POTASSIUM IODIDE: 607 Adverse Event Reports & Safety Profile
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Route: ORAL · Manufacturer: Mission Pharmacal Company · FDA Application: 018307 · HUMAN OTC DRUG · FDA Label: Available
First Report: 20060101 · Latest Report: 20240717
What Are the Most Common POTASSIUM IODIDE Side Effects?
All POTASSIUM IODIDE Side Effects by Frequency
| Side Effect | Reports | % of Total | Deaths | Hosp. |
|---|---|---|---|---|
| Haemorrhagic stroke | 238 | 39.2% | 238 | 0 |
| Cardio-respiratory arrest | 222 | 36.6% | 221 | 0 |
| Altered state of consciousness | 217 | 35.8% | 217 | 0 |
| Tachycardia | 217 | 35.8% | 212 | 0 |
| Sepsis | 215 | 35.4% | 214 | 0 |
| Ocular discomfort | 203 | 33.4% | 200 | 0 |
| Ascites | 202 | 33.3% | 200 | 0 |
| Dyspnoea | 202 | 33.3% | 193 | 6 |
| Amaurosis fugax | 201 | 33.1% | 201 | 0 |
| Diarrhoea | 201 | 33.1% | 198 | 1 |
| Fall | 201 | 33.1% | 200 | 1 |
| Haematemesis | 201 | 33.1% | 198 | 0 |
| Blindness | 200 | 33.0% | 196 | 0 |
| Chills | 200 | 33.0% | 197 | 0 |
| Pruritus | 200 | 33.0% | 196 | 0 |
| Coma | 199 | 32.8% | 196 | 0 |
| Dizziness | 199 | 32.8% | 194 | 1 |
| Arthralgia | 198 | 32.6% | 193 | 2 |
| Head discomfort | 196 | 32.3% | 194 | 0 |
| Eye pain | 195 | 32.1% | 194 | 0 |
Who Reports POTASSIUM IODIDE Side Effects? Age & Gender Data
Gender: 51.6% female, 48.4% male. Average age: 47.0 years. Most reports from: PT. View detailed demographics →
Is POTASSIUM IODIDE Getting Safer? Reports by Year
| Year | Reports | Deaths | Hosp. |
|---|---|---|---|
| 2006 | 22 | 0 | 1 |
| 2009 | 1 | 0 | 0 |
| 2010 | 1 | 1 | 0 |
| 2012 | 2 | 0 | 2 |
| 2014 | 5 | 0 | 1 |
| 2015 | 5 | 0 | 3 |
| 2016 | 1 | 0 | 1 |
| 2017 | 1 | 0 | 0 |
| 2018 | 2 | 0 | 1 |
| 2019 | 8 | 1 | 2 |
| 2020 | 21 | 1 | 1 |
| 2021 | 1 | 0 | 0 |
| 2022 | 2 | 0 | 1 |
| 2023 | 3 | 0 | 3 |
| 2024 | 3 | 1 | 0 |
What Is POTASSIUM IODIDE Used For?
| Indication | Reports |
|---|---|
| Product used for unknown indication | 319 |
| Thyrotoxic crisis | 58 |
| Hyperthyroidism | 46 |
| Basedow's disease | 20 |
| Nutritional supplementation | 20 |
| Pneumonia | 18 |
| Hypertension | 12 |
| Pyoderma gangrenosum | 7 |
| Acute febrile neutrophilic dermatosis | 6 |
| Fungal infection | 6 |
POTASSIUM IODIDE vs Alternatives: Which Is Safer?
Official FDA Label for POTASSIUM IODIDE
Official prescribing information from the FDA-approved drug label.
Drug Description
DESCRIPTION: Each milliliter (1 mL) of Potassium Iodide Oral Solution contains 65 mg of potassium iodide (USP) in a black raspberry-flavored solution. Inactive ingredients are: FD&C Red #40 and Blue #1, methylparaben, natural and artificial black raspberry flavor, propylene glycol, propylparaben, purified water (USP), sodium saccharin, sucrose.
FDA Approved Uses (Indications)
Uses Temporarily relieves occasional sore throat, dry cough, sneezing, discomfort due to chest issues, joint discomfort, headaches with tension over the eyes, and nasal congestion.* *CLAIMS BASED ON TRADITIONAL HOMEOPATHIC PRACTICE, NOT ACCEPTED MEDICAL EVIDENCE. NOT FDA EVALUATED. This product is not intended to diagnose, treat, cure, or prevent any disease.
Dosage & Administration
Dose: Adults over 18 years 1 tablet (whole or crushed) every day (130 mg) Children over 12 years to 18 years who weigh at least 150 pounds 1 tablet (whole or crushed) every day (130 mg) Children over 12 years to 18 years who weigh less than 150 pounds 1/2 tablet (whole or crushed) or 4 teaspoonfuls every day (65 mg) Children over 3 years to 12 years 1/2 tablet (whole or crushed) or 4 teaspoonfuls every day (65 mg) Children over 1 month 2 teaspoonfuls every day (32.5 mg) Babies at birth to 1 month 1 teaspoonful every day (16.25 mg) Tablets can be crushed and mixed in many liquids. To take the tablet in liquid solution, use dosing directions under Making a Potassium Iodide Liquid Mixture. Take KI every day (every 24 hours) as directed by public officials. Do not take more than 1 dose in 24 hours. More will not help you. Too much medicine may increase the chances of side effects. Making a Potassium Iodide Liquid Mixture: 1. Put one 130 mg KI tablet into a small bowl and grind it into a fine powder using the back of a metal teaspoon against the inside of the bowl. The powder should not have any large pieces. 2.
Add
4 teaspoonfuls of water to the crushed KI powder in the bowl and mix until the KI powder is dissolved in the water. 3. Take the KI water mixture solution made in step 2 and mix it with 4 teaspoonfuls of low fat white or chocolate milk, orange juice, flat soda, raspberry syrup, or infant formula. 4. The KI liquid mixture will keep for up to 7 days in the refrigerator. It is recommended that the KI liquid mixture be prepared weekly. Throw away unused portions. The amount of KI (130 mg tablet) in the drink when mixed as described above is 16.25 mg per teaspoonful. The number of teaspoonfuls of the drink to give your child depends on your child’s age as described in the following table: Child’s Age Give your child this amount in teaspoonfuls Over 12 years to 18 years old who weigh less than 150 pounds 4 teaspoonfuls will give you a 65 mg dose Over 3 years to 12 years old 4 teaspoonfuls will give you a 65 mg dose Over 1 month to 3 years old 2 teaspoonfuls will give you a 32.5 mg dose Birth to 1 month 1 teaspoonful will give you a 16.25 mg dose Note: This is the amount to give your child for one single dose in teaspoonfuls (not tablespoonfuls). You should give your child one dose each day as recommended by the public officials. Pregnant or breastfeeding women, or babies under 1 month of age: Take as directed above and call a doctor as soon as possible. Repeat dosing should be avoided. It is recommended that thyroid function be checked in babies less than 1 month of age that take KI. Women who are pregnant or breastfeeding should also be checked by a doctor if repeat dosing is necessary. Although these precautions should be taken, the benefits of short-term use of KI to block uptake of radioactive iodine by the thyroid gland far exceed its chances of side effects. Patients with thyroid disease: If you have both a nodular thyroid condition such as multinodular goiter with heart disease, you should not take KI. Patients with other thyroid conditions may take KI as directed above, but call a doctor if you need to take KI for more than a few days.
Contraindications
Contra-indications: Traditional biochemic remedy do not interact with other remedies, herbs, or other supplements.
Known Adverse Reactions
ADVERSE REACTIONS The most frequent adverse reactions to potassium iodide are stomach upset, diarrhea, nausea, vomiting, stomach pain, skin rash, and salivary gland swelling or tenderness. Less frequent adverse reactions include gastrointestinal bleeding, confusion, irregular heartbeat, numbness, tingling, pain or weakness in hands or feet, unusual tiredness, weakness or heaviness of legs, fever, and swelling of neck or throat. Thyroid adenoma, goiter, and myxedema are possible side effects. Iodism or chronic iodine poisoning may occur during prolonged treatment or with the use of high doses. The symptoms of iodism include burning of mouth or throat, severe headache, metallic taste, soreness of teeth and gums, symptoms of head cold, irritation of the eyes with swelling of the eyelids, unusual increase in salivation, acneform skin lesions in the seborrheic areas, and rarely, severe skin eruptions. If symptoms of iodism appear, the drug should be withdrawn and the patient given appropriate supportive therapy. Hypersensitivity to iodides may occur and may be manifested by angioedema, cutaneous and mucosal hemorrhage, and signs and symptoms resembling serum sickness, such as fever, arthralgia, lymph node enlargement, and eosinophilia.
FDA Boxed Warning
Take potassium iodide (KI) only when public officials tell you. In a nuclear radiation emergency, radioactive iodine could be released into the air. KI protects the thyroid gland from uptake of radioactive iodine. The protective effect of each KI tablet lasts approximately 24 hours. For optimum protection, KI should be taken daily until a risk of significant exposure to radioactive iodines by either inhalation or ingestion no longer exists. KI should be used along with other emergency measures that will be recommended to you by public officials. If you are told to take this medicine, take it 1 time every 24 hours for 10 to 14 days. Do not take it more often. More KI will not help you. Too much KI may increase the chances of side effects. Do not take this medicine if you know you are allergic to iodine (see SIDE EFFECTS below).
Warnings
Warnings Allergy alert: Iodine may cause an allergic reaction with 1 or more of the following symptoms: shortness of breath or wheezing swelling skin rash trouble breathing, speaking or swallowing fever and joint pain Do not use if you have ever had an allergic reaction to iodine nodular thyroid disease with heart disease hypocomplementemic vasculitis dermatitis herpetiformis Stop use and ask a doctor if you have an allergic reaction. Get medical help right away if you have trouble breathing, speaking or swallowing; shortness of breath; wheezing; swelling of the mouth, tongue or throat; or rash. irregular heartbeat or chest pain. Get medical help right away. swelling of the hands or feet, fever, or joint pain. Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center right away.
Warning
People who are allergic to iodine, have dermatitis herpetiformis or hypocomplementemic vasculitis, or have nodular thyroid disease with heart disease should not take KI. Keep out of the reach of children. In case of an allergic reaction (difficulty breathing, speaking or swallowing; wheezing; shortness of breath or swelling of the mouth or throat), call 911 or get medical care right away. In case of overdose, get medical help or call a Poison Control Center right away.
How Potassium Iodide Works
Certain forms of iodine help your thyroid gland work right. Most people get the iodine they need from foods like iodized salt or fish. The thyroid can “store” or hold only a certain amount of iodine. In nuclear radiation emergency, radioactive iodine may be released in the air. This material may be breathed or swallowed. It may enter the thyroid gland and damage it. The damage would probably not show itself for years. Children are most likely to have thyroid damage. If you take KI, it will block or reduce the chances that radioactive iodine will enter your thyroid gland.
Who Should Not Take Potassium Iodide
People should avoid KI if they are allergic to iodine, have dermatitis herpetiformis or hypocomplementemic vasculitis, or have nodular thyroid disease with heart disease, because these conditions may increase the chances of side effects to iodine. HOW AND WHEN TO TAKE POTASSIUM IODIDE KI should be taken as soon as possible after public officials tell you. If you are told to repeat the dose, you should take the second dose 24 hours after the first dose. Do not take it sooner. More KI will not help you because the thyroid can “hold” only certain amounts of iodine. Taking more than 1 dose per day will increase the chances of side effects. The public officials will tell you how many days to take KI. You should take KI until the chances of major exposure to radioactive iodine by breathing or swallowing stops.
Side Effects
Short-term use of KI at the recommended dose is safe. You should not take this drug for longer than you are told. Possible side effects include: swelling of the salivary glands, nausea, vomiting, diarrhea, stomach ache, fever, headache, metallic taste, and allergic reactions. Allergic reaction can include skin rashes such as hives swelling of various parts of the body such as the face, lips, tongue, throat, hands or feet fever with joint pain trouble breathing, speaking or swallowing wheezing or shortness of breath Get medical attention right away if you have trouble breathing, speaking or swallowing; wheezing; shortness of breath; or swelling of the mouth, tongue or throat. Taking iodide, in rare cases, may cause overactivity of the thyroid gland, underactivity of the thyroid gland, or enlargement of the thyroid gland (goiter). Symptoms of an overactive thyroid gland may include an irregular heartbeat and chest pain. Patients with thyroid disease are more likely to get these side effects. Babies under 1 month of age are more likely to get an underactive thyroid gland (hypothyroidism).
What To Do If Side Effects Occur
Stop taking KI and call a doctor if you have one of the following symptoms: swelling of the face, hands or feet fever and joint pain skin rash Stop taking KI and get medical help right away if you have one or more of the following symptoms: trouble breathing, speaking or swallowing shortness of breath or wheezing swelling of the lips, tongue or throat irregular heart beat or chest pain
Precautions
PRECAUTIONS GENERAL In some patients, prolonged use of iodides can lead to hypothyroidism. Iodides should be used with caution in patients having Addison's disease, cardiac disease, hyperthyroidism, myotonia congenita, tuberculosis, acute bronchitis, or renal function impairment.
Drug Interactions
Concurrent use with lithium or antithyroid drugs may potentiate the hypothyroid and goitrogenic effects of these medications. Concurrent use with potassium-containing medications, potassium-sparing diuretics and angiotensin-converting enzyme inhibitors (ACE inhibitors) may result in hyperkalemia and cardiac arrhythmias or cardiac arrest. DRUG & OR LABORATORY TEST INTERACTIONS Thyroid function tests may be altered by iodide. PREGNANCY see " Warnings " section.
Nursing Mothers
Potassium iodide is excreted in breast milk. Use by nursing mothers may cause skin rash and thyroid suppression in the infant.
Pediatric Use
Safety and effectiveness in children have not been established.
Drug Interactions
DRUG INTERACTIONS Concurrent use with lithium or antithyroid drugs may potentiate the hypothyroid and goitrogenic effects of these medications. Concurrent use with potassium-containing medications, potassium-sparing diuretics and angiotensin-converting enzyme inhibitors (ACE inhibitors) may result in hyperkalemia and cardiac arrhythmias or cardiac arrest.
Active Ingredient
ACTIVE INGREDIENT (HPUS*): Kali Iodatum 1X. * The letters "HPUS" indicate that the component in this product is officially monographed in the Homeopathic Pharmacopeia of the United States.
Inactive Ingredients
Inactive ingredients FD&C Red #40 and Blue #1, methylparaben, natural and artificial black raspberry flavor, propylene glycol, propylparaben, purified water (USP), sodium saccharin, sucrose
INACTIVE INGREDIENTS: FD&C Red #40 and Blue #1, methylparaben, natural and artificial black raspberry flavor, propylene glycol, propylparaben, purified water (USP), sodium saccharin, sucrose.