TABLE 3

Premedication Protocols for Patients with Previous or Increased Risk for Contrast Reactions

PremedicationProtocol
Corticosteroids (any of the following)Prednisone: 50 mg orally, 13, 7, and 1 h before contrast injection
Hydrocortisone: 200 mg intravenously, 1 h before contrast injection
Methylprednisone: 32 mg orally, 12 and 2 h before contrast media injection
Antihistamine (optional)Diphenhydramine: 50 mg intravenously/intramuscularly/ orally 1 h before contrast injection