MD-Gastroview (Diatrizoate Meglumine and Diatrizoate Sodium Solution) is indicated for radiographic
examination of segments of the gastrointestinal tract (esophagus, stomach, proximal small intestine, and
colon). The preparation is particularly indicated when a more viscous agent such as barium sulfate,
which is not water-soluble, is not feasible or is potentially dangerous.
MD-Gastroview may also be used as an adjunct to contrast enhancement in computed tomography of the
torso (body imaging); the preparation is indicated, in conjunction with intravenous administration of a
radiopaque contrast agent, when unenhanced imaging may not provide sufficient definition in
distinguishing normal loops of bowel from adjacent organs or areas of suspected pathology.
DOSAGE AND ADMINISTRATION
This medium is not to be Used for the preparation of solutions for parenteral administration. Oral
or rectal Use only.
The routine preparatory measures employed for barium studies are also appropriate for this agent.
For pediatric and severely cachectic patients, the maintenance of an intravenous fluid line may be
Radiographic Examination Of Segments Of The Gastrointestinal Tract
Adult oral dosage may range from 30 to 90 mL (11 to 33 g iodine), depending on
the nature of the examination and the size of the patient. For infants and children less than 5 years of age,
30 mL (11 g iodine) are usually adequate; for children 5 to 10 years of age, the suggested dose is 60
mL (22 g iodine). These pediatric doses may be diluted 1:1, if desired, with water, carbonated beverage,
milk, or mineral oil. When used in infants, the solution may be given in a nursing bottle. Pediatric doses
may also be used in dehydrated and/or debilitated adult patients. A 1:1 dilution is also recommended
when the contrast medium is used in elderly cachectic individuals.
For Very Young (Under 10 kg) And Debilitated Children The Dose Should Be Diluted
1 part MD-Gastroview (Diatrizoate Meglumine and Diatrizoate Sodium Solution) in 3 parts water is recommended.
For Enemas Or Enterostomy Instillations
MD-Gastroview should be diluted when it is used for enemas and enterostomy instillations.
When used as an enema, the suggested dilution for adults is 240 mL (88 g iodine) in 1,000 mL of tap
water. For children under 5 years of age, a 1:5 dilution in tap water is suggested; for children over 5
years of age, 90 mL (33 g iodine) in 500 mL of tap water is a suitable dilution.
Tomography (Body Imaging)
A usual adult dose is 240 mL of a dilute MD-Gastroview solution prepared by diluting 25 mL (9.17 g
iodine) to one liter with tap water. Less dilute solutions [up to 77 mL (28.26 g iodine) diluted to one
liter with tap water] may be used when indicated. The dose is administered orally about 15 to 30 minutes
prior to imaging in order to permit the contrast medium to reach the pelvic loops.
Available as an aqueous lemon-vanilla flavored solution in bottles of 30 mL in packages of 25 (NDC 0019-4816-04).
Protect from light. Store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature]; Avoid
excessive heat. If precipitation or solidification has occurred due to storage in the cold, the bottle
should be brought to room temperature. Shake intermittently to redissolve any solids.
As with all contrast media, containers should be inspected prior to use to ensure that breakage or other
damage has not occurred during shipping and handling. All containers should be inspected for closure
integrity. Damaged containers should not be used.
Manufactured by: Liebel-Flarsheim Company LLC Raleigh, NC 27616. Revised: Aug 2017