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What the label lists and what reports show

Iopamidol side effects

Iopamidol's FDA label: “Most common adverse reactions (incidence >1%) from intra-arterial or intravenous use are pain, hot flashes, burning sensation, nausea, and warmth.” FAERS holds 2,937 reports naming it through July 30, 2026; the reaction reported most often, leaving out the conditions it is used for, product-use terms and outcomes, is dyspnoea (187 reports).

  • Generic listed
  • Boxed warning

Check it at the source: the iopamidol FDA label on DailyMed (effective March 10, 2026, BRACCO DIAGNOSTICS INC); the FDA FAERS public dashboard.

What does the label list?

From the label: adverse reactions

Most common adverse reactions (incidence >1%) from intra-arterial or intravenous use are pain, hot flashes, burning sensation, nausea, and warmth.

Table 6: Adverse Reactions Reported in >1% of Patients Receiving Intra-arterial or Intravenous Injection of ISOVUE in Clinical Studies

Adverse ReactionISOVUE (N=2,246) %
Pain2.8
Hot flashes1.5
Burning sensation1.4
Nausea1.2
Warmth1.1

Rows and numbers as the label prints them, under its own column headings (the first rows of a longer table where it runs on). A reaction in a trial table is not necessarily caused by the medicine, and trials differ from everyday use.

From the label: adverse reactions, continued

The following adverse reactions are described in greater detail elsewhere in the labeling: Risks Associated with Intrathecal Administration [see Warnings and Precautions ( 5.1 )] Hypersensitivity Reactions [see Warnings and Precautions ( 5.2 )] Acute Kidney Injury [see Warnings and Precautions ( 5.3 )] Cardiovascular Adverse Reactions [see Warnings and Precautions ( 5.4 )] Thromboembolic Events [see Warnings and Precautions ( 5.5 )] Extravasation and Injection Site Reactions [see Warnings and Precautions ( 5.6 )] Thyroid Dysfunction in Pediatric Patients 0 to 3 Years of Age [see Warnings and Precautions ( 5.8 )] Severe Cutaneous Adverse Reactions [see Warnings and Precautions ( 5.11 )] Most common adverse reactions (incidence >1%) from intra-arterial or intravenous use are pain, hot flashes, burning sensation, nausea, and warmth. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Bracco Diagnostics Inc. at 1-800-257-5181 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. …

Source: FDA drug label, BRACCO DIAGNOSTICS INC, effective March 10, 2026 (SPL set ae8c18c9-3e7d-4515-b980-120025a88fc1), via openFDA; the full label on DailyMed

What do FAERS reports show?

2,937 reports list iopamidol among the medicines taken, each a report of something that happened, not proof the medicine caused it; 263 are coded as a death and 1,062 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is. Of the 22 reactions below, 15 are named by the same term (in US spelling) in the label's adverse reactions, warnings or patient leaflet; a reaction the label does not name may still be there under another word, and a report does not show that the medicine caused it.

Reports received each year

The 25 most reported reactions

  • Dyspnoea (named in the label)187
  • Urticaria (named in the label)187
  • Anaphylactic Reaction185
  • Pruritus (named in the label)166
  • Nausea (named in the label)163
  • Contrast Media Reaction143
  • No Adverse Event (a use or a product term, not a reaction)140
  • Vomiting (named in the label)123
  • Acute Kidney Injury (named in the label)114
  • Hypersensitivity (named in the label)106
  • Off Label Use (a use or a product term, not a reaction)99
  • Dizziness88
  • Erythema (named in the label)81
  • Anaphylactic Shock78
  • Cough78
  • Rash (named in the label)74
  • Pyrexia73
  • Cardiac Arrest (named in the label)71
  • Hypotension (named in the label)70
  • Drug Reaction With Eosinophilia And Systemic Symptoms (named in the label)68
  • Pain68
  • Headache (named in the label)64
  • Maternal Exposure During Pregnancy (a use or a product term, not a reaction)64
  • Diarrhoea (named in the label)62
  • Sneezing (named in the label)62

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026; reactions as MedDRA preferred terms

What next?

Iopamidol: the full record
label, generics, price, shortages, recalls
Side effects hub
the most reported medicines and reactions