Purpose: Previous observations in rats caused us to speculate whether
the injection of iotrolan, a nonionic dimeric contrast medium (CM), wo
uld increase urine viscosity enough to obstruct urine outflow in the c
ollecting duct. Material and Methods: The urine viscosity in dogs was
measured directly with a viscosimeter after injections of iotrolan or
of iomeprol, a nonionic monomeric CM. Results and Conclusion: The inje
ction of iotrolan increased urine viscosity considerably whereas iomep
rol had little effect on this variable. The osmolality-dependent adver
se reactions of CM have previously been emphasized but viscosity-depen
dent adverse reactions must also be considered when the CM is a polyme
r with a low osmolality.