Iopamidol + Metformin Interaction

Majorinteraction on record

Description

Iodinated contrast agents increase risk of metformin-induced lactic acidosis, possibly by worsening renal function. Stop metformin at time of or prior to iopamidol injection in patients with eGFR 30-60 mL/min/1.73 m² or history of hepatic impairment, alcoholism, or heart failure.

Mechanism

Worsening renal function

Source: NLP:iopamidol