Emergence Teleradiology
Premedication Recommendation for IV Contrast

 

Routine:

  • Prednisone 50mg orally at 12 hours prior, 6 hours prior, and time of examination
  • Benadryl 50mg orally at 6 hours prior and time of exam

Emergent:

  • Methylprednisolone 40mg IV 4 hours prior, time of exam, and 4 hours after exam
  • Benadryl 50mg IV 1 hour prior and 4 hours after exam

Alternatively

  • Hydrocortisone 200mg IV 4 hours prior, time of exam, and 4 hours after exam
  • Benadryl 50mg IV 1 hour prior and 4 hours after exam
  • Patient should always be discharged with a driver
  • Follow up with doctor if any symptoms occur after contrast administration
  • If patient has prior anaphylactic or severe contrast reaction then all exams requiring premedication should only be done in a hospital setting.
  • This information is advice only and does not constitute medical treatment and should not substitute for medical care by patient’s physician.