325.
- Urografin 325 is in the drug class ionic iodinated contrast media.
- Urografin 325 is used to treat Diagnosis and Investigation.
Drug Interaction Classification
| Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. | |
| Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. | |
| Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. | |
| No interaction information available. |
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.