Tagitol V Suspension
Generic Name: barium sulfate
Dosage Form: suspension
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TAGITOL ™ V
BARIUM SULFATE SUSPENSION
(40% w/v, 30% w/w)
Tagitol V Suspension Description
TAGITOL™ V is a barium sulfate suspension 40% w/v, 30% w/w for oral administration. Each 100 mL contains 40 g barium sulfate. Barium sulfate, due to its high molecular density is opaque to x-rays and therefore, acts as a positive contrast agent for radiographic studies. The active ingredient is barium sulfate and its structural formula is BaSO4. Barium sulfate occurs as a fine, white, odorless, tasteless, bulky powder which is free from grittiness. Its aqueous suspensions are neutral to litmus. It is practically insoluble in water, solutions of acids and alkalies, and organic solvents.
Inactive Ingredients: artificial and natural apple flavor, carboxymethylcellulose sodium, citric acid, glycerin, maltodextrin, natural gum, polysorbate 80, potassium sorbate, purified water, saccharin sodium, simethicone emulsion, sodium benzoate, sodium citrate and xylitol.
Tagitol V Suspension - Clinical Pharmacology
Barium sulfate, due to its high molecular density is opaque to x-rays and, therefore, acts as a positive contrast agent for radiographic studies. Barium sulfate is biologically inert and, therefore, is not absorbed or metabolized by the body, and is eliminated from the GI tract unchanged.
Indications and Usage for Tagitol V Suspension
Rarely, severe and occasionally fatal allergic reactions have been reported following administration of barium sulfate contrast agents. Such a reaction can occur up to 60 minutes following administration. Allergic reactions are more likely to occur in individuals with a history of allergic reactions to barium sulfate products.
Diagnostic procedures which involve the use of radiopaque contrast agents should be carried out under the direction of personnel with the requisite training and with a thorough knowledge of the particular procedure to be performed. A history of bronchial asthma, atopy, as evidenced by hay fever and eczema, or a previous reaction to a contrast agent, warrant special attention. Caution should be exercised with the use of radiopaque media in severely debilitated patients and in those with marked hypertension or advanced cardiac disease. Ingestion of barium is not recommended in patients with a history of food aspiration. If barium studies are required in these patients or in patients in whom integrity of the swallowing mechanism is unknown, proceed with caution. If barium is aspirated into the larynx, further administration should be immediately discontinued, and a physician consulted.
Information for Patients
- Inform their physician if they are pregnant.
- Inform their physician if they are allergic to any drugs or food, or if they have had any prior reactions to barium sulfate products or other contrast agents used in x-ray procedures (see PRECAUTIONS-General).
- Inform their physician about any other medications they are currently taking.
- Seek immediate medical attention if they experience an allergic reaction after using this product.
The presence of barium sulfate formulations in the GI tract may alter the absorption of therapeutic agents taken concomitantly. In order to minimize any potential change in absorption, the separate administration of barium sulfate from that of other agents should be considered.
Usage in Pregnancy
Adverse reactions, such as nausea, vomiting, diarrhea and abdominal cramping, accompanying the use of barium sulfate formulations are infrequent and usually mild. Severe reactions (approximately 1 in 1,000,000) and fatalities (approximately 1 in 10,000,000) have occurred. Procedural complications are rare, but may include aspiration pneumonitis, barium impaction, granuloma formation, intravasation, embolization and peritonitis following intestinal perforation, vasovagal and syncopal episodes, and fatalities.
Due to the increased likelihood of allergic reactions in atopic patients, it is important that a complete history of known and suspected allergies as well as allergic-like symptoms, e.g., rhinitis, bronchial asthma, eczema and urticaria, must be obtained prior to any medical procedure utilizing these products. A mild allergic reaction would most likely include generalized pruritus, erythema or urticaria (approximately 1 in 250,000). Such reactions will generally respond to an antihistamine such as 50 mg of diphenhydramine or its equivalent. In the rarer, more serious reactions (approximately 1 in 1,000,000) laryngeal edema, bronchospasm or hypotension could develop. Severe reactions which may require emergency measures are often characterized by peripheral vasodilation, hypotension, reflex tachycardia, dyspnea, agitation, confusion and cyanosis, progressing to unconsciousness. All of the allergic symptoms mentioned above can occur as either an immediate or delayed (up to 24 hours) reactions. Treatment should be initiated immediately with 0.3 to 0.5 cc of 1:1000 epinephrine subcutaneously. If bronchospasm predominates, 0.25 to 0.50 grams of intravenous aminophylline should be given slowly. Appropriate vasopressors might be required. Adrenocorticosteroids, even if given intravenously, exert no significant effect on the acute allergic reactions for a few hours. The administration of these agents should not be regarded as emergency measures for the treatment of allergic reactions.
Apprehensive patients may develop weakness, pallor, tinnitus, diaphoresis and bradycardia following the administration of any diagnostic agent. Such reactions are usually non-allergic in nature and are best treated by having the patient lie flat for an additional 10 to 30 minutes under observation.
On rare occasions following repeated administration, severe stomach cramps, nausea, vomiting, diarrhea or constipation may occur. These indicated responses can be present in both fluoroscopic and CT procedures. These are transitory in nature and are not considered serious. Symptoms may be treated according to currently accepted standards of medical care.
Tagitol V Suspension Dosage and Administration
For Oral Administration 24-hours prior to the procedure: Patient should drink one 20 mL bottle of TAGITOL™ V at each meal; breakfast, lunch (noon) and dinner. Patient should be instructed that if a dose is missed they should take it immediately.
SHAKE WELL PRIOR TO USE
How is Tagitol V Suspension Supplied
barium sulfate suspension
|Labeler - E-Z-EM Canada Inc (204211163)|
|Registrant - E-Z-EM, INC. (002041226)|
|E-Z-EM Canada Inc||204211163||PACK(32909-814), ANALYSIS(32909-814), LABEL(32909-814), MANUFACTURE(32909-814)|
More about Tagitol V (barium sulfate)
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- Drug class: non-iodinated contrast media