What is a primary risk associated with ionic contrast media?

The primary risk associated with ionic contrast media is indeed the higher chance of causing adverse reactions. Ionic contrast agents can lead to more significant side effects, including allergic reactions and nephrotoxicity, due to their higher osmolality. The ionic nature of these agents increases the risk of fluid shifts within the body, potentially leading to discomfort during the procedure and serious reactions in sensitive individuals.

In comparison, non-ionic contrast media tend to be less reactive and have a more favorable safety profile, which is why they are often preferred in clinical practice. Understanding the risks associated with different types of contrast media is crucial for patient safety and guiding clinicians in making informed choices during imaging procedures.