Tagitol V Generic Name: barium sulfate Brand Name: Tagitol V side effects drug center tagitol v (barium sulfate) drug Related Drugs Cellcept Entero Vu Varibar Thin Liquid PROFESSIONAL CONSUMER SIDE EFFECTS Contents Drug Description Indications & Dosage Side Effects & Drug Interactions Warnings & Precautions Overdosage & Contraindications Clinical Pharmacology Medication Guide Drug Description What is Tagitol V and how is it used?Tagitol V (barium sulfate) oral suspension is a radiographic contrast agent indicated in adult patients for use in computed tomography (CT) colonography as a fecal tagging agent.What are side effects of Tagitol V?Common side effects of Tagitol V include:Nausea,vomiting,diarrhea,abdominal cramping,Serious side effects of Tagitol V include:aspiration pneumonitis,bowel obstruction,intestinal perforation with consequent peritonitis and granuloma formation,and fainting, DESCRIPTIONTAGITOL V (barium sulfate) is a radiographic contrast agent that is supplied as a 40% w/v, off-white to lightly colored, free-flowing, ready-to-use suspension with an apple aroma for oral administration. The active ingredient barium sulfate is designated chemically as BaSO4 with a molecular weight of 233.4 g/mol and the following chemical structure:TAGITOL V contains the following excipients: carboxymethylcellulose sodium, citric acid, glycerin, maltodextrin, natural and artificial apple flavor, polysorbate 80, potassium sorbate, purified water, saccharin sodium, simethicone emulsion, sodium benzoate, sodium citrate, xanthan gum, and xylitol. Indications & Dosage INDICATIONSENTERO VU 24% is indicated for use in small bowel radiographic examinations to visualize the gastrointestinal (GI) tract in adult patients. DOSAGE AND ADMINISTRATIONRecommended DosingThe recommended oral dose of ENTERO VU 24% is:Adults: 600 mLAdministration InstructionsFor oral use onlyShake bottle vigorously prior to oral administration to fully suspend productAdminister undilutedDiscard any unused suspensionAdvise patients to hydrate following the barium sulfate procedureAdvise patient at risk for constipation or delayed gastrointestinal transit to monitor for worsening of their condition after administration of barium sulfate and seek medical attention if worsening and advise using laxatives to enhance gastrointestinal transit. HOW SUPPLIEDDosage Forms And StrengthsOral suspension: barium sulfate (24% w/v) supplied in a single-dose white HDPE plastic bottle as a ready-to-use suspension for oral administration. Each bottle contains 600 mL of suspension.ENTERO VU 24% (barium sulfate) is supplied as a suspension (24% w/v) in a single-dose HDPE plastic bottle containing 600 mL of barium sulfate suspension (24% w/v).Provided as: 12 x 600 mL bottles (NDC 32909-145-06)Storage And HandlingStore at USP controlled room temperature 20°C to 25°C (68°F to 77° F). Protect from freezing.Manufactured by EZEM Canada Inc Anjou (Quebec) Canada H1J 2Z4 For Bracco Diagnostics Inc. Monroe Township, NJ 08831. Revised: May 2020 Side Effects & Drug Interactions SIDE EFFECTSThe following adverse reactions have been identified from spontaneous reporting or clinical studies of barium sulfate administered orally. Because the reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or to establish a causal relationship to drug exposure:Nausea, vomiting, diarrhea and abdominal crampingSerious adverse reactions and fatalities include aspiration pneumonitis, barium sulfate impaction, intestinal perforation with consequent peritonitis and granuloma formation, vasovagal and syncopal episodes DRUG INTERACTIONSNo Information provided Warnings & Precautions WARNINGSIncluded as part of the PRECAUTIONS section. PRECAUTIONSHypersensitivity ReactionsBarium sulfate preparations contain a number of excipients, including natural and artificial flavors and may induce serious hypersensitivity reactions. The manifestations include hypotension, bronchospasm and other respiratory impairments, and dermal reactions including rashes, urticaria and itching. A history of bronchial asthma, atopy, food allergies, or a previous reaction to a contrast agent may increase the risk for hypersensitivity reactions. Emergency equipment and trained personnel should be immediately available for treatment of a hypersensitivity reaction.Intra-Abdominal Barium LeakageThe use of ENTERO VU 24% is contraindicated in patients at high risk of perforation of the GI tract [see CONTRAINDICATIONS]. Administration of ENTEO VU 24% may result in leakage of barium from the GI tract in the presence of conditions that increase the risk of perforation such as known carcinomas, GI fistula, inflammatory bowel disease, gastric or duodenal ulcer, appendicitis, diverticulitis, and in patients with a severe stenosis at any level of the GI tract, especially if it is distal to the stomach. Barium leakage has been associated with peritonitis and granuloma formation.Delayed Gastrointestinal Transit And ObstructionOrally administered barium sulfate may accumulate proximal to a constricting lesion of the colon, causing obstruction or impaction with development of baroliths (inspissated barium associated with feces) and may cause abdominal pain, appendicitis, bowel obstruction, or perforation. Patients with the following conditions are at higher risk for developing obstruction or baroliths: severe stenosis at any level of the GI tract, impaired GI motility, electrolyte imbalance, dehydration, on a low residue diet, on medications that delay GI motility, constipation, and the elderly [see Use In Specific Populations]. To reduce the risk of delayed GI transit and obstruction, patients should maintain adequate hydration after the barium sulfate procedure.Aspiration PneumonitisThe use of ENTERO VU 24% is contraindicated in patients with trachea-esophageal fistula [see CONTRAINDICATIONS]. Oral administration of barium is associated with aspiration pneumonitis, especially in patients with a history of food aspiration or with compromised swallowing mechanism. Vomiting following oral administration of barium sulfate may lead to aspiration pneumonitis. In patients at risk for aspiration, begin the procedure with a small ingested volume of ENTERO VU 24%. Monitor the patient closely for aspiration, discontinue administration of ENTERO VU 24% if aspiration is suspected, and monitor for development of aspiration pneumonitis.Systemic EmbolizationBarium sulfate products may occasionally intravasate into the venous drainage of the large bowel and enter the circulation as a “barium embolus” leading to potentially fatal complications which include systemic and pulmonary embolism, disseminated intravascular coagulation, septicemia and prolonged severe hypotension. Although this complication is uncommon after oral administration of a barium sulfate suspension, monitor patients for potential intravasation when administering barium sulfate.Risk With Hereditary Fructose IntoleranceENTERO VU 24% contains sorbitol which may cause severe symptoms if ingested by patients with hereditary fructose intolerance. Severe symptoms may include the following: vomiting, hypoglycemia, jaundice, hemorrhage, hepatomegaly, hyperuricemia, and kidney failure. Before administration of ENTERO VU 24% assess patients for a history of hereditary fructose intolerance and avoid use in these patients.Nonclinical ToxicologyCarcinogenesis, Mutagenesis, Impairment Of FertilityNo animal studies have been performed to evaluate the carcinogenic potential of barium sulfate or potential effects on fertility. Use In Specific PopulationsPregnancyRisk SummaryENTERO VU 24% is not absorbed systemically following oral administration, and maternal use is not expected to result in fetal exposure to the drug.LactationRisk SummaryENTERO VU 24% is not absorbed systemically by the mother following oral administration, and breastfeeding is not expected to result in exposure of the infant to the drug.Pediatric UseENTERO VU 24% is not indicated for pediatric use.Geriatric UseClinical studies of ENTERO VU 24% did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy. Overdosage & Contraindications OVERDOSENo Information provided CONTRAINDICATIONSENTERO VU 24% is contraindicated in patients with the following conditions:known or suspected perforation of the GI tractknown obstruction of the GI tracthigh risk of GI perforation such as those with a recent GI perforation, acute GI hemorrhage or ischemia, toxic megacolon, severe ileus, post GI surgery or biopsy, acute GI injury or burn, or recent radiotherapy to the pelvishigh risk of aspiration such as those with known or suspected tracheo-esophageal fistula or obtundationknown severe hypersensitivity to barium sulfate or any of the excipients of ENTERO VU 24% Clinical Pharmacology CLINICAL PHARMACOLOGYMechanism Of ActionDue to its high atomic number, barium (the active ingredient in ENTERO VU 24%) is opaque to x-rays and therefore acts as a positive contrast agent for radiographic studies.PharmacodynamicsBarium sulfate is biologically inert and has no known pharmacological effects.PharmacokineticsUnder physiological conditions, barium sulfate passes through the gastrointestinal tract in an unchanged form and is absorbed only in small, pharmacologically insignificant amounts. Medication Guide PATIENT INFORMATIONAfter administration, advise patients to:Maintain adequate hydration [see DOSAGE AND ADMINISTRATION and WARNINGS AND PRECAUTIONS].Seek medical attention for worsening of constipation or slow gastrointestinal passage [see WARNINGS AND PRECAUTIONS].Seek medical attention for any delayed onset of hypersensitivity: rash, urticaria, or respiratory difficulty [see WARNINGS AND PRECAUTIONS].
