The drug Nicotinic acid Renewal: instructions for use. Potassium Iodide Renewal: instructions for use of tablets for hair loss

Potassium iodide

Dosage form

pills

Composition of Potassium iodide Renewal in tablet form

Each tablet contains:

100 mcg tablets:

Active ingredient: Potassium iodide 131 mcg (corresponds to 100 mcg iodine).

Excipients:

lactose monohydrate (milk sugar) - 0.059869 g

magnesium stearate - 0.001 g

croscarmellose sodium - 0.001 g.

200 mcg tablets:

Active ingredient: Potassium iodide 262 mcg (corresponds to 200 mcg iodine).

Excipients:

magnesium hydroxycarbonate (basic magnesium carbonate) - 0.0175 g

lactose (milk sugar) - 0.059738 g

microcrystalline cellulose - 0.02 g

magnesium stearate - 0.001 g

colloidal silicon dioxide (aerosil) - 0.0005 g

croscarmellose sodium - 0.001 g

Description

Tablets are white, round, flat-cylindrical with a bevel, with or without an “R” marking on one side.

Pharmacotherapeutic group

Thyroxine synthesis regulator - iodine preparation

Pharmacodynamics of the drug

Iodine is one of the vital microelements. Without iodine, normal functioning of the thyroid gland is impossible, since it is a component of thyroxine and triiodothyronine. Thyroid hormones are involved in the development of all organs and systems, in the regulation of metabolic processes in the body: protein, fat, carbohydrate and energy; they also regulate the activity of the brain, nervous and cardiovascular systems, reproductive and mammary glands, the growth and development of the child, the formation of his intellectual abilities abilities. Iodine deficiency is especially dangerous for children, adolescents, pregnant and lactating women.

Potassium iodide, being a source of iodine, replenishes its deficiency in the body, prevents the development of iodine deficiency diseases, and prevents the development of goiter associated with a lack of iodine in food; normalizes the size of the thyroid gland in newborns, children, adolescents and adults.

Pharmacokinetics

When taken orally, the drug is almost completely absorbed into the small intestine. Average volume of distribution for healthy people is approximately 23 liters (38 % body weight). The normal plasma iodine concentration ranges from 0.001 to 0.005 μg/ml. Accumulates in thyroid gland, salivary glands ah, mammary glands and stomach tissues. The concentration in saliva, gastric juice and breast milk is approximately 30 times higher than in blood plasma. Excreted by the kidneys, the concentration of iodine in urine relative to creatinine (mcg/g) is an indicator of its intake into the body.

Indications Potassium iodide Renewal in tablet form

Prevention of iodine deficiency diseases, incl. endemic goiter (especially in pregnant and lactating women);

Prevention of goiter recurrence after its surgical removal or after completion of goiter treatment with thyroid hormone preparations;

Treatment of diffuse euthyroid goiter in newborns, children, adolescents and young adult patients.

Contraindications Potassium iodide Renewal in tablet form

Hyperthyroidism;

Subclinical hyperthyroidism when taking iodine doses of more than 150 mcg per day;

Dühring's dermatitis herpetiformis;

Solitary toxic adenomas of the thyroid gland and functional autonomy of the thyroid gland (focal and diffuse), nodular toxic goiter (with the exception of preoperative therapy for the purpose of blocking the thyroid gland);

Hypersensitivity to iodine.

Potassium iodide should not be taken for hypothyroidism, unless the development of the latter is caused by severe iodine deficiency.

Prescription of the drug should be avoided during therapy with radioactive iodine, in the presence or suspicion of thyroid cancer.

Since the drug contains lactose monohydrate, it is not recommended for use in patients with rare hereditary diseases associated with galactose intolerance, lactase deficiency or glucose-galactose malabsorption.

Pregnancy and lactation

During pregnancy and breastfeeding The need for iodine increases, so it is especially important to use the drug Potassium iodide in sufficient doses to ensure adequate intake of iodine in the body. The drug crosses the placenta and is excreted in breast milk. If a nursing woman takes potassium iodide, additional administration of the drug to breastfed infants is not required.

The use of the drug during pregnancy and breastfeeding is possible only in recommended doses.

When carrying out therapy, it is necessary to take into account the amount of iodine supplied with food.

Method of administration and dose of Potassium iodide Renewal in tablet form

When determining the required dose of the drug, it is necessary to take into account regional and individual characteristics of iodine intake from food. This is especially important when prescribing the drug to newborns and children under 4 years of age.

Prevention of iodine deficiency diseases:

Newborns and children: 50-100 mcg of iodine per day (1/2 - 1 tablet of the drug Potassium iodide 100 mcg);

Teens and adults:

During pregnancy and breastfeeding: 100-200 mcg of iodine per day (1 tablet of Potassium iodide 100 mcg or 1 tablet of Potassium iodide 200 mcg.

Prevention of goiter recurrence after its surgical removal or after completion of goiter treatment with thyroid hormone drugs:

100-200 mcg of iodine daily (1 tablet of Potassium iodide 100 mcg or 1 tablet of Potassium iodide 200 mcg).

Treatment of euthyroid goiter:

Newborns and children: 100-200 mcg of iodine per day (1 tablet of Potassium iodide 100 mcg or 1 tablet of Potassium iodide 200 mcg);

Adolescent and young adult patients: 200 mcg of iodine per day (2 tablets of Potassium iodide 100 mcg or 1 tablet of Potassium iodide 200 mcg).

The daily dose of the drug should be taken in one dose, after meals, with a sufficient amount of liquid. When prescribing the drug to newborns and children under 3 years of age, it is recommended to dissolve the tablet in a small amount (1 tablespoon) of boiled water room temperature.

The use of the drug for prophylactic purposes is carried out for, as a rule, several months or years, and often throughout life.

For the treatment of goiter in newborns, in most cases, 2-4 weeks are sufficient; in children, adolescents and adults it usually takes 6-12 months or more. The duration of treatment is determined by the doctor.

Side effects of the medicine

Rarely, allergic reactions may occur: skin rash, Quincke's edema.

Overdose

When prescribing the drug at a dose of more than 150 mcg per day to patients who have lesions in the thyroid gland with functional autonomy, the development of iodine-induced hyperthyroidism is possible.

During therapy high doses iodine (more than 1,000 mcg per day), in some cases goiter and hypothyroidism caused by iodine may develop.

Chronic overdose can lead to the phenomenon of “iodism”: metallic taste in the mouth, swelling and inflammation of the mucous membranes (rhinitis, conjunctivitis, gastroenteritis, bronchitis), acne, dermatitis, swelling of the salivary glands, increased body temperature, irritability.

Treatment: in case of chronic overdose, it is recommended to stop using the drug. If iodine-induced hyperthyroidism develops, it is recommended to stop using the drug and prescribe therapy with antithyroid drugs. In particularly severe cases, intensive therapy, plasma exchange or thyroidectomy is necessary. If hypothyroidism develops, it is recommended to stop using the drug and prescribe therapy with iodine-containing thyroid hormones.

Interaction

The effectiveness of treatment with antithyroid drugs while taking iodine is reduced.

Potassium perchlorate inhibits the absorption of iodine by the thyroid gland.

Taking high doses of iodine and simultaneous administration of potassium-sparing diuretics can lead to the development of hyperkalemia.

Simultaneous administration of iodine therapy in high doses with lithium preparations promotes the development of goiter and hypothyroidism.

The uptake of iodine by the thyroid gland and its metabolism are stimulated by thyroid-stimulating hormone.

special instructions

It should be taken into account that during drug therapy in patients with renal failure, hyperkalemia may develop.

Before starting therapy, it is necessary to exclude the presence of hyperthyroidism or nodular toxic goiter in the patient, as well as a history of these diseases.

If there is a predisposition to autoimmune thyroid diseases, the formation of antibodies to thyroid peroxidase is possible.

Saturation of the thyroid gland with iodine can prevent the accumulation of radioactive iodine used for therapeutic or diagnostic purposes. In this regard, it is not recommended to take the drug before carrying out activities using radioactive iodine.

Impact on the ability to drive vehicles. Wed and fur.

Potassium iodide does not affect driving ability Vehicle and control of mechanisms.

Release form/dosage

Tablets 100 mcg and 200 mcg.

Storage conditions

In a place protected from light at a temperature not exceeding 25 ° C.

Keep out of the reach of children.

Best before date

Do not use after the expiration date stated on the packaging.

pills

Owner/Registrar

UPDATE, PFC CJSC

International Classification of Diseases (ICD-10)

Pharmacological group

Iodine preparation for the prevention and treatment of thyroid diseases

pharmachologic effect

A product containing inorganic iodine. When iodides enter the epithelial cells of the thyroid follicle, under the influence of the enzyme iodide peroxidase, iodine is oxidized to form elemental iodine, which is included in the tyrosine molecule. In this case, one part of the tyrosine radicals in thyroglobulin is iodinated. Iodinated tyrosine radicals condense into thyronines, the main of which are thyroxine (T 4) and triiodothyronine (T 3). The resulting complex of thyronine and thyroglobulin is released as a deposited form of thyroid hormone into the follicle colloid and remains in this state for several days or weeks. With iodine deficiency, this process is disrupted. Potassium iodide, compensating for iodine deficiency, helps restore impaired synthesis of thyroid hormones.

With normal iodine content in environment under the influence of excess iodides, the biosynthesis of thyroid hormones and their release from thyroglobulin are inhibited, and the sensitivity of the thyroid gland to thyroid-stimulating hormone pituitary gland and its secretion by the pituitary gland is blocked.

Pharmacokinetics

When taken orally, it is quickly absorbed from the gastrointestinal tract. Widely distributed in all tissues and fluids of the body.

Prevention and treatment of endemic goiter. Prevention of goiter recurrence during the period complex treatment thyroid hormone preparations.

Severe hyperthyroidism, latent hyperthyroidism (when used in doses exceeding 150 mcg/day), toxic adenoma, nodular or diffuse toxic goiter (when used in doses of 300-1000 mcg/day), dermatitis herpetiformis (Dühring's disease), pregnancy and breastfeeding (when used in doses of 1-2 mg/day), increased sensitivity to iodine preparations.

Manifestations of iodism: swelling of the nasal mucosa, urticaria, Quincke's edema, eosinophilia, shock; tachycardia, irritability, sleep disturbances are also possible, increased sweating, diarrhea (in patients over 40 years of age); in some cases, when used in doses exceeding 300-1000 mcg/day, hyperthyroidism may develop (especially in elderly patients, in the presence of nodular or diffuse toxic goiter); with high-dose therapy (more than 1 mg/day), iodine-induced goiter and, accordingly, hypothyroidism may develop.

special instructions

For renal failure

During therapy in patients with renal failure hyperkalemia may develop.

Use during pregnancy and breastfeeding

During pregnancy, use is possible only in recommended doses, because Iodine penetrates the placental barrier and can cause the development of hypothyroidism and goiter in the fetus.

Iodine is excreted in breast milk. When used by a mother during lactation (breastfeeding) in doses of more than 1 mg/day, there is a risk of developing hypothyroidism in an infant.

Drug interactions

With simultaneous high-dose therapy with iodine and potassium-sparing diuretics, hyperkalemia may develop; with lithium preparations, goiter and hypothyroidism may develop. Perchlorate and thiocyanate competitively inhibit the absorption of iodine by the thyroid gland, and TSH stimulates it.

Antithyroid drugs weaken the effect (mutually).

Individual. Daily dose in terms of iodine, it is 50-100 mcg for children, and 100-200 mcg for adolescents and adults.

Latin name: Potassium iodide
ATX code: H03C A
Active substance: potassium iodide
Manufacturer: Update (RF)
Dispensing from the pharmacy: Over the counter
Storage conditions: at temperatures up to 25°C
Best before date: 36 months

Potassium iodide Renewal is a medication for eliminating thyroid pathologies through restoration normal level iodine in the body.

Indications for use

Potassium iodide Renewal is intended for use in:

• Prevention of iodine deficiency and associated complications
• Preventing the recurrence of goiter after it surgical removal or after stopping treatment of the pathology with medications containing thyroid hormones
• Therapy of diffuse euthyroid goiter in patients from newborn age.

Compound

Medicines in tablets for oral administration. Contents of components in 1 piece:

• Active: 131 or 262 mcg potassium iodide (equivalent to 100 or 200 mcg pure substance)
• Structural components: magnesium hydroxycarbonate, lactose in the form of monohydrate, CMC. E 470, Aerosil, E 468.

Round, white pills in the form of a flat cylinder. A fault line is marked on one side. Tablets may be available with or without an “R” marking. The drug is packaged in blisters of 14 pcs. In a medical cardboard box - 4 or 8 tablets with pills, instructions for use.

Medicinal properties

Preparation with inorganic iodine. After ingestion, the active substance enters the thyroid gland, is transformed under the influence of gland enzymes, and then is included in the composition of tyrosine. If there is a shortage of the substance in the body, the process of formation of the deposited thyroid hormone is disrupted, so Potassium iodide restores the normal course of natural processes in the body.

Features of pharmacokinetics

After taking the tablets, the active component is quickly absorbed in the gastrointestinal tract, then distributed to all tissues and fluids.

Mode of application

Price: (112 tablets) – from 77 rub.

The medication is taken orally in the dosage prescribed by the doctor or indicated in the instructions for use. Moreover, when determining daily norm two factors must be taken into account: the content of the substance in the place of residence and the volume of its absorption in products (this must be observed especially strictly if the medication is intended for children under 4 years of age).

• Children (from the first days of life) – 50-100 mcg (i.e. 1⁄2-1 tablet)
• Teens, adults: 100-200 mcg
• Pregnant and breastfeeding: 100-200 mcg.

After removal of the goiter to prevent its reoccurrence: daily 100-200 mcg.

Therapy for euthyroid goiter:

• Children (from birth): 0.1-0.2 mg. On average, drugs are given for a period of 2-4 weeks.
• Adolescents and young adults: 0.2 mg.

Reception features

Duration of treatment is determined separately for each patient. On average, newborns are given the drug for 2-4 weeks, and older patients are given a long course. If therapy and prevention are necessary, tablets can be taken not only for months, but also throughout life. In any case, the duration of the appointment should be determined solely by the doctor.

During pregnancy and pregnancy

During pregnancy and breastfeeding female body iodine consumption increases and, accordingly, the need for it. Therefore, the use of potassium iodide is indicated to eliminate its deficiency and prevent subsequent complications. The dosage and duration of administration are determined by the treating specialist based on the results of tests for iodine content in the body. Since the substance passes freely through the placenta, when drawing up a dosage regimen, the total amount of incoming iodine (with foods, other drugs) should be taken into account.

The drug is approved for nursing women for the same purpose and conditions of administration: the dosage is determined by the level of iodine deficiency in the body and the total volume of the substance ingested. This is explained by the fact that the element is transferred to the baby along with the milk, and if there is too much of it, the overload can provoke intoxication with subsequent side effects.

Contraindications and precautions

Potassium iodide should not be taken if:

• Hypersensitivity or intolerance to the components of the tablets
• Increased thyroid activity, hyperthyroidism
• Dühring's diseases
• Functioning (toxic) thyroid adenomas, nodular toxic goiter (the only exception is preoperative treatment aimed at blocking the thyroid gland)

The drug should not be used for hypothyroidism, except in cases where the pathology is caused by iodine deficiency.

The drug should not be used during therapy with radioactive iodine, or for diagnosed or suspected thyroid cancer.

Since the tablets contain milk sugar, patients suffering from congenital pathologies in the form of lactose intolerance, lactase deficiency or GG malabsorption, you should refrain from using the drug.

Cross-drug interactions

Taking potassium iodide tablets should take into account the fact that when combined with other medications, a change in the properties of the drugs may occur:

• When combined with antithyroid drugs, the effectiveness of iodine decreases.
• Potassium perchlorate interferes with the absorption of iodine in the thyroid gland.
• At joint reception Potassium iodide with potassium-sparing diuretics sharply increases the concentration of potassium in the blood with the subsequent occurrence of hyperkalemia.
• Combining iodine therapy in high dosages and drugs with lithium promotes the formation of goiter and the development of hypothyroidism.
• The absorption of iodine by the thyroid gland and its further metabolic transformations are enhanced under the influence of thyroid-stimulating substances.

Special Notes

The use of drugs with potassium iodide in patients with renal dysfunction can provoke hyperkalemia. Therefore, potassium levels should be closely monitored during therapy.

Before a course of taking potassium iodide, it is necessary to make sure that the patient does not have hyperthyroidism (or nodular toxic goiter) at the time of prescription, and also check for the presence of pathologies in the anamnesis.

Filling the thyroid gland with iodine can block the accumulation radioactive iodine, used for therapeutic/diagnostic purposes. Therefore, if the patient is to use a second substance, then the course of potassium iodide should be delayed.

Side effects and overdose

Medicine with potassium iodide is usually well accepted by patients, but may provoke undesirable conditions in some of them, such as allergic reactions(skin rash, anaphylaxis, Quincke's edema).

The use of too high dosages of Potassium iodide can provoke the development various pathologies(iodine-induced hyperthyroidism, goiter, iodism, etc.).

Intoxication manifests itself characteristic features: iron taste, runny nose, lacrimation, darkening of mucous membranes, acne, swelling of the salivary glands, increased irascibility, etc.

Elimination of the consequences of an overdose begins with the discontinuation of tablets, antithyroid drugs are prescribed, in severe cases plasmapheresis and removal of glandular tissue are indicated. Patients with hypothyroidism are treated with thyroid hormones containing iodine.

Analogs

OJSC "Tatkhimfarmpreparaty" (RF)

Price:(100 t.) – from 98 rub.

Medicines in tablets with potassium iodide. content – ​​100 mcg. The drug is indicated for the elimination and prevention of iodine deficiency. Can be prescribed from birth.

Restrictions for use and other features are identical to Potassium iodide Renewal.

Pros:

• Helps against iodine deficiency
• Well tolerated
• Convenient dosage.

Flaws:

• Side effects
• Costs more.

Instructions for use Potassium iodide
Buy Potassium iodide Renewal TB 200mcg
Dosage forms
tablets 200mcg
Manufacturers
PKF update (Russia)
Group
Products containing iodine
Compound
Active substance- Potassium iodide.
International nonproprietary name
Potassium iodide
Synonyms
Iodine Vitrum, Iodine Vitrum for children, Iodine balance, Iodomarin 100, Iodomarin 200, Iodostin, Potassium iodide 200 Berlin-Chemie, Potassium iodide, Microiodide
pharmachologic effect
Iodine is a vital trace element. Without iodine, normal functioning of the thyroid gland is impossible, the hormones of which perform many vital functions. important functions. They are responsible for the metabolism of proteins, fats, carbohydrates and energy in the body; regulate the activity of the brain, nervous and of cardio-vascular system, reproductive and mammary glands, child growth and development. Lack of iodine is especially dangerous for children, adolescents, pregnant and lactating women.
Indications for use
- prevention of diseases associated with iodine deficiency in the environment, primarily in children, adolescents, pregnant and lactating women; - treatment of diffuse non-toxic goiter; - treatment of diffuse euthyroid goiter caused by iodine deficiency in children, adolescents and adults.
Contraindications
- increased thyroid function; - increased sensitivity to iodine; - toxic adenoma of the thyroid gland, nodular goiter (when used in doses from 300 to 1000 mcg/day), with the exception of preoperative iodine therapy; - Dühring's herpetiform (senile) dermatitis.
Side effect
At prophylactic use at any age, as well as in the treatment of 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. When using the drug in a dose exceeding 300-1000 mcg/day, hyperthyroidism may develop (especially in elderly patients suffering from goiter for a long time; in the presence of nodular or diffuse toxic goiter).
Interaction
As a result of the interaction of drugs with each other, mutual strengthening or weakening of their action and development is possible side effects, therefore you should inform your doctor about what medicines the patient is currently taking or has taken recently. This especially applies to certain drugs used in the treatment of depression (lithium salts); to potassium-sparing diuretics and to substances that inhibit the formation of thyroid hormones.
Overdose
With long-term administration of high doses of the drug (more than 300 mcg per day), the development of iodine-induced hyperthyroidism is possible. When treated with high doses of iodine (more than 1000 mcg per day), in some cases iodine-induced goiter and hypothyroidism may develop. 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). 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 disturbances of water balance, electrolyte balance, antishock therapy. Treatment for chronic intoxication: drug withdrawal. Treatment of iodine-induced hypothyroidism: drug withdrawal, normalization of metabolism with the help of thyroid hormones. Treatment of iodine-induced thyrotoxicosis: for mild forms of treatment, no treatment is required; in severe forms, thyreostatic therapy is required (the effect of which is always delayed). In severe cases (thyrotoxic crisis), intensive therapy, plasmaphoresis and thyroidectomy are necessary.
special instructions
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 use of the drug during pregnancy and breastfeeding is possible only in recommended doses.
Storage conditions
In a place protected from light.