Iodomarin side effects in children. How to take iodomarin for people of different age categories. Directions for use and doses

Iodine cannot be produced in the body, so a person must obtain it from the outside. The lack of this microelement in food leads to the development of its deficiency, which in turn becomes the cause of thyroid diseases. Iodomarin is prescribed for the prevention and treatment of these pathologies. The drug is available in different dosages. Tablets "Iodomarin 100" contain 100 mcg of iodine, "Iodomarin 200" - 200 mcg of the trace element.

According to the instructions, this drug is used to prevent thyroid diseases caused by a reduced intake of iodine in the body. Often, for this purpose, the drug is prescribed during lactation and to adolescents. "Iodomarin" is also used for the treatment of euthyroid, diffuse non-toxic goiter, as well as for the prevention of relapse of the disease after surgery, after the end of drug therapy for goiter.

To prevent goiter, Iodomarin is prescribed to children (including infants) - 0.5 or 1 tablet of 100 mcg once a day. Adults and adolescents need to take one or two tablets of “Iodomarin 100” or one tablet of “Iodomarin 200” per day; during pregnancy, you need to take 1 tablet of 200 mcg per day. As a rule, prevention should continue for several years (without a break or in courses), sometimes for life. For the treatment of goiter, children and adolescents are prescribed 100-200 mcg of the drug per day, adults under the age of 40, 300-500 mcg per day. The tablets should be taken after meals with plenty of water. The course of treatment should last about 2-4 weeks.

Side effects, contraindications to the use of "Iodomarin"

When using Iodomarin at a dosage of 300-1000 mcg per day, patients may develop hyperkeratosis. Taking the drug at a dose of 150 mcg per day can provoke the transition of latent hyperkeratosis into a manifest form. There is a high probability of developing this disease in the elderly and in people with toxic nodular or diffuse goiter, as well as with long-term use of Iodomarin.

The medicine can provoke an allergic reaction with the following symptoms: inflammation of the mucous membranes, swelling, metallic taste in the mouth, glossitis, iodine-induced conjunctivitis, iodine-induced acne, iodine-induced fever. Sometimes exfoliative dermatitis and Quincke's edema may occur. "Iodomarin" is contraindicated for Dühring's dermatitis herpetiformis, iodine intolerance, and toxic thyroid adenoma (except for the period of iodine therapy before surgery).

Registration number: P N014123/01

Tradename: Iodomarin ® 200

International nonproprietary name or generic name: potassium iodide

Dosage form: pills

Composition for 1 tablet
Active substance: potassium iodide – 0.262 mg (corresponding to 0.2 mg of iodine);
Excipients: lactose monohydrate, magnesium carbonate basic, gelatin, carboxymethyl starch sodium salt (type A), colloidal silicon dioxide, magnesium stearate.

Description: round flat-cylindrical tablets of white or almost white color with beveled edges, with a chamfer and a one-sided score.

Pharmacotherapeutic group: thyroxine synthesis regulator – iodine preparation

ATX code: H03CA.

Pharmacological properties
Iodine is a vital trace element that ensures the normal functioning of the thyroid gland, the hormones of which perform many vital functions. They are responsible for the exchange of proteins, fats, carbohydrates and energy in the body, regulate the activity of the brain, nervous and cardiovascular systems, reproductive and mammary glands, as well as the growth and development of the child.
Iodine deficiency is especially dangerous for children, adolescents, pregnant and lactating women.
Iodomarin ® 200 replenishes iodine deficiency in the body, preventing the development of iodine deficiency diseases and helping to normalize thyroid function impaired by iodine deficiency.

Indications for use

  • prevention of endemic goiter (especially in children, adolescents, pregnant and lactating women);
  • prevention of goiter recurrence after its surgical removal or after the end of drug treatment with thyroid hormones;
  • treatment of diffuse euthyroid goiter caused by iodine deficiency in children, adolescents and adults under 40 years of age. Contraindications
  • hyperthyroidism;
  • hypersensitivity to iodine;
  • toxic thyroid adenoma, nodular goiter when used in doses of more than 300 mcg/day (with the exception of preoperative therapy to block the thyroid gland);
  • Dühring's herpetiformis (senile) dermatitis.
    The drug should not be used for hypothyroidism, except in cases where the development of the latter is caused by severe iodine deficiency.
    Prescription of the drug should be avoided during therapy with radioactive iodine, the presence or suspicion of thyroid cancer. Use during pregnancy and lactation
    During pregnancy and lactation, the need for iodine increases, so it is especially important to use it in sufficient doses (200 mcg/day) to ensure adequate iodine intake in the body.
    The drug crosses the placenta and is excreted in breast milk, so use of the drug during pregnancy and lactation is possible only in recommended doses. Directions for use and doses
    Prevention of endemic goiter
    Children (from 1 year to 12 years):
    1/2 tablet of Iodomarin ® 200 per day (which corresponds to 100 mcg of iodine).
    Children over 12 years old and adults:
    Pregnancy and lactation period:
    1 tablet of Iodomarin ® 200 per day (which corresponds to 200 mcg of iodine).
    Prevention of goiter recurrence
    1/2-1 tablet of Iodomarin ® 200 per day (which corresponds to 100-200 mcg of iodine).
    Treatment of euthyroid goiter
    Children (from 1 year to 18 years)
    1/2-1 tablet of Iodomarin ® 200 per day (which corresponds to 100-200 mcg of iodine).
    Adults under 40 years of age:
    1½-2½ tablets of Iodomarin ® 200 (corresponding to 300-500 mcg of iodine).
    The drug is taken after meals with a sufficient amount of liquid.
    Children are advised to first dissolve the drug in milk or juice.
    Prophylactic administration is carried out for several years, if indicated - for life.
    On average, 2-4 weeks are enough to treat goiter in newborns; in children, adolescents and adults, it usually takes 6-12 months; long-term use is possible.
    The duration of treatment is determined by the attending physician. Side effect
    When used prophylactically at any age, as well as in the treatment of euthyroid goiter in newborns, children and adolescents, as a rule, no side effects are observed. In rare cases, constant use of the drug can lead to the development of “iodism”, which can be manifested by a metallic taste in the mouth, swelling and inflammation of the mucous membranes (runny nose, conjunctivitis, bronchitis), “iodine fever”, “iodine acne”. It is extremely rare to develop Quincke's edema and exfoliative dermatitis. When using the drug in a dose exceeding 150 mcg/day, latent hyperthyroidism can become manifest. With long-term use of the drug at a dose exceeding 300 mcg/day, the development of iodine-induced thyrotoxicosis is possible (especially in elderly patients suffering from goiter for a long time, in the presence of nodular or diffuse toxic goiter). Overdose
    Symptoms: brown staining of the mucous membranes, reflex vomiting (if starch-containing components are present in food, the vomit becomes blue), abdominal pain and diarrhea (possibly melena). In severe cases, dehydration and shock may develop. In rare cases, stenosis of the esophagus and the appearance of the phenomenon of “iodism” occurred (see Side effects).
    Treatment for acute intoxication: gastric lavage with a solution of starch, protein or 5% sodium thiosulfate solution until all traces of iodine are removed. Symptomatic therapy for water and electrolyte imbalances, anti-shock therapy.
    Treatment for chronic intoxication: drug withdrawal.
    Treatment of iodine-induced hypothyroidism: discontinuation of the drug, normalization of metabolism with the help of thyroid hormones.
    Treatment of iodine-induced thyrotoxicosis: for mild forms of treatment is not required; in severe forms, thyreostatic therapy is required (the effect of which is always delayed). In severe cases (thyrotoxic crisis), intensive therapy, plasmapheresis or thyroidectomy are necessary. Interaction with other drugs
    Iodine deficiency increases, and iodine excess decreases, the effectiveness of hyperthyroidism treatment with thyreostatic drugs. Therefore, before or during treatment for hyperthyroidism, it is recommended to avoid any iodine intake if possible. On the other hand, thyreostatic drugs inhibit the transition of iodine to an organic compound in the thyroid gland and, thus, can cause the formation of goiter.
    Simultaneous treatment with high doses of iodine and lithium salts can contribute to the occurrence of goiter and hypothyroidism. High doses of the drug in combination with potassium-sparing diuretics can lead to hyperkalemia. special instructions
    Iodomarin ® 200 does not affect the ability to drive vehicles and operate machinery. Release form
    Tablets 200 mcg. 25 tablets each in blister packs (blisters) [opaque PVC film/aluminum foil]. 2 or 4 blisters along with instructions for use in a cardboard box. Storage conditions
    In a dry place, protected from light, at a temperature not exceeding 25°C.
    Keep out of the reach of children! Best before date
    3 years.
    Do not use after expiration date. Conditions for dispensing from pharmacies
    Over the counter. Company manufacturer
    Berlin-Chemie AG
    Glinker Veg 125
    12489 Berlin, Germany Address for filing claims: 123317 Moscow, Presnenskaya embankment, 10, BC "Tower on Naberezhnaya", Block B
  • Does Yodomarin have side effects, can it cause harm?

    Iodomarin is a good preventative against iodine deficiency and diseases associated with it. However, it is necessary to learn about the benefits and harms of the product, about contraindications and possible reactions of the body to it.

    Sometimes the effect of a medicine can be much more dangerous than the disease it is used against.

    What are the indications and contraindications for Iodomarin?

    Iodomarin (potassium iodide) is necessary for the normal functioning of the thyroid gland. If there is a lack of it, the level of hormones produced by the gland decreases, which means the following problems may develop:

    • metabolic disease;
    • defective heart function;
    • poor vascular condition;
    • reproductive system disorder;
    • unbalanced mental state.

    Therefore, in endemic areas where there is a total lack of iodine in the population, taking Iodomarin and similar substances is mandatory.

    In addition, thyroid hormones are closely related to other hormones, which means the full health of the body depends on the function of the thyroid gland.

    Pregnant women need to consume iodine, since this chemical element is responsible for the physical and mental development of the fetus. Iodine is also responsible for sufficient formation of breast milk.

    Iodomarin is indicated for diseases associated with iodine deficiency (endemic goiter), as well as for maintaining remission of thyroid diseases.

    For preventive measures, adults take 100 mcg per day; for children, the course is selected individually.

    To maintain iodine balance during pregnancy, 200 mcg per day is usually used. If the expectant mother already has problems due to a lack of iodine, treatment along with taking Iodomarin may be reconsidered.

    In cases of adult disease, the dosage is increased to 300 mcg or more.

    Contraindications, who should not take the medicine?

    Iodomarin can be harmful in cases of hyperthyroidism or other thyroid diseases accompanied by a decrease in hormone secretion.

    It is also necessary to stop taking the drug in the following conditions:

    • toxic adenoma;
    • Dühring's disease (dermatitis herpetiformis);
    • iodine intolerance.

    Oddly enough, age after 40 years is also considered a contraindication to Iodomarin. If there are no recommendations from an endocrinologist, the patient should not self-prescribe this medicine.

    More than 65% of patients, according to statistical data, develop thyroid diseases after 40 years. The risk of disease comes due to slow metabolism and age-related hormonal imbalances.

    As a result, for example, with thyroiditis, antibodies are formed that destroy the thyroid gland. The affected organ cannot perceive incoming iodine - which means taking Iodomarin is useless.

    Worth noting

    That exceeding the dose prescribed by the doctor is also contraindicated.

    Most experts believe that without substances such as selenium, zinc, iodine is not absorbed, which means taking Iodomarin without taking complexes with such substances is a futile undertaking.

    In addition, bromine prevents the body from fully absorbing iodine, therefore, when treating or preventing it with Iodomarin, bromine, which may be contained in sedatives, should be excluded.

    Chlorine and fluorine can interfere with the normal supply of iodine - you should make sure that there is not too much of these substances in food and in medications taken to treat other diseases.

    Adverse reactions and complaints

    Taking Iodomarin incorrectly can cause side effects from this treatment. Exceeding the dose and long-term use of the medication, which are the causes of side effects from Iodomarin, lead to the following consequences:

    1. The development of hyperthyroidism, especially in patients over 40. Judging by reviews, thyrotoxicosis is the most common consequence of Iodomarin therapy.
    2. Iodine poisoning, in this case, is characterized by a metallic taste in the mouth, headaches, lacrimation, cough, swelling of the mucous membranes, resulting in a runny nose. In severe cases, Quincke's edema is observed. In addition, there are problems with digestion - vomiting, constipation from Iodomarin, possible stenosis of the esophagus.
    3. When treated with diuretics, hyperkalemia may develop, the symptoms of which are problems with the respiratory system and muscle weakness.
    4. Simultaneous intake of lithium salts and Iodomarin leads to the development of hypothyroidism.

    When choosing treatment with Iodomarin, you should definitely consult a doctor; perhaps the body does not need iodine at this stage.

    Thoughtful reading of the instructions and confidential communication with the endocrinologist will protect you from many complications.

    Reviews of unsuccessful therapy

    Patients say that while taking the drug they often feel unwell.

    If you look into these reviews in more detail, it turns out that the medication was taken not according to the instructions, or even as prescribed by the doctor, but on the advice of relatives and neighbors on the bench.

    Unfortunately, such actions result in iodine poisoning and disruption of the hormonal system.

    Iodomarin is an effective medicine, however, like any drug, it has contraindications and side effects.

    Improper use can damage both the thyroid gland and health in general.

    Natalya, 38 years old.

    The endocrinologist advised me to take 100 mcg of Iodomarin; the dosage seemed small to me. I am a fairly large woman, and I read in reviews of the medicine that you can take more, more means better!

    To avoid getting goiter, I took 4-5 tablets every day. The endocrinologist almost fainted when he found out.

    Galina, 50 years old.

    I often sit on forums, I read in reviews of Yodomarin that it is very useful. I bought it with a dosage of 200 mcg, just to be sure.

    It’s good that I read the instructions - after 40 years you can’t, although it doesn’t say why. I’ll give it to my daughter, so it won’t go to waste.

    Olesya, 67 years old.

    I was prescribed Iodomarin for the treatment of hypothyroidism. The doctor said the dosage was somehow unclear, I drank it without a system. As a result, six months later I went to an endocrinologist, it turned out that I had hyperthyroidism! Here's your treatment.

    Now, with another doctor, I’m already thinking about how to live further, I feel disgusting.

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    Magic thyroid helper - Cephasel

    If the thyroid gland is not working well, you will never lose weight, even while on the most restrictive diet. The thyroid gland needs iodine to function properly. Find out how to take Iodomarin to lose weight forever and with health benefits!

    The presence of excess body weight and the considerable efforts required to normalize it force many people to go to extremes. Not only diets and sports recommended by experts are used, but also all sorts of medications that supposedly promote weight loss. However, their use is often ineffective and sometimes hazardous to health. In particular, using Iodomarin for weight loss without a doctor’s prescription can significantly worsen the condition of the thyroid gland and disrupt hormonal levels with all the ensuing negative consequences. Taking this drug is advisable if the reason for gaining extra pounds is iodine deficiency. And it should be carried out exclusively under the supervision of an endocrinologist, taking into account the indications and pharmacological properties of the drug.

    Properties

    "Iodomarin" is an iodine preparation intended for the treatment and prevention of iodine deficiency, as well as related diseases. The medicine is available in the form of tablets in two types of dosages of the active substance - “Iodomarin 100” and “Iodomarin 200”.

    The use of the medicine is indicated in the following situations:

    • prevention of the development of endemic goiter due to iodine deficiency;
    • prevention of goiter recurrence after therapy with thyroid hormones or surgical removal;
    • treatment of diffuse euthyroid goiter.

    Iodine is an essential trace element for humans, which ensures the normal functioning of the thyroid gland, which is the key to good health, well-being, normal weight and maintaining beauty. Its benefit for weight loss lies in the fact that this mineral is a direct participant in lipid metabolism and metabolism in general. When used correctly, it really promotes weight loss, as it helps burn fat deposits, eliminate the appearance of cellulite and improve skin health.

    Attention! You can use “Iodomarin” for the purpose of weight loss only as prescribed by an endocrinologist after examination, medical and health procedures. As a rule, such a need arises in cases where excess weight is caused by deterioration of the thyroid gland and the strictest diets do not help get rid of it.

    Even if your thyroid gland is functioning normally, you should always consult a doctor before taking these pills to get optimal results and avoid health problems. In addition, you should change your own lifestyle, paying special attention to several aspects, including:

    • proper nutrition;
    • physical activity;
    • regular walking;
    • rejection of bad habits;
    • full sleep.

    Regarding whether Iodomarin will help you lose weight, you need to understand that the result depends on the reasons for gaining excess weight, concomitant diseases and the individual characteristics of the body. If a lack of iodine is to blame, then first of all you need to correctly diagnose this condition, as well as identify the health problems to which it led.

    The first sign of iodine deficiency is depressed mood, drowsiness, lethargy, memory loss, decreased concentration, and brittle nails. When such symptoms first appear, in order to lose weight without the use of medications, you should definitely include seafood (fish, seaweed, shrimp, mussels), some vegetables (eggplant, onions, beets, radishes) and any citrus fruits in your diet. You can switch to such a diet on your own, while you can take pills only as prescribed by a specialist.

    Compound

    The main active substance of Iodomarin is iodine, which is presented in inorganic form - in the form of potassium iodide. Depending on the dosage, 1 tablet contains:

    • “Iodomarin 100” – 131 mcg of potassium iodide, which includes 100 mcg of pure iodine;
    • “Iodomarin 200” – 262 mcg of potassium iodide, which includes 200 mcg of pure iodine.

    The following excipients are used: silicon dioxide, gelatin, lactose monohydrate, sodium salt of carboxymethyl starch, magnesium carbonate and stearate.

    How to use

    According to the official instructions, when treating with Iodomarin, tablets should be taken according to the following regimen:

    • consume after meals with clean, still water (at least 0.5 cups);
    • if it is necessary to obtain the required dose, the tablet can be broken in half according to the risk;
    • swallow whole without chewing (if impossible, dissolve in water, juice or milk and drink the solution).

    The required daily dosage is taken at a time, preferably immediately after breakfast, but not later than lunch (before 13:00). Drinking Iodomarin in the afternoon can cause insomnia, as the drug has an invigorating effect.

    A single dose depends on the reason for the prescription, the age and physiological state of the person. Typically, adults require 100–200 mcg of iodine for prevention and 300–500 mcg of iodine per day for treatment. To determine the exact dosage for weight loss, before taking the pills, you need to contact an endocrinologist for examination and prescribing a course of treatment.

    Important! During the entire period of use of an iodine-containing drug, it is necessary to check the level of iodine in the blood every 3 months. When the indicator remains normal, you can continue taking it. If the concentration of the substance exceeds the norm or approaches its upper limit, you need to cancel Iodomarin and take a break for 3-6 months.

    Contraindications

    "Iodomarin" is a medicine that has a number of contraindications. Doctors do not prescribe iodine-containing drugs if you have the following health problems:

    • any disease in the acute stage;
    • ulcers and erosions of the gastrointestinal tract;
    • diarrhea;
    • adhesions in the abdominal cavity;
    • hyperthyroidism (increased levels of thyroid hormones) - latent (without clinical symptoms) or manifest (with clinical symptoms), except when it is caused by iodine deficiency;
    • nodular goiter and toxic thyroid adenoma (excluding cases of preoperative iodine therapy);
    • thyroid cancer;
    • Dühring's senile dermatitis;
    • individual hypersensitivity or allergy to components.

    Adverse reactions when using Iodomarin are rare and can only be caused by intolerance to potassium iodide or an overdose of the drug. Excess iodine (iodism) is usually manifested by the following symptoms:

    • runny nose, lacrimation, conjunctivitis;
    • cough, bronchitis;
    • increased salivation;
    • nausea, vomiting;
    • metallic taste;
    • gastroenteritis;
    • acne, urticaria;
    • swelling, hemorrhages on the skin;
    • increased body temperature;
    • headache.

    In very rare cases, exfoliative dermatitis or Quincke's edema may develop. In addition, the tablets contain lactose as one of the auxiliary components, which is a contraindication for congenital galactose intolerance, lactase deficiency or galactose malabsorption syndrome.

    It should also be taken into account that Iodomarin affects the effectiveness of drugs used in the treatment of hyperthyroidism. Therefore, during treatment with thyreostatic drugs, it is necessary to abandon any iodine-containing drugs. You cannot take them simultaneously with lithium preparations, since in combination these microelements contribute to the growth of goiter and the development of hypothyroidism. If you are taking multivitamin complexes, it is necessary to study their composition for the presence of iodine in order to adjust the dosage of Iodomarin or completely abandon it. Do not forget that this is far from a harmless element that can be taken uncontrollably in large quantities, especially for weight loss without the appointment of a specialist.

    Price

    "Iodomarin" is available in the form of tablets, packaged in 50 and 100 pieces. Packaging depends on the dosage of the active substance:

    • 100 mg tablets – in plastic bottles;
    • tablets 200 mg - in blisters.

    The cost of drugs is determined by the dosage and size of the package, as well as the trade markup of the pharmacy chain. On average, the price varies within the following limits:

    • “Iodomarin 100”, No. 100 – 130–140 rubles;
    • “Iodomarin 200”, No. 50 – 120–135 rubles;
    • “Iodomarin 200”, No. 100 – 200–225 rubles.

    There are practically no analogues on the Russian pharmaceutical market today that are cheaper than Yodomarin. Only potassium iodide tablets and Iodine Balance have a slightly lower cost with almost the same effectiveness.

    Iodomarin is one of the most famous drugs on the pharmaceutical market for the prevention of endemic goiter and other diseases caused by iodine deficiency. The active ingredient of Iodomarin is potassium iodide, which contains iodine. In many regions where these diseases are common, doctors prescribe iodine preparations, and therefore the question arises of how to take iodomarin correctly.

    There are contraindications, use after consulting your doctor

    How to take iodomarin correctly?

    The required daily dose of iodine for an adult is 200 mcg, which is contained in each Iodomarin 200 tablet. The required dose for children is 100 mcg, so the drug Iodomarin 100 is produced for them.

    You should not take iodomarin for hyperthyroidism or hypothyroidism, except in cases when it is caused by iodine deficiency, during treatment with radioactive iodine and thyreostatics, if a tumor of the thyroid gland is suspected, or in old age. The simultaneous use of iodomarin and lithium preparations can contribute to the formation of goiter. Taking iodomarin and other iodine preparations increases the risk of goiter formation, and combined use with potassium-sparing diuretics causes an increase in the level of potassium in the blood, as a result, heart rhythm disturbances are possible.

    An adequate dosage in each specific case should be selected by the attending physician after diagnosis. The answer to the question of how to properly take iodomarin 200 also depends on the patient’s age. The daily dose of the drug should not be exceeded and is 1 tablet for adults and half a tablet for children.

    If iodomarin 100 is prescribed, which is usually prescribed to children, then the daily dose is two tablets for adults and one tablet for children. When administered prophylactically to young children, the dose can be reduced to half a tablet.

    What time of day should I take Iodomarin?

    At what time to take iodomarin is not the main thing, the main thing is systematicity. It needs to be taken every day, preferably at the same time, but the time of administration is not of fundamental importance, just as it does not matter whether you take iodomarin before or after meals.

    Taking iodomarin during pregnancy and breastfeeding.

    During pregnancy, the need for iodine increases, so at this time it is very important to prevent iodine deficiency; it is possible to increase the standard dose of iodomarin per day with the permission of a doctor, especially if you live in a region where the natural supply of iodine in the body is insufficient. During lactation, iodine is excreted in milk, so the selection of the dose of iodomarin should also be carried out under the supervision of the attending physician.

    What are the symptoms of iodine overdose (iodism)?

    The phenomena of iodine overdose occur with long-term use of excessive doses of iodomarin (from 300 mcg of the drug and above). Iodism is characterized by a metallic taste in the mouth, the appearance of a brown or yellowish color of the skin and mucous membranes, in some cases, especially in adolescents, rashes appear on the skin - iodine pimples and acne. An allergic reaction to iodine with inflammation of the mucous membranes and Quincke's edema is possible.

    What to do in case of an overdose of iodomarin?

    With a single overdose of iodomarin, vomiting occurs, the vomit may be dark brown in color, abdominal pain and diarrhea, possibly melena. The mucous membranes become brown. Side effects are also possible in the form of manifestation of latent thyrotoxicosis and the appearance of thyrotoxicosis in the elderly.

    If after taking it you experience the above symptoms, it is better to call an ambulance so that competent people can provide assistance. First aid for iodomarin poisoning is to rinse the stomach with a solution of starch or sodium thiosulfate. In case of chronic overdose, discontinuation of the drug is required. If taking iodomarin caused an exacerbation, manifestation or occurrence of thyrotoxicosis, then the drug should be discontinued and, if necessary, thyreostatic drugs should be prescribed.