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Ask the Fish Forum => CT Scan Protocols => Topic started by: freshfaust on January 20, 2019, 12:37:35 pm

Title: Contraindications to Oral Contrast (omnipaque)
Post by: freshfaust on January 20, 2019, 12:37:35 pm
Hello Dr. Fishman,

I have a questions concerning oral omnipaque for positive bowel opacification: in your iOS-CONTRAST-App you mention that only very small amounts are absorbed, thus you do not obtain consent; in patients with a history of allergic reactions to omnipaque you would rather use barium, however.

Would you have any concerns using omnipaque in a patient with hyperthyroidism? What about patients planning to undergo radioactive iodine therapy for thyroid cancer?

Thank you so much for your contributions to our field - they are truly transformative!

Kind regards,

Florian
Title: Re: Contraindications to Oral Contrast (omnipaque)
Post by: Elliot K. Fishman, MD on January 20, 2019, 01:19:25 pm
I would not worry in the scenario you mentioned. The comment I make is that if someone is so sensitive to iodinated contrast that I would take the path of least residence and use s barium based product.
Elliot