Varibar Pudding (Oral)

Barium sulfate helps doctors diagnose or identify issues in the esophagus, stomach, and bowels. It is a radiographic contrast agent. Contrast agents are used to produce a clear image of various parts of the body.

This medicine must be given only by a doctor or under their direct supervision.

Your doctor will closely monitor you or your child's progress while receiving this medicine. This helps your doctor determine if the medicine is working correctly and if you or your child should keep taking it.

Serious allergic reactions may happen while you are receiving this medicine. Tell your doctor immediately if you experience a rash, itching, noisy breathing, trouble breathing, feeling lightheaded, dizziness, or fainting after receiving this medicine.

Do not take other medicines unless your doctor has talked about them with you. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

In deciding to use a diagnostic test, any risks of the test must be weighed against the benefits it will provide. This decision will be made between you and your doctor. Additionally, other factors may affect test results. For this test, consider the following:

Allergies

Inform your doctor if you have ever had any unusual or allergic reactions to this medicine or any other medicines. Also, let your health care professional know if you have any other allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Entero VU™ 24% oral suspension is not for use in children.

Studies conducted so far have not shown any specific problems in children 12 years of age and older that would limit the usefulness of E-Z-HD oral suspension. However, safety and effectiveness of this medicine have not been established in children younger than 12 years of age.

Studies conducted so far have not shown any specific problems in children 6 months of age and older that would limit the usefulness of Varibar® Pudding oral paste. However, safety and effectiveness of this medicine have not been established in children younger than 6 months of age.

Geriatric

Studies conducted so far have not shown any specific problems in the elderly that would limit the usefulness of barium sulfate oral suspension or paste. However, elderly patients are more likely to have kidney, liver, or heart problems, which may require caution and a dose adjustment for patients receiving this medicine.

Interactions with Medicines

While some medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might happen. In these situations, your doctor may want to change the dose, or other precautions may be necessary. Inform your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used around the time of eating food or certain types of food since interactions may take place. Using alcohol or tobacco with certain medicines may also lead to interactions. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of this diagnostic test. Make sure to inform your doctor if you have any other medical issues, especially:

• Allergy to other contrast agents, recent or
• Asthma, hay fever, or other allergies, history of—May increase the risk for allergic reactions to occur again.

• Appendicitis (inflammation of the appendix) or
• Cancer or
• Inflammatory bowel disease or
• Stomach or bowel problems (e.g., diverticulitis, fistula, stenosis, ulcer)—May cause barium to leak in the stomach in patients with these conditions.

• Cystic fibrosis or
• Dehydration or
• Electrolyte imbalance or
• Stomach or bowel problems (e.g., Hirschsprung disease, severe stenosis)—May increase the risk for more serious side effects.

• Fructose intolerance (genetic disease), history of—The oral suspension contains sorbitol, which can worsen this condition.

• Recent radiation treatment on the pelvis (hip area) or
• Known or suspected stomach or bowel blockage or
• Known or suspected stomach or bowel perforation or
• Stomach or bowel problems (e.g., bleeding, injury, ischemia, severe ileus, toxic megacolon) or
• Stomach or bowel surgery or
• Trouble swallowing—Should not be used in patients with these conditions.

Along with its necessary effects, a medicine may cause some unwanted effects. Not all of these side effects may happen, but if they do, they may require medical attention.

Check with your doctor or nurse right away if any of the following side effects occur:

Rare

• Bloating
• constipation (severe, continuing)
• cramping (severe)
• nausea or vomiting
• stomach pain
• tightness in the chest
• trouble breathing

Incidence not known

• Anxiety
• blood in the urine or stools
• blurred vision
• bruising
• chest pain
• confusion
• cough
• coughing or vomiting blood
• dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
• fainting
• fast or slow heartbeat
• hives or welts, itching, or skin rash
• noisy breathing
• persistent bleeding or oozing from puncture sites, mouth, or nose
• redness of the skin
• sweating
• unusual tiredness or weakness

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Your health care professional may also be able to suggest ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue, are bothersome, or if you have any questions about them:

More common

• Constipation or diarrhea
• cramping

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

In the U.S.

• Bar-Test
• Entero VU
• E-Z-Cat Dry
• E-Z-Disk
• E-Z-HD
• Readi-Cat 2
• Readi-Cat 2 Smoothie
• Tagitol V
• Varibar
• Varibar Pudding
• Volumen

In Canada

• Acb
• Baro-Cat
• Colobar-100
• Epi-C
• Epi-Stat
• Esobar
• Esopho-Cat Esophageal Cream
• E-Z-Cat
• E-Z-Hd
• E-Z-Jug
• E-Z-Paque
• Gel-Unix 10

Available Dosage Forms:

• Suspension
• Cream
• Powder for Suspension
• Tablet
• Paste

Therapeutic Class: Diagnostic Agent, Radiological Contrast Media

A doctor or other trained health professional will give you or your child this medicine in a hospital. This medicine is given by mouth. You will swallow the barium liquid or paste just before a CT scan or x-ray.

Your doctor may tell you not to eat or drink anything the night before your test. Barium will work better if your stomach and bowels are empty.

It is important to drink plenty of liquids during and after the test. Barium sulfate may cause severe constipation.

Barium sulfate is also available as an enema and given through the rectum.