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Does Iodixanol Interact with Metformin?

CDI records a major classification for Iodixanol and Metformin. The stored summary is: Iodixanol may increase risk of metformin-induced lactic acidosis, possibly by worsening renal function. Stop metformin prior to iodixanol administration in patients with eGFR 30-60 mL/min/1.73 m² or hepatic impairment, alcoholism, or heart failure. The mechanism involves worsening of renal function. Patients taking both medications should consult their healthcare provider before starting, stopping, or changing the dosage of either drug. This record was extracted from drug labeling through openFDA. NIH/NLM RxNorm is used for drug identities. The summary and severity classification are CDI's processed information, not a verbatim source quotation. Product, route, and patient circumstances matter.

Severity
Major
Iodixanol Class
Radiographic Contrast Agent
Management
Close medical supervision required
Data Source
U.S. FDA via OpenFDA

Recorded Mechanism

Worsening of renal function

What To Tell Your Doctor or Pharmacist

If you are taking Iodixanol and your doctor is considering prescribing Metformin (or vice versa), make sure to:

  • Inform your doctor and pharmacist of all current medications, including over-the-counter drugs and supplements
  • Ask whether the benefits of combining these medications outweigh the risks for your specific situation
  • Ask what symptoms to watch for that would indicate the interaction is causing problems
  • Ask how frequently you should be monitored while these are co-prescribed
  • Ask whether any dosage adjustments are needed
  • Never stop or change either medication without first consulting your healthcare provider
💊 Iodixanol(Visipaque)+💊 Metformin(Kazano)

Severity & Interaction Details

⚠️
major
Use with caution — major interaction
Serious risk of clinically significant harm. Generally avoid; if used, monitor closely.
Severity scale
MinorContra
On record
Yes
Drug A class
Radiographic Contrast Agent
Drug B class
—
Source
NLP:iodixanol

What this means in plain English

Iodixanol may increase risk of metformin-induced lactic acidosis, possibly by worsening renal function. Stop metformin prior to iodixanol administration in patients with eGFR 30-60 mL/min/1.73 m² or hepatic impairment, alcoholism, or heart failure.

About Iodixanol and Metformin

Iodixanol is a Radiographic Contrast Agent. You may recognize them by the brand names Visipaque and Kazano. Both Iodixanol and Metformin carry an FDA boxed warning — the agency's most serious safety designation.

Source and Limitations

This record was produced by automated extraction from drug-label information, including AI processing. The summary and mechanism are not verbatim FDA quotations. The drug profiles below may describe different formulations from the source label. Confirm the exact product and route with your pharmacist. This page does not establish independent clinical review.

📖 Source: NLP:iodixanol

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How this information is prepared: CDI uses automated extraction, including AI, to summarize drug labeling from openFDA and includes separately identified curated-reference records. RxNorm helps identify medications; it does not verify interaction claims. Extracted summaries and CDI severity classifications can contain errors and are not verbatim FDA statements or independent clinical review. Maintained by CheckDrugInteractions.com. See our methodology or report a correction at support@checkdruginteractions.com.

Data sourced from U.S. FDA drug labeling via openFDA and the NIH National Library of Medicine, supplemented with a small number of well-established interactions from curated clinical references. For informational purposes only. Always consult your pharmacist or physician.

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