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XENETIX 350 (350 MGI/ML) SOLUTION FOR INJECTION)

Active substance(s): IOBITRIDOL

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220588.qxp_420 x 200 mm - PMS 286 21/05/2015 10:57 Page1

Note: The PL mockup is available in 3 dimensions: 420 x 200 mm for large vial presentations (> or = to 75mL) , 455 x 140mm for smaller vial presentations ( < or = to 60 mL), and 420 x 140mm for softbag presentations.

Package leaflet: Information for the user

XENETIX 250 (250 mg I/mL), solution for injection
XENETIX 300 (300 mg I/mL), solution for injection
XENETIX 350 (350 mg I/mL), solution for injection
Iobitridol

Read all of this leaflet carefully before you start
using this medicine because it contains important
information for you.
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you only. Do not pass
it on to others. It may harm them, even if their signs of illness
are the same as yours.
• If you get any side effect, talk to your doctor or pharmacist.
This includes any possible side effects not listed in this leaflet.

1. What Xenetix is and what it is used for
2. What you need to know before you use Xenetix
3. How to use Xenetix
4. Possible side effects
5. How to store Xenetix
6. Contents of the pack and other information

1. WHAT XENETIX IS AND WHAT IT IS USED FOR

Xenetix is a diagnostic agent. It belongs to the group of contrast
agents used for radiological examinations.

Xenetix is used to enhance the contrast of the images obtained
during radiological examinations. This contrast enhancement
improves the visualisation and outline of certain body parts.
This medicine is for diagnostic use only.

2. WHAT YOU NEED TO KNOW BEFORE
YOU USE XENETIX

You should read the information in this section carefully.
You and your doctor should consider this information before you
are given Xenetix.

Do not use Xenetix if:
• you are allergic to iobitridol or any of the other ingredients of
Xenetix (listed in section 6)
• you have already had an allergic reaction following the injection
of iobitridol (see section 4: possible side effects)
• you have excess thyroid hormones (these are hormones that
affect your energy level)
• you are pregnant or think you are pregnant and are due to
undergo hysterosalpingography (examination of the uterus and
fallopian tubes)

Warnings and precautions
Inform your doctor if the following applies to you:
• you have previously had an allergic reaction to a contrast agent
during an examination
• you are asthmatic and have had an asthma attack within the 8
days preceeding the examination
• you have a history of allergic reaction to anything
• you have sickle cell disease (an inherited blood disorder that
affects red blood cells)
• you have any condition that could cause a water or electrolyte
imbalance (for example dehydration, increase of sodium in
your blood, which may change the amount of certain body
salts, eg calcium, potassium, sodium… in your body)
• you are being treated with a beta-blocker (medicine for heart
and blood pressure disorders)
• you have kidney problems
• you have liver disease
• you have pancreatitis
• you have a disease affecting your heart or your blood vessels
• you have had convulsions or you are being treated for epilepsy
• you have heart failure (your heart is not pumping well)
• you have diabetes
• you have had a stroke or recent history of intracranial
haemorrhage (bleeding inside the skull)
• you have myasthenia gravis
• you have thyroid disorders or a history of thyroid disease
• you have a phaeochromocytoma (tumour of the adrenal gland)
• you have bone-marrow disease (monoclonal gammapathy:
multiple myeloma or Waldenström’s disease)

• you are due to undergo a thyroid examination in the near future
or treatment with radioactive iodine
• you regularly drink large amounts of alcohol or you use drugs
• you have anxiety, nervousness or pain, as possible side-effects
may be intensified.
• you have or have ever had inflammation in the pelvis affecting
your womb, tubes or ovaries.

In all these cases, your doctor will only give you Xenetix if the
benefits outweigh the risks. If you are given Xenetix, your doctor
will take the precautions necessary and the administration of
Xenetix will be carefully monitored.

Other medicines and Xenetix
Please tell your doctor or pharmacist if you are taking or have
recently taken any other medicines, including medicines
obtained without a prescription.
In particular, please inform your doctor or pharmacist if:
• you are taking or have recently taken medicines for:
- heart and blood pressure disorders such as beta-blockers or
diuretics
- diabetes (metformin)
• you have recently received interleukin-2 (a drug for treating
cancer)

Xenetix with food and drink
There are no known interactions between Xenetix and food and
drinks. However, please check with your doctor or pharmacist if
it is required not to eat or drink before the examination.
You should inform your doctor if you regularly drink large
quantities of alcohol (see section 2-Warnings and precautions).

Pregnancy and breast-feeding
If you are pregnant or breast-feeding, think you may be pregnant
or are planning to have a baby, ask your doctor or pharmacist for
advice before taking this medicine.
Xenetix may pass into your breast milk.

Driving and using machines
Xenetix is unlikely to affect your ability to drive or use machines.
If you feel unwell after the examination, you should not drive or
use machines.

Xenetix contains sodium
This medicinal product contains less than 1 mmol sodium
(23 mg) per 100 ml, i.e. is essentially “sodium-free”.
3. HOW TO USE XENETIX

Xenetix will be administered to you by injection.

During the examination, you will be under the supervision of a
doctor. A plastic needle will be left in your vein; this will allow the
doctor to inject you with appropriate emergency drugs if
necessary. If you experience an allergic reaction, the
administration of Xenetix will be stopped.

The procedure will be carried out in a hospital, clinic or private
practice. The attending staff know what precautions have to be
taken for the examination. They are also aware of any possible
complications that can occur.

Dosage
Your doctor will determine the dose you will receive and
supervise the injection.

If too much Xenetix has been administered to you
It is highly unlikely that you will be given an overdose. You will
be given Xenetix in a medical setting by a trained person. In a
real case of overdose, Xenetix can be removed from the body by
haemodialysis (blood cleaning).
Speak to your doctor if you are unsure or worried.

If you have any further questions on the use of this product ask
your doctor.
4. POSSIBLE SIDE EFFECTS

Like all medicines, Xenetix can cause side effects, although not
everybody gets them.

Most side effects occur during the injection or within the first hour
following administration. Some effects can occur up to several
days after Xenetix injection.

Side effects of Xenetix are generally mild to moderate and are
temporary.

220588.qxp_420 x 200 mm - PMS 286 21/05/2015 10:57 Page2

There is a small risk (rare) that you may have an
allergic reaction to Xenetix. Such reactions can be
severe and exceptionally result in shock (very rare case
of allergic reaction that could put your life in danger).

Any of the symptoms listed below may be the first
signs of shock. Immediately inform your doctor or
health professional if you have any of them.

• swelling of the face, mouth or throat which may cause you
difficulties in swallowing or breathing
• hypotension (low blood pressure)
• breathing difficulties
• wheezy breathing
• coughing
• itching
• runny nose
• sneezing
• skin rash
• urticaria (patches of red skin, severe itching)
• Stevens-Johnson syndrome or Lyell’s syndrome (severe
allergic skin reaction with blister like lesions)

Altogether, the side effects which have been described for
Xenetix are the following:

Uncommon side effects (probably affecting fewer than 1 in 100
people)
• sensation of warmth
• nausea
Rare side effects (probably affecting fewer than 1 in 1,000
people)
• swelling of various parts of the body including the face
• tightness sensation in the throat
• hypotension (low blood pressure)
• breathing difficulties
• wheezy breathing
• coughing
• sneezing

• eye irritation
• vertigo (feeling of spinning or dizziness)
• malaise (feeling of discomfort or being unwell)
• vomiting
• tachycardia (fast heart rate)
• urticaria (patches of red skin, severe itching)
• other skin reaction
• injection site pain
• chill
• tremor
• presyncope (lightheaded)
• paresthesia (feeling of pins and needles in a limb)

Very rare side effects (probably affecting fewer than 1 in 10,000
people)
• thyroid disorder
• coma*
• convulsions (fits)*
• confusion*
• visual disorders*
• memory loss*
• photophobia (fear of light)*
• transient blindness*
• drowsiness*
• agitation*
• headache
• hearing difficulties
• cardiac arrest
• blood creatinine increased
• changes to heart rate, angina or heart attack (heavy chest pain
radiating up left arm)
• circulatory failure
• myocardial infarction
• abdominal pain
• kidney disorders
• breathing difficulties caused by tightening of the muscles in
your airways or water in the lungs
• swelling of throat
• eczema
• severe allergic skin reaction including reaction with blister like
lesions

If Xenetix is accidentaly injected outside the vein, pain can occur
around the site of injection with swelling, inflammation, local
reddening or necrosis.

Other side effect (frequency undertermined on the basis of the
available data):
• joint pain (when Xenetix is administered into joints)
• pelvic pain (when Xenetix is administered into the uterus and
fallopian tubes)
• high blood pressure (hypertension)
• abnormal heartbeats may occur (torsades de pointes)
• temporary discomfort or pain that is caused by a temporary
spasm (constriction) in one or more of your coronary arteries
(coronary arteriospasm)
* if Xenetix concentration in cerebral arterial blood is high

Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This
includes any possible side effects not listed in this leaflet. You
can also report side effects directly via Yellow Card Scheme,
website: www.mhra.gov.uk/yellowcard.
By reporting side effects you can help provide more information
on the safety of this medicine.
5. HOW TO STORE XENETIX

Keep this medicine out of the reach and sight of children.

Vial:

Keep the container in the outer carton. Do not store
above 30°C
Bags: Keep the container in the outer carton

Do not use Xenetix after the expiry date which is stated on the
vial or the bag and on the carton, after the abbreviation “Exp”.
The expiry date refers to the last day of that month.

Do not use Xenetix if you notice visible signs of deterioration of
the product

• It is unlikely that you will be asked to dispose of any left over
Xenetix. If this happens ask your pharmacist what you should
do. These measures will help to protect the environment.

6. CONTENTS OF THE PACK AND OTHER
INFORMATION

What Xenetix contains
• The active substance is iobitridol. 100 millilitres (mLs) of
solution for injection of:
Xenetix 250 contains 54.84 g of iobitridol, corresponding to a
quantity of 25 g of iodine.
Xenetix 300 contains 65.81 g of iobitridol, corresponding to a
quantity of 30 g of iodine.
Xenetix 350 contains 76.78 g of iobitridol, corresponding to a
quantity of 35 g of iodine.

• The other ingredients are: Sodium calcium edetate,
trometamol, trometamol hydrochloride, water for injection,
sodium hydroxide or hydrochloric acid (for pH adjustment)

What Xenetix looks like and contents of the pack
Xenetix is a clear, colourless or slightly yellow solution for
injection
The solution for injection of Xenetix 250 is presented in the
following containers sizes: 50 mL filled in 60 mL vial, 100 mL
filled in 100 or 125 mL vial, 200 mL filled in 250 mL vial and
500 mL filled in 500 mL vial
The solution for injection of Xenetix 300 and Xenetix 350 is
presented in the following containers sizes: 20 mL filled in 20 or
30 mL vial, 50 mL filled in 60 mL vial, 60 mL filled in 60 mL vial,
75 mL filled in 100 or 125 mL vial, 100 mL filled in 100 or 125 mL
vial, 150 mL filled in 250 mL vial, 200 mL filled in 250 mL vial
and 500 mL filled in 500 mL vial, and in 100 mL, 150 mL, 200 mL
or 500 mL bags.
Not all pack sizes may be marketed.

Marketing Authorisation Holder/Manufacturer:
Guerbet
BP 57400 - 95943 Roissy CdG cedex - France

This leaflet was last revised in April 2015.

220588

If any of the side effects gets serious, or if you notice any side
effects not listed in this leaflet, please also tell your doctor or
pharmacist as soon as possible.

220589.qxp_455 X 140 mm - PMS 286 26/05/2015 08:26 Page1

Note: The PL mockup is available in 3 dimensions: 420 x 200 mm for large vial presentations (> or = to 75mL) , 455 x 140mm for smaller vial presentations ( < or = to 60 mL), and 420 x 140mm for softbag presentations
Package leaflet: Information for the user

XENETIX 250 (250 mg I/mL), solution for injection
XENETIX 300 (300 mg I/mL), solution for injection
XENETIX 350 (350 mg I/mL), solution for injection
Iobitridol

Read all of this leaflet carefully before you start using this medicine
because it contains important information for you.
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you only. Do not pass it on to others.
It may harm them, even if their signs of illness are the same as yours.
• If you get any side effect, talk to your doctor or pharmacist. This includes any
possible side effects not listed in this leaflet.

1. What Xenetix is and what it is used for
2. What you need to know before you use Xenetix
3. How to use Xenetix
4. Possible side effects
5. How to store Xenetix
6. Contents of the pack and other information

1. WHAT XENETIX IS AND WHAT IT IS USED FOR

Xenetix is a diagnostic agent. It belongs to the group of contrast agents used for
radiological examinations.

Xenetix is used to enhance the contrast of the images obtained during radiological
examinations. This contrast enhancement improves the visualisation and outline of
certain body parts.
This medicine is for diagnostic use only.

2. WHAT YOU NEED TO KNOW BEFORE YOU USE XENETIX

You should read the information in this section carefully.
You and your doctor should consider this information before you are given Xenetix.
Do not use Xenetix if:
• you are allergic to iobitridol or any of the other ingredients of Xenetix (listed in section 6)
• you have already had an allergic reaction following the injection of iobitridol (see
section 4: possible side effects)
• you have excess thyroid hormones (these are hormones that affect your energy level)
• you are pregnant or think you are pregnant and are due to undergo
hysterosalpingography (examination of the uterus and fallopian tubes)
Warnings and precautions
Inform your doctor if the following applies to you:
• you have previously had an allergic reaction to a contrast agent during an
examination
• you are asthmatic and have had an asthma attack within the 8 days preceeding the
examination
• you have a history of allergic reaction to anything
• you have sickle cell disease (an inherited blood disorder that affects red blood cells)
• you have any condition that could cause a water or electrolyte imbalance (for
example dehydration, increase of sodium in your blood, which may change the
amount of certain body salts, eg calcium, potassium, sodium… in your body)
• you are being treated with a beta-blocker (medicine for heart and blood pressure
disorders)
• you have kidney problems
• you have liver disease
• you have pancreatitis
• you have a disease affecting your heart or your blood vessels
• you have had convulsions or you are being treated for epilepsy
• you have heart failure (your heart is not pumping well)
• you have diabetes
• you have had a stroke or recent history of intracranial haemorrhage (bleeding inside
the skull)

• you have myasthenia gravis
• you have thyroid disorders or a history of thyroid disease
• you have a phaeochromocytoma (tumour of the adrenal gland)
• you have bone-marrow disease (monoclonal gammapathy: multiple myeloma or
Waldenström’s disease)
• you are due to undergo a thyroid examination in the near future or treatment with
radioactive iodine
• you regularly drink large amounts of alcohol or you use drugs
• you have anxiety, nervousness or pain, as possible side-effects may be intensified.
• you have or have ever had inflammation in the pelvis affecting your womb, tubes or
ovaries.
In all these cases, your doctor will only give you Xenetix if the benefits outweigh the
risks. If you are given Xenetix, your doctor will take the precautions necessary and the
administration of Xenetix will be carefully monitored.
Other medicines and Xenetix
Please tell your doctor or pharmacist if you are taking or have recently taken any
other medicines, including medicines obtained without a prescription.
In particular, please inform your doctor or pharmacist if:
• you are taking or have recently taken medicines for:
- heart and blood pressure disorders such as beta-blockers or diuretics
- diabetes (metformin)
• you have recently received interleukin-2 (a drug for treating cancer)
Xenetix with food and drink
There are no known interactions between Xenetix and food and drinks. However,
please check with your doctor or pharmacist if it is required not to eat or drink before
the examination.
You should inform your doctor if you regularly drink large quantities of alcohol (see
section 2-Warnings and precautions).
Pregnancy and breast-feeding
If you are pregnant or breast-feeding, think you may be pregnant or are planning to
have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Xenetix may pass into your breast milk.

Driving and using machines
Xenetix is unlikely to affect your ability to drive or use machines. If you feel unwell after
the examination, you should not drive or use machines.
Xenetix contains sodium
This medicinal product contains less than 1 mmol sodium (23 mg) per 100 ml, i.e. is
essentially “sodium-free”.
3. HOW TO USE XENETIX

Xenetix will be administered to you by injection.
During the examination, you will be under the supervision of a doctor. A plastic needle
will be left in your vein; this will allow the doctor to inject you with appropriate
emergency drugs if necessary. If you experience an allergic reaction, the
administration of Xenetix will be stopped.
The procedure will be carried out in a hospital, clinic or private practice. The attending
staff know what precautions have to be taken for the examination. They are also
aware of any possible complications that can occur.
Dosage
Your doctor will determine the dose you will receive and supervise the injection.
If too much Xenetix has been administered to you
It is highly unlikely that you will be given an overdose. You will be given Xenetix in a
medical setting by a trained person. In a real case of overdose, Xenetix can be
removed from the body by haemodialysis (blood cleaning).
Speak to your doctor if you are unsure or worried.
If you have any further questions on the use of this product ask your doctor.
4. POSSIBLE SIDE EFFECTS

Like all medicines, Xenetix can cause side effects, although not everybody gets them.
Most side effects occur during the injection or within the first hour following
administration. Some effects can occur up to several days after Xenetix injection.
Side effects of Xenetix are generally mild to moderate and are temporary.

220589.qxp_455 X 140 mm - PMS 286 26/05/2015 08:26 Page2

• eye irritation
• vertigo (feeling of spinning or dizziness)
• malaise (feeling of discomfort or being unwell)
• vomiting
• tachycardia (fast heart rate)
• urticaria (patches of red skin, severe itching)
• other skin reaction
• injection site pain
• chill
• tremor
• presyncope (lightheaded)
• paresthesia (feeling of pins and needles in a limb)
Very rare side effects (probably affecting fewer than 1 in 10,000 people)
• thyroid disorder
• coma*
• convulsions (fits)*
• confusion*
• visual disorders*
• memory loss*
• photophobia (fear of light)*
• transient blindness*
• drowsiness*
• agitation*
• headache
• hearing difficulties
• cardiac arrest
• blood creatinine increased
• changes to heart rate, angina or heart attack (heavy chest pain radiating up left arm)
• circulatory failure
• myocardial infarction
• abdominal pain
• kidney disorders

• breathing difficulties caused by tightening of the muscles in your airways or water in
the lungs
• swelling of throat
• eczema
• severe allergic skin reaction including reaction with blister like lesions
If Xenetix is accidentaly injected outside the vein, pain can occur around the site of
injection with swelling, inflammation, local reddening or necrosis.
Other side effect (frequency undertermined on the basis of the available data):
• joint pain (when Xenetix is administered into joints)
• pelvic pain (when Xenetix is administered into the uterus and fallopian tubes)
• high blood pressure (hypertension)
• abnormal heartbeats may occur (torsades de pointes)
• temporary discomfort or pain that is caused by a temporary spasm (constriction) in
one or more of your coronary arteries (coronary arteriospasm)
* if Xenetix concentration in cerebral arterial blood is high
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any possible
side effects not listed in this leaflet. You can also report side effects directly via Yellow
Card Scheme, website: www.mhra.gov.uk/yellowcard.
By reporting side effects you can help provide more information on the safety of this
medicine.
5. HOW TO STORE XENETIX

Keep this medicine out of the reach and sight of children.

Vial:
Keep the container in the outer carton. Do not store above 30°C
Bags:
Keep the container in the outer carton
Do not use Xenetix after the expiry date which is stated on the vial or the bag and on the
carton, after the abbreviation “Exp”. The expiry date refers to the last day of that month.
Do not use Xenetix if you notice visible signs of deterioration of the product.

• It is unlikely that you will be asked to dispose of any left over Xenetix. If this happens
ask your pharmacist what you should do. These measures will help to protect the
environment.
6. CONTENTS OF THE PACK AND OTHER INFORMATION

What Xenetix contains
• The active substance is iobitridol. 100 millilitres (mLs) of solution for injection of:
Xenetix 250 contains 54.84 g of iobitridol, corresponding to a quantity of 25 g of iodine.
Xenetix 300 contains 65.81 g of iobitridol, corresponding to a quantity of 30 g of iodine.
Xenetix 350 contains 76.78 g of iobitridol, corresponding to a quantity of 35 g of iodine.
• The other ingredients are: Sodium calcium edetate, trometamol, trometamol
hydrochloride, water for injection, sodium hydroxide or hydrochloric acid (for pH
adjustment)
What Xenetix looks like and contents of the pack
Xenetix is a clear, colourless or slightly yellow solution for injection
The solution for injection of Xenetix 250 is presented in the following containers sizes:
50 mL filled in 60 mL vial, 100 mL filled in 100 or 125 mL vial, 200 mL filled in 250 mL
vial and 500 mL filled in 500 mL vial
The solution for injection of Xenetix 300 and Xenetix 350 is presented in the following
containers sizes: 20 mL filled in 20 or 30 mL vial, 50 mL filled in 60 mL vial, 60 mL
filled in 60 mL vial, 75 mL filled in 100 or 125 mL vial, 100 mL filled in 100 or 125 mL
vial, 150 mL filled in 250 mL vial, 200 mL filled in 250 mL vial and 500 mL filled in 500
mL vial, and in 100 mL, 150 mL, 200 mL or 500 mL bags.
Not all pack sizes may be marketed.
Marketing Authorisation Holder/Manufacturer:
Guerbet
BP 57400
95943 Roissy CdG cedex
France
This leaflet was last revised in April 2015.

220589

If any of the side effects gets serious, or if you notice any side effects not listed in this
leaflet, please also tell your doctor or pharmacist as soon as possible.
There is a small risk (rare) that you may have an allergic reaction to
Xenetix. Such reactions can be severe and exceptionally result in shock
(very rare case of allergic reaction that could put your life in danger).
Any of the symptoms listed below may be the first signs of shock.
Immediately inform your doctor or health professional if you have
any of them.
• swelling of the face, mouth or throat which may cause you difficulties in swallowing
or breathing
• hypotension (low blood pressure)
• breathing difficulties
• wheezy breathing
• coughing
• itching
• runny nose
• sneezing
• skin rash
• urticaria (patches of red skin, severe itching)
• Stevens-Johnson syndrome or Lyell’s syndrome (severe allergic skin reaction with
blister like lesions)
Altogether, the side effects which have been described for Xenetix are the following:
Uncommon side effects (probably affecting fewer than 1 in 100 people)
• sensation of warmth
• nausea
Rare side effects (probably affecting fewer than 1 in 1,000 people)
• swelling of various parts of the body including the face
• tightness sensation in the throat
• hypotension (low blood pressure)
• breathing difficulties
• wheezy breathing
• coughing
• sneezing

220342.qxp_420 X 140 mm - PMS 286 21/05/2015 10:57 Page1

Note: The PL mockup is available in 3 dimensions: 420 x 200 mm for large vial presentations (> or = to 75mL) , 455 x 140mm for smaller vial presentations ( < or = to 60 mL), and 420 x 140mm for softbag presentations.
Package leaflet: Information for the user

XENETIX 250 (250 mg I/mL), solution for injection
XENETIX 300 (300 mg I/mL), solution for injection
XENETIX 350 (350 mg I/mL), solution for injection
Iobitridol

Read all of this leaflet carefully before you start using this medicine
because it contains important information for you.
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you only. Do not pass it on to others.
It may harm them, even if their signs of illness are the same as yours.
• If you get any side effect, talk to your doctor or pharmacist. This includes any
possible side effects not listed in this leaflet.

1. What Xenetix is and what it is used for
2. What you need to know before you use Xenetix
3. How to use Xenetix
4. Possible side effects
5. How to store Xenetix
6. Contents of the pack and other information

1. WHAT XENETIX IS AND WHAT IT IS USED FOR

Xenetix is a diagnostic agent. It belongs to the group of contrast agents used for
radiological examinations.

Xenetix is used to enhance the contrast of the images obtained during radiological
examinations. This contrast enhancement improves the visualisation and outline of
certain body parts.
This medicine is for diagnostic use only.

2. WHAT YOU NEED TO KNOW BEFORE YOU USE XENETIX

You should read the information in this section carefully.
You and your doctor should consider this information before you are given Xenetix.
Do not use Xenetix if:
• you are allergic to iobitridol or any of the other ingredients of Xenetix (listed in
section 6)
• you have already had an allergic reaction following the injection of iobitridol (see
section 4: possible side effects)
• you have excess thyroid hormones (these are hormones that affect your energy
level)
• you are pregnant or think you are pregnant and are due to undergo
hysterosalpingography (examination of the uterus and fallopian tubes)
Warnings and precautions
Inform your doctor if the following applies to you:
• you have previously had an allergic reaction to a contrast agent during an
examination
• you are asthmatic and have had an asthma attack within the 8 days preceeding
the examination
• you have a history of allergic reaction to anything
• you have sickle cell disease (an inherited blood disorder that affects red blood
cells)
• you have any condition that could cause a water or electrolyte imbalance (for
example dehydration, increase of sodium in your blood, which may change the
amount of certain body salts, eg calcium, potassium, sodium… in your body)
• you are being treated with a beta-blocker (medicine for heart and blood pressure
disorders)
• you have kidney problems
• you have liver disease
• you have pancreatitis
• you have a disease affecting your heart or your blood vessels
• you have had convulsions or you are being treated for epilepsy

• you have heart failure (your heart is not pumping well)
• you have diabetes
• you have had a stroke or recent history of intracranial haemorrhage (bleeding
inside the skull)
• you have myasthenia gravis
• you have thyroid disorders or a history of thyroid disease
• you have a phaeochromocytoma (tumour of the adrenal gland)
• you have bone-marrow disease (monoclonal gammapathy: multiple myeloma or
Waldenström’s disease)
• you are due to undergo a thyroid examination in the near future or treatment with
radioactive iodine
• you regularly drink large amounts of alcohol or you use drugs
• you have anxiety, nervousness or pain, as possible side-effects may be
intensified.
• you have or have ever had inflammation in the pelvis affecting your womb, tubes
or ovaries.
In all these cases, your doctor will only give you Xenetix if the benefits outweigh the
risks. If you are given Xenetix, your doctor will take the precautions necessary and
the administration of Xenetix will be carefully monitored.
Other medicines and Xenetix
Please tell your doctor or pharmacist if you are taking or have recently taken any
other medicines, including medicines obtained without a prescription.
In particular, please inform your doctor or pharmacist if:
• you are taking or have recently taken medicines for:
- heart and blood pressure disorders such as beta-blockers or diuretics
- diabetes (metformin)
• you have recently received interleukin-2 (a drug for treating cancer)
Xenetix with food and drink
There are no known interactions between Xenetix and food and drinks. However,
please check with your doctor or pharmacist if it is required not to eat or drink before
the examination.
You should inform your doctor if you regularly drink large quantities of alcohol (see
section 2-Warnings and precautions).

Pregnancy and breast-feeding
If you are pregnant or breast-feeding, think you may be pregnant or are planning to
have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Xenetix may pass into your breast milk.
Driving and using machines
Xenetix is unlikely to affect your ability to drive or use machines. If you feel unwell
after the examination, you should not drive or use machines.
Xenetix contains sodium
This medicinal product contains less than 1 mmol sodium (23 mg) per 100 ml, i.e.
is essentially “sodium-free”.
3. HOW TO USE XENETIX

Xenetix will be administered to you by injection.
During the examination, you will be under the supervision of a doctor. A plastic
needle will be left in your vein; this will allow the doctor to inject you with appropriate
emergency drugs if necessary. If you experience an allergic reaction, the
administration of Xenetix will be stopped.
The procedure will be carried out in a hospital, clinic or private practice. The
attending staff know what precautions have to be taken for the examination. They
are also aware of any possible complications that can occur.
Dosage
Your doctor will determine the dose you will receive and supervise the injection.
If too much Xenetix has been administered to you
It is highly unlikely that you will be given an overdose. You will be given Xenetix in
a medical setting by a trained person. In a real case of overdose, Xenetix can be
removed from the body by haemodialysis (blood cleaning).
Speak to your doctor if you are unsure or worried.
If you have any further questions on the use of this product ask your doctor.
4. POSSIBLE SIDE EFFECTS

Like all medicines, Xenetix can cause side effects, although not everybody gets
them.

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• breathing difficulties
• wheezy breathing
• coughing
• sneezing
• eye irritation
• vertigo (feeling of spinning or dizziness)
• malaise (feeling of discomfort or being unwell)
• vomiting
• tachycardia (fast heart rate)
• urticaria (patches of red skin, severe itching)
• other skin reaction
• injection site pain
• chill
• tremor
• presyncope (lightheaded)
• paresthesia (feeling of pins and needles in a limb)
Very rare side effects (probably affecting fewer than 1 in 10,000 people)
• thyroid disorder
• coma*
• convulsions (fits)*
• confusion*
• visual disorders*
• memory loss*
• photophobia (fear of light)*
• transient blindness*
• drowsiness*
• agitation*
• headache
• hearing difficulties
• cardiac arrest
• blood creatinine increased
• changes to heart rate, angina or heart attack (heavy chest pain radiating up left arm)
• circulatory failure

• myocardial infarction
• abdominal pain
• kidney disorders
• breathing difficulties caused by tightening of the muscles in your airways or water
in the lungs
• swelling of throat
• eczema
• severe allergic skin reaction including reaction with blister like lesions
If Xenetix is accidentaly injected outside the vein, pain can occur around the site
of injection with swelling, inflammation, local reddening or necrosis.
Other side effect (frequency undertermined on the basis of the available data):
• joint pain (when Xenetix is administered into joints)
• pelvic pain (when Xenetix is administered into the uterus and fallopian tubes)
• high blood pressure (hypertension)
• abnormal heartbeats may occur (torsades de pointes)
• temporary discomfort or pain that is caused by a temporary spasm (constriction)
in one or more of your coronary arteries (coronary arteriospasm)
* if Xenetix concentration in cerebral arterial blood is high
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any
possible side effects not listed in this leaflet. You can also report side effects directly
via Yellow Card Scheme, website: www.mhra.gov.uk/yellowcard.
By reporting side effects you can help provide more information on the safety of this
medicine.
5. HOW TO STORE XENETIX

Keep this medicine out of the reach and sight of children.
Vial:
Keep the container in the outer carton. Do not store above 30°C
Bags:
Keep the container in the outer carton
Do not use Xenetix after the expiry date which is stated on the vial or the bag andon
the carton, after the abbreviation “Exp”. The expiry date refers to the last day of
that month.

Do not use Xenetix if you notice visible signs of deterioration of the product.
• It is unlikely that you will be asked to dispose of any left over Xenetix. If this
happens ask your pharmacist what you should do. These measures will help to
protect the environment.
6. CONTENTS OF THE PACK AND OTHER INFORMATION

What Xenetix contains
• The active substance is iobitridol. 100 millilitres (mLs) of solution for injection of:
Xenetix 250 contains 54.84 g of iobitridol, corresponding to a quantity of 25 g of iodine.
Xenetix 300 contains 65.81 g of iobitridol, corresponding to a quantity of 30 g of iodine.
Xenetix 350 contains 76.78 g of iobitridol, corresponding to a quantity of 35 g of iodine.
• The other ingredients are: Sodium calcium edetate, trometamol, trometamol
hydrochloride, water for injection, sodium hydroxide or hydrochloric acid (for pH
adjustment)
What Xenetix looks like and contents of the pack
Xenetix is a clear, colourless or slightly yellow solution for injection
The solution for injection of Xenetix 250 is presented in the following containers
sizes: 50 mL filled in 60 mL vial, 100 mL filled in 100 or 125 mL vial, 200 mL filled
in 250 mL vial and 500 mL filled in 500 mL vial
The solution for injection of Xenetix 300 and Xenetix 350 is presented in the
following containers sizes: 20 mL filled in 20 or 30 mL vial, 50 mL filled in 60 mL vial,
60 mL filled in 60 mL vial, 75 mL filled in 100 or 125 mL vial, 100 mL filled in 100 or
125 mL vial, 150 mL filled in 250 mL vial, 200 mL filled in 250 mL vial and 500 mL
filled in 500 mL vial, and in 100 mL, 150 mL, 200 mL or 500 mL bags.
Not all pack sizes may be marketed.
Marketing Authorisation Holder/Manufacturer:
Guerbet
BP 57400
95943 Roissy CdG cedex
France
This leaflet was last revised in April 2015.

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Most side effects occur during the injection or within the first hour following
administration. Some effects can occur up to several days after Xenetix injection.
Side effects of Xenetix are generally mild to moderate and are temporary.
If any of the side effects gets serious, or if you notice any side effects not listed in
this leaflet, please also tell your doctor or pharmacist as soon as possible.
There is a small risk (rare) that you may have an allergic reaction
to Xenetix. Such reactions can be severe and exceptionally result in
shock (very rare case of allergic reaction that could put your life in danger).
Any of the symptoms listed below may be the first signs of shock.
Immediately inform your doctor or health professional if you have
any of them.
• swelling of the face, mouth or throat which may cause you difficulties in swallowing
or breathing
• hypotension (low blood pressure)
• breathing difficulties
• wheezy breathing
• coughing
• itching
• runny nose
• sneezing
• skin rash
• urticaria (patches of red skin, severe itching)
• Stevens-Johnson syndrome or Lyell’s syndrome (severe allergic skin reaction with
blister like lesions)
Altogether, the side effects which have been described for Xenetix are the following:
Uncommon side effects (probably affecting fewer than 1 in 100 people)
• sensation of warmth
• nausea
Rare side effects (probably affecting fewer than 1 in 1,000 people)
• swelling of various parts of the body including the face
• tightness sensation in the throat
• hypotension (low blood pressure)

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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