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Ioverskan (Solution) Instructions for Use

Marketing Authorization Holder

Pharmasintez-Tyumen, LLC (Russia)

ATC Code

V08AB07 (Ioversol)

Active Substance

Iodine (Ph.Eur. European Pharmacopoeia)

Dosage Forms

Bottle Rx Icon Ioverskan Solution for intravenous and intra-arterial administration 240 mg iodine/1 ml: fl. 10 ml, 20 ml, 30 ml, 50 ml, 75 ml, 100 ml, 125 ml, 150 ml, 200 ml or 500 ml 1, 5 or 10 pcs.
Solution for intravenous and intra-arterial administration 300 mg iodine/1 ml: fl. 10 ml, 20 ml, 30 ml, 50 ml, 75 ml, 100 ml, 125 ml, 150 ml, 200 ml or 500 ml 1, 5 or 10 pcs.
Solution for intravenous and intra-arterial administration 320 mg iodine/1 ml: fl. 10 ml, 20 ml, 30 ml, 50 ml, 75 ml, 100 ml, 125 ml, 150 ml, 200 ml or 500 ml 1, 5 or 10 pcs.
Solution for intravenous and intra-arterial administration 350 mg iodine/1 ml: fl. 10 ml, 20 ml, 30 ml, 50 ml, 75 ml, 100 ml, 125 ml, 150 ml, 200 ml or 500 ml 1, 5 or 10 pcs.

Dosage Form, Packaging, and Composition

Solution for intravenous and intra-arterial administration transparent, colorless or light yellow, or light yellow with a brownish tint.

1 ml
Ioversol 509 mg,
   Calculated as Iodine 240 mg

Excipients : trometamol hydrochloride – 4.1 mg, trometamol – 0.48 mg, sodium calcium edetate – 0.2 mg, hydrochloric acid solution 1M – to pH value 6.0-7.4, water for injections – to 1 ml.

Osmolality: from 465 to 575 mOsm/kg.
Viscosity: from 4.0 to 5.3 mPa*s.

10 ml – glass bottles (1) – cardboard packs.
10 ml – glass bottles (5) – cardboard packs.
10 ml – glass bottles (10) – cardboard packs.
20 ml – glass bottles (1) – cardboard packs.
20 ml – glass bottles (5) – cardboard packs.
20 ml – glass bottles (10) – cardboard packs.
30 ml – glass bottles (1) – cardboard packs.
30 ml – glass bottles (5) – cardboard packs.
30 ml – glass bottles (10) – cardboard packs.
50 ml – glass bottles (1) – cardboard packs.
50 ml – glass bottles (5) – cardboard packs.
50 ml – glass bottles(10) – cardboard packs.
75 ml – glass bottles (1) – cardboard packs.
75 ml – glass bottles (5) – cardboard packs.
75 ml – glass bottles (10) – cardboard packs.
100 ml – glass bottles (1) – cardboard packs.
100 ml – glass bottles (5) – cardboard packs.
100 ml – glass bottles (10) – cardboard packs.
125 ml – glass bottles (1) – cardboard packs.
125 ml – glass bottles (5) – cardboard packs.
125 ml – glass bottles (10) – cardboard packs.
150 ml – glass bottles (1) – cardboard packs.
150 ml – glass bottles (5) – cardboard packs.
150 ml – glass bottles (10) – cardboard packs.
200 ml – glass bottles (1) – cardboard packs.
200 ml – glass bottles (5) – cardboard packs.
200 ml – glass bottles (10) – cardboard packs.
500 ml – glass bottles (1) – cardboard packs.
500 ml – glass bottles (5) – cardboard packs.
500 ml – glass bottles (10) – cardboard packs.


Solution for intravenous and intra-arterial administration transparent, colorless or light yellow, or light yellow with a brownish tint.

1 ml
Ioversol 636 mg,
   Calculated as Iodine 300 mg

Excipients : trometamol hydrochloride – 4.1 mg, trometamol – 0.48 mg, sodium calcium edetate – 0.2 mg, hydrochloric acid solution 1M – to pH value 6.0-7.4, water for injections – to 1 ml.

Osmolality from 580 to 705 mOsm/kg.
Viscosity from 6.0 to 8.6 mPa*s.

10 ml – glass bottles (1) – cardboard packs.
10 ml – glass bottles (5) – cardboard packs.
10 ml – glass bottles (10) – cardboard packs.
20 ml – glass bottles (1) – cardboard packs.
20 ml – glass bottles (5) – cardboard packs.
20 ml – glass bottles (10) – cardboard packs.
30 ml – glass bottles (1) – cardboard packs.
30 ml – glass bottles (5) – cardboard packs.
30 ml – glass bottles (10) – cardboard packs.
50 ml – glass bottles (1) – cardboard packs.
50 ml – glass bottles (5) – cardboard packs.
50 ml – glass bottles(10) – cardboard packs.
75 ml – glass bottles (1) – cardboard packs.
75 ml – glass bottles (5) – cardboard packs.
75 ml – glass bottles (10) – cardboard packs.
100 ml – glass bottles (1) – cardboard packs.
100 ml – glass bottles (5) – cardboard packs.
100 ml – glass bottles (10) – cardboard packs.
125 ml – glass bottles (1) – cardboard packs.
125 ml – glass bottles (5) – cardboard packs.
125 ml – glass bottles (10) – cardboard packs.
150 ml – glass bottles (1) – cardboard packs.
150 ml – glass bottles (5) – cardboard packs.
150 ml – glass bottles (10) – cardboard packs.
200 ml – glass bottles (1) – cardboard packs.
200 ml – glass bottles (5) – cardboard packs.
200 ml – glass bottles (10) – cardboard packs.
500 ml – glass bottles (1) – cardboard packs.
500 ml – glass bottles (5) – cardboard packs.
500 ml – glass bottles (10) – cardboard packs.


Solution for intravenous and intra-arterial administration transparent, colorless or light yellow, or light yellow with a brownish tint.

1 ml
Ioversol 678 mg,
   Calculated as Iodine 320 mg

Excipients : trometamol hydrochloride – 4.1 mg, trometamol – 0.48 mg, sodium calcium edetate – 0.2 mg, hydrochloric acid solution 1M – to pH value 6.0-7.4, water for injections – to 1 ml.
Osmolality from 615 to 745 mOsm/kg.
Viscosity from 7.0 to 10.5 mPa*s.

10 ml – glass bottles (1) – cardboard packs.
10 ml – glass bottles (5) – cardboard packs.
10 ml – glass bottles (10) – cardboard packs.
20 ml – glass bottles (1) – cardboard packs.
20 ml – glass bottles (5) – cardboard packs.
20 ml – glass bottles (10) – cardboard packs.
30 ml – glass bottles (1) – cardboard packs.
30 ml – glass bottles (5) – cardboard packs.
30 ml – glass bottles (10) – cardboard packs.
50 ml – glass bottles (1) – cardboard packs.
50 ml – glass bottles (5) – cardboard packs.
50 ml – glass bottles(10) – cardboard packs.
75 ml – glass bottles (1) – cardboard packs.
75 ml – glass bottles (5) – cardboard packs.
75 ml – glass bottles (10) – cardboard packs.
100 ml – glass bottles (1) – cardboard packs.
100 ml – glass bottles (5) – cardboard packs.
100 ml – glass bottles (10) – cardboard packs.
125 ml – glass bottles (1) – cardboard packs.
125 ml – glass bottles (5) – cardboard packs.
125 ml – glass bottles (10) – cardboard packs.
150 ml – glass bottles (1) – cardboard packs.
150 ml – glass bottles (5) – cardboard packs.
150 ml – glass bottles (10) – cardboard packs.
200 ml – glass bottles (1) – cardboard packs.
200 ml – glass bottles (5) – cardboard packs.
200 ml – glass bottles (10) – cardboard packs.
500 ml – glass bottles (1) – cardboard packs.
500 ml – glass bottles (5) – cardboard packs.
500 ml – glass bottles (10) – cardboard packs.


Solution for intravenous and intra-arterial administration transparent, colorless or light yellow, or light yellow with a brownish tint.

1 ml
Ioversol 741 mg,
   Calculated as Iodine 350 mg

Excipients : trometamol hydrochloride – 4.1 mg, trometamol – 0.48 mg, sodium calcium edetate – 0.2 mg, hydrochloric acid solution 1M – to pH value 6.0-7.4, water for injections – to 1 ml.

Osmolality:from 670 to 810 mOsm/kg.
Viscosity: from 10.0 to 14.6 mPa*s.

10 ml – glass bottles (1) – cardboard packs.
10 ml – glass bottles (5) – cardboard packs.
10 ml – glass bottles (10) – cardboard packs.
20 ml – glass bottles (1) – cardboard packs.
20 ml – glass bottles (5) – cardboard packs.
20 ml – glass bottles (10) – cardboard packs.
30 ml – glass bottles (1) – cardboard packs.
30 ml – glass bottles (5) – cardboard packs.
30 ml – glass bottles (10) – cardboard packs.
50 ml – glass bottles (1) – cardboard packs.
50 ml – glass bottles (5) – cardboard packs.
50 ml – glass bottles(10) – cardboard packs.
75 ml – glass bottles (1) – cardboard packs.
75 ml – glass bottles (5) – cardboard packs.
75 ml – glass bottles (10) – cardboard packs.
100 ml – glass bottles (1) – cardboard packs.
100 ml – glass bottles (5) – cardboard packs.
100 ml – glass bottles (10) – cardboard packs.
125 ml – glass bottles (1) – cardboard packs.
125 ml – glass bottles (5) – cardboard packs.
125 ml – glass bottles (10) – cardboard packs.
150 ml – glass bottles (1) – cardboard packs.
150 ml – glass bottles (5) – cardboard packs.
150 ml – glass bottles (10) – cardboard packs.
200 ml – glass bottles (1) – cardboard packs.
200 ml – glass bottles (5) – cardboard packs.
200 ml – glass bottles (10) – cardboard packs.
500 ml – glass bottles (1) – cardboard packs.
500 ml – glass bottles (5) – cardboard packs.
500 ml – glass bottles (10) – cardboard packs.

Clinical-Pharmacological Group

Radiocontrast non-ionic diagnostic agent for intravascular administration

Pharmacotherapeutic Group

Contrast agents; X-ray contrast agents containing iodine; water-soluble nephrotropic low-osmolar X-ray contrast agents

Pharmacological Action

Elemental Iodine has pronounced antimicrobial properties. Preparations of elemental iodine are characterized by a pronounced local irritant effect on tissues, and in high concentrations – a cauterizing effect. The local action is due to the ability of elemental iodine to precipitate tissue proteins. Preparations that release elemental Iodine have a much less pronounced irritant effect, and iodides have local irritant properties only in very high concentrations.

Pharmacokinetics

Upon contact with the skin or mucous membranes, 30% is converted into iodides, and the rest into active Iodine. Partially absorbed. The absorbed part penetrates into tissues and organs, selectively absorbed by the thyroid gland. It is excreted mainly by the kidneys, intestines, sweat and mammary glands.

Indications

For external use: infectious and inflammatory skin lesions, injuries, wounds, myalgia.

For topical use: chronic tonsillitis, atrophic rhinitis, purulent otitis, trophic and varicose ulcers, wounds, infected burns, fresh thermal and chemical burns of I-II degree.

ICD codes

ICD-10 code Indication
H66 Suppurative and unspecified otitis media
I83.2 Varicose veins of lower extremities with ulcer and inflammation
J31.0 Chronic rhinitis (including ozaena, atrophic and hypertrophic rhinitis)
J35.0 Chronic tonsillitis
L01 Impetigo
L08.0 Pyoderma
L08.8 Other specified local infections of skin and subcutaneous tissue
L98.4 Chronic skin ulcer, not elsewhere classified
M79.1 Myalgia
T14.0 Superficial injury of unspecified body region (including abrasion, bruise, contusion, hematoma, bite of nonvenomous insect)
T14.1 Open wound of unspecified body region
T30 Burns and corrosions of unspecified body region
T79.3 Posttraumatic wound infection, not elsewhere classified
ICD-11 code Indication
1B72.0 Bullous impetigo
1B72.1 Nonbullous impetigo
1B72.Z Impetigo, unspecified
1B7Y Other specified pyogenic bacterial infections of skin or subcutaneous tissue
1C44 Non-pyogenic bacterial infections of skin
AA9Z Unspecified suppurative otitis media
BD74.Z Chronic venous insufficiency of lower extremities, unspecified
CA09.0 Chronic rhinitis
CA0F.Y Other specified chronic diseases of the palatine tonsils and adenoids
EA40 Tropical phagedenic ulcer
EA50.3 Staphylococcal scarlet fever
EB21 Pyoderma gangrenosum
EF60 Ischemic ulceration of the skin
EH92 Dermatoses provoked by friction or mechanical impact
EH92.1 Blister due to friction
EM0Z Unspecified skin disorder
FB56.2 Myalgia
ME60.2 Ulcerative skin lesion of unspecified nature
ND56.0 Superficial injury of unspecified body region
ND56.1 Open wound of unspecified body region
NE11 Burn of unspecified body region
NF0A.3 Posttraumatic wound infection, not elsewhere classified

Dosage Regimen

The method of application and dosage regimen for a specific drug depend on its form of release and other factors. The optimal dosage regimen is determined by the doctor. It is necessary to strictly adhere to the compliance of the dosage form of a specific drug with the indications for use and dosage regimen.

Used externally and topically.

For external use, iodine is used to treat damaged skin areas.

Topically used for washing lacunae and supratonsillar spaces, for irrigation of the nasopharynx, for instillation into the ear and washing; in surgical practice and for burns, gauze napkins applied to the affected surface are moistened as needed. Doses, method of application and duration of treatment are determined depending on the indications.

Adverse Reactions

Rarely skin irritation; with prolonged use on large surfaces – iodism (rhinitis, urticaria, angioedema, salivation, lacrimation, acne).

Contraindications

Hypersensitivity to iodine.

For external use: thyrotoxicosis, dermatitis herpetiformis.

Use in Pregnancy and Lactation

Used as indicated during pregnancy and breastfeeding.

Use in Hepatic Impairment

Used as indicated.

Use in Renal Impairment

Used as indicated.

Pediatric Use

Used as indicated.

Geriatric Use

Used as indicated.

Special Precautions

With prolonged use, phenomena of iodism are possible.

Drug Interactions

Pharmaceutically incompatible with essential oils, ammonia solutions, white precipitated mercury (forms an explosive mixture).

Alkaline or acidic environment, the presence of fat, pus, blood weaken the antiseptic activity.

Storage Conditions

Store at 2°C (36°F) to 30°C (86°F). Keep in original packaging, protected from light. Keep out of reach of children.

Dispensing Status

Rx Only

Important Safety Information

This information is for educational purposes only and does not replace professional medical advice. Always consult your doctor before use. Dosage and side effects may vary. Use only as prescribed.

Medical Disclaimer

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