BARIOPAC (Barium Sulfate)

Drug for diagnostic use only . It is a contrast medium indicated for tomography or X-ray scans.

Indications

Radiopaque contrast medium, used for X-ray visualization of the gastrointestinal tract.

Contraindications

Hypersensitivity to barium sulfate, obstruction or perforation of the gastrointestinal tract, pyloric stenosis, ulcerative colitis, diverticulitis, peritonitis.

Precautions

E: risk category: D. LM: compatible. Child: pediatric use has determined deaths by aspiration, in which the volume aspirated rather than the nature of the material has been the responsible factor. Older adult: Colonic distention can cause ECG changes, especially in heart disease. In cases of patients prone to constipation, the use of saline or liquid laxatives is recommended, unless this is contraindicated. Adequate hydration after examination to prevent severe constipation.

Adverse reactions

Common: constipation, intestinal cramps, diarrhea. Rare: bleeding, perforation of the intestine with peritonitis, adhesions, granulomas, fecal impact and intestinal obstruction, anaphylactic reactions.

Posology

Adults: orally: prepared as a suspension in the morning on an empty stomach: usual dose: simple contrast esophagus: 5 to 150 mL; esophagus, double contrast: 15 to 140 mL; stomach and duodenum, simple contrast: 240 to 360 mL, small intestine, simple contrast: 480 to 700 mL; stomach, double contrast: 150 to 300 mL; Simple contrast studies for enteroclysis: 500 to 2400 mL. Rectally administered: usual dose: small intestine, retrograde examination: 2 to 2.5 L; colon, simple contrast: 1.5 to 2.5 L; colon, double contrast: 350 to 1 000 mL. Body computed tomography: 200 to 500 mL, vo Children: individualize the dose.

Treatment of overdose and serious adverse effects

General measures

Basic information to the patient

For oral administration, do not eat food from 8 pm the day before and liquids from midnight. Shake gently before using the suspension. After the radiographic examination, drink plenty of fluids to avoid fecal impaction. For rectal administration, eat residue-free food and use laxatives the day before the exam.

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