To replenish the necessary reserves of vitamins and micro- (macroelements), pregnant women are often prescribed drugs containing these substances.
This is important, since a deficiency of even one element can lead to tragic consequences: from the formation of defects and underdevelopment of the fetus to spontaneous abortion.
It is for this reason that in no case should you ignore the doctor's recommendations about the need to use special drugs.
One of the substances that are vital for the normal course of pregnancy and the prevention of the appearance of defects in the baby is iodine.
According to the World Health Organization, almost half of Russian women do not receive enough iodine during pregnancy, which can lead to dire consequences.
The situation is complicated by harsh climatic conditions and the low content of this element in everyday foods.
To protect yourself from iodine deficiency, and not harm the health and development of the crumbs, you must strictly follow all the recommendations and prescriptions of the doctor during pregnancy. One of the drugs that are used in obstetric practice to replenish iodine reserves in the body of a future mother is Iodomarin.
"Jodomarin" is a preparation of inorganic iodine, necessary to eliminate the deficiency of this element. The tool is used not only for preventive, but also for therapeutic purposes (for example, for the treatment of thyroid diseases).
The main component of the drug is potassium iodide, which is rapidly absorbed and completely absorbed by the body. Depending on the type of drug, the iodine content in one tablet is 100 mcg (Iodomarin 100) or 200 mcg (Iodomarin 200). It is this dosage that is necessary for women during pregnancy in order to ensure a sufficient level of this element in order to prevent iodine deficiency.
Iodine is necessary for the normalization of the activity of the thyroid gland, as it is part of the hormones synthesized by this body (thyroxine and triiodothyronine). In addition, he is involved in the work of the brain, as well as in the processes of growth and development (especially in childhood).
The drug is produced in the form of flat white tablets placed in contour cells of 25, 50 or 100 pieces.
Indications for use
Indications for the appointment of "Jodomarin" during pregnancy are:
- prevention of iodine deficiency;
- non-toxic goiter of the euthyroid type;
- disruption of the thyroid gland;
- living in an area with a bad climate;
- poor diet low in iodine.
It should be borne in mind that an excess of iodine is no less dangerous than its deficiency. This is not an element that can be drunk thoughtlessly, as the consequences can be extremely dangerous. Therefore, only a specialist can prescribe "Jodomarin".
Many gynecologists prescribe iodine preparations to pregnant women for prophylactic purposes without conducting clinical studies on the content of hormones produced by the thyroid gland.
Under no circumstances should this be done. Only an endocrinologist can prescribe "Iodomarin" after conducting an examination in the required volume.
Why do I need Iodomarin and how long should I drink during pregnancy?
- First trimester.
In the early stages, iodine deficiency can cause abnormal formation of the nervous system and brain of the fetus. This is fraught with severe pathologies that are very difficult to treat or correct with medication, and some of them cannot be cured.
Babies whose mothers experienced a lack of iodine in the first three months of pregnancy can be diagnosed with diseases such as cerebral palsy, cretinism, autism and many others after birth.
An acute lack of iodine in the early stages can lead to miscarriage or increased uterine bleeding, which in half of the cases ends in the loss of a child.
- Second trimester.
In the second trimester, taking iodine supplements (if necessary) is just as important as in the first. The baby's brain continues to grow and develop, so a sufficient amount of this element is necessary for the proper functioning of the most important organ in the human body.
In the future, a child whose mother suffered from iodine deficiency experiences learning difficulties. Such children have reduced mental abilities, memory, and their intelligence lags far behind their peers.
Iodine in the second trimester is needed not only for the brain: it is actively involved in the development of vision, the muscular system, the musculoskeletal system, ensuring healthy growth and intrauterine development of the fetus.
- Third trimester.
At the final stage of pregnancy, iodine is necessary, first of all, for the expectant mother, as it helps to maintain activity and strength for the upcoming difficult process of childbirth. In addition, the normal level of this chemical element reduces the risk of premature onset of labor, which can result in underdevelopment and.
How to take: choose the dosage
The dosage of the drug and the need for its use should be evaluated exclusively by an endocrinologist after a laboratory test for thyroid hormones.
The daily dosage for pregnant women is 200 mcg per day, that is, 1 tablet of Iodomarin 200 or 2 tablets of Iodomarin 100. The drug should be taken after meals with 100 ml of boiled water.
What side effects are possible when taking Iodomarin?
With the exact observance of the indicated dosages, the drug is very well tolerated, and does not cause side effects even in infants and newborns.
However, with prolonged use of the drug (more than 1 year), as well as with repeated use of a dosage of more than 300 mcg, the following negative phenomena may develop:
- metallic taste in the mouth;
- staining of the oral cavity in black;
- swelling of soft tissues and mucous membranes (, etc.);
- conjunctivitis;
- fever;
- acne;
- dermatitis;
- anaphylactic shock;
- angioedema;
- hyperthyroidism.
With a one-time excess of the daily allowance, the following symptoms may appear:
- , vomit;
- chills at room temperature.
In case of any side effects, as well as in cases of overdose, you should immediately seek medical help.
Some drugs (for example, drugs containing lithium salts, diuretics, thyroid hormone blockers) can lead to increased side effects and reduce the effectiveness of Iodomarin.
Contraindications
Not all pregnant women can take Iodomarin. It is contraindicated for future mothers with a history of the following diagnoses:
- hypersensitivity to iodine;
- nodular goiter;
- thyroid adenoma (toxic);
- hyperfunction of the thyroid gland;
- Dühring's dermatitis.
Analogues of the drug Iodomarin, allowed during pregnancy
The following preparations can be called practically identical analogues of "Iodomarin":
- "Potassium iodide";
- "Antiturmin";
- "Iodide 100";
- "Yod Vitrum";
- "Yodandin";
- "Yodbalance";
- "Microiodide" and others.
None of these drugs can be taken without the appointment of an endocrinologist and a clinical blood test.
"Jodomarin" is an excellent tool for replenishing iodine reserves during pregnancy. It is absolutely safe and can be used throughout pregnancy if necessary. However, no matter how good this drug is, in no case should it be taken on its own, so as not to cause harm to the unborn baby.
Iodomarin 200 during pregnancy is a drug that must be drunk to prevent a deficiency of a substance such as iodine. The tool is considered useful before pregnancy, and during and even after it, but you should first read the recommendations from the manufacturer in order to exclude side effects.
Taking Iodomarin 200 during pregnancy and side effects
If you take the drug correctly, then you can exclude the fact that side effects will occur, since in general, for the entire time of existence, not one case of their manifestation has been recorded at all. The instructions contain data on contraindications and they include only personal intolerance to the drug, in particular the pharmacological dose of iodine more than 1000 mg / day. To be more precise, if the dosage is overdone, problems with the body are possible.
On average, a dosage of 200 mcg per day is prescribed, which is called physiological and it:
- useful;
- Not dangerous;
- Suitable for both baby and mother during pregnancy and lactation.
If you use the drug for a long time and without control, that is, 2-4 tablets or more per day, then the general condition may worsen, but in general, if you unconsciously take a large amount of the drug, you should definitely consult a doctor. In this case, the following may appear: diarrhea, pain in the abdomen, nausea, vomiting, taste of metal, darkening of the oral mucosa.
Iodomarin is prescribed both in the early stages and in the last trimester, up to childbirth.
It is this substance that is considered important in the formation of the neural tube of the fetus, as well as for the intrauterine development of the crumbs. Including due to a sufficient amount of iodine, the correct formation of the bone and muscle composition of the fetus occurs, and hypothyroidism in the newborn is excluded.
Among the most serious consequences of iodine deficiency are:
- Miscarriage;
- premature birth;
- Cretinism;
- Metabolic disease.
In addition, if the mother has a lack of iodine, then there may be problems in the endocrine system and the cardiovascular system. Vitamins and in particular Iodomarin should be drunk not only in the first and third trimester, but also during pregnancy planning, which significantly improves the functioning of the reproductive system. The dose of the drug is prescribed to pregnant women individually and it can be 100, 200 and 250. It all depends on the medical parameters of the body and on the general condition.
How to drink Iodomarin
The appointment of Iodomarin and folic acid is required at the stage of conception planning, but only after examination, diagnosis and consultation with a doctor.
It is worth noting that it is advisable to drink the drug:
- For prevention, once every three months, due to which there will be regular periods;
- Both man and woman;
- At least half a year before the upcoming pregnancy, but not without consulting a doctor.
You need to drink the drug and special people who are in the so-called risk group, especially women who live in areas where there is a high probability of developing iodine deficiency. The drug is useful for those who previously had problems with the endocrine system, in particular, if the thyroid gland does not function properly and for women who previously smoked and consumed alcohol for a long time, since all this removes useful components from the body.
Reviews: Iodomarin during pregnancy
Pregnant women especially need iodine during the entire period of pregnancy, as it contributes to the safe bearing of the fetus and successful childbirth.
The benefits of Iodomarin are significant and those who drink it note:
- Improvement of the general condition;
- Elimination of insomnia;
- Removal of weakness;
- Appetite improvement and more.
On average, a nursing woman needs 200 mcg of iodine per day, but it should be borne in mind that when eating food, at least 60 mcg already enters the body, and therefore the dosage should be slightly reduced. Iodomarin is a drug that prevents the development of pathologies in the fetus, spontaneous abortion at any time, and even more problems with the health of the mother.
With regards to contraindications, the drug practically does not have them, however, in the presence of individual personal sensitivity to iodine, as well as in case of thyroid cancer, you need to be as careful as possible and take the drug only as directed by the doctor, and you also need to ensure that overdose was ruled out.
How long to take Iodomarin during pregnancy
The term for taking the drug is set by the doctor. Reviews about the drug are simply excellent, and the instructions for use are simple to the point of impossibility. It is worth noting that the remedy must be taken precisely for a preventive purpose, and in this case, problems can be avoided.
However, everyone should be aware of the side effects, and even those who have previously taken any pills without their formation.:
- On the part of the endocrine system, latent hyperthyroidism may occur.
- When consuming a dosage of more than 300 mcg / day, iodine-induced thyrotoxicosis may form.
- An allergic reaction or, in other words, iodism, is not excluded.
- There may be swelling, inflammation of the skin and mucous membranes, as well as fever.
- Quincke's edema and exfoliative dermatitis may appear.
There are those women who consider this drug especially necessary, and throughout their lives. If you overdo it with the dosage of the drug, then you may experience: vomiting, pain in the abdomen, loose stools, stenosis in the esophagus.
There are various methods of dealing with overdose:
- If the poisoning is acute, then the drug is immediately canceled, the stomach is washed until the iodine residues are completely eliminated.
- If the poisoning is chronic, then the drug is simply canceled, and you also need to monitor the body's water balance.
- If iodine-induced hypothyroidism is delivered, then the drug is canceled, the metabolism is normalized due to the consumption of hormonal agents.
It is strictly forbidden to take the drug during pregnancy, regardless of the week of fetal development in the presence of: individual intolerance, toxic thyroid adenoma, hyperthyroidism.
Dosage of Iodomarin during pregnancy
Iodomarin is not used externally, since in this case it cannot affect the development of the fetus and the general condition of the mother.
As for the dosage, it is calculated on the basis of:
- Physiology;
- The course of pregnancy;
- Specialist recommendations.
As a rule, it is enough for expectant mothers to take the drug at a dosage of 200 mcg per day, 1 tablet. In this case, iodine will contain 200 mcg per tablet. If a drug is purchased or already available, the dosage of which is 100 mcg, then consume it 2 tablets per day, regardless of the period of the day, but it is advisable to do this at the same time. How long or how many days to drink the drug depends on the woman and her body, but basically in the absence of side effects, consumption is acceptable from the beginning of pregnancy planning until the end of lactation.
Instructions for use during pregnancy: Iodomarin
Pregnancy is a very important time when a woman takes care not only about herself, but also about her baby.
That is why it is important to carefully monitor:
- lifestyle;
- Consumed products;
- The quality of food;
- Balance of vitamins and minerals.
If there is a lack of iodine, then it is quite possible that serious consequences will appear for both the mother and the fetus. As a rule, the deficiency of such a component can cause irritability, nervousness and even aggression. Iodomarin is especially useful in the early stages of pregnancy, since only in this case can the woman's condition be maintained, as well as contribute to the proper formation of all organs of the fetus.
In addition to this drug, you can additionally use folic acid, which eliminates pathologies in the development of the neural tube of the fetus, and also helps to develop perfectly all the systems that the body is equipped with.
Proper and timely consumption of this drug helps to reduce the risk of miscarriage and premature birth. If the doctor prescribes the consumption of Iodomarin in late pregnancy, then first of all you should not panic, as this is a normal and natural process of preparing for childbirth. It is worth noting that the question immediately arises, how long should I take the medicine? It is desirable that prophylaxis continues continuously until the end of pregnancy, as well as for the period of breastfeeding. If the analyzes show that there is a lack of iodine, then this can cause fetal hypoxia, as well as the development of congenital hypothyroidism.
Iodine is also useful for the development of the thyroid gland, and it is also required for:
- Cell divisions from which the bone composition is formed;
- Deposition of substances such as calcium and phosphorus in the cavity of the bone substance.
In other words, the correct formation of cartilage and bones depends on how well-planned iodine therapy is.
How to take iodomarin during pregnancy (video)
Experts categorically do not recommend self-medication during pregnancy, as this can lead to serious and far from the most pleasant consequences. The most important thing is to contact the doctor in time and talk about the condition, especially if deterioration occurs. It is equally important to take tests on time, which will avoid a deficiency of vitamins and minerals.
If you are going to become a mother, but have not yet had time to visit an endocrinologist, then do it as soon as possible. It is he who will check the thyroid gland - the most important organ that affects the health and development of the crumbs. During the bearing of a baby, the production of hormones by the thyroid gland increases by an average of 40 percent, in connection with this, the daily need for iodine, their indispensable component, also increases. A lack of a mineral during pregnancy can lead to irreversible pathologies of the fetus and, according to doctors, directly affects the mental abilities of the child in the future. Therefore, many women in position are prescribed Iodomarin.
Iodomarin: composition, action and application
Iodomarin is a drug produced in Germany. Its active ingredient is potassium iodide. The main purpose of the drug is to compensate for iodine deficiency, ensuring the normal function of the thyroid gland and preventing its diseases. Thus, the use of tablets is possible for:
- treatment and prevention of diseases caused by iodine deficiency in the body;
- prevention of recurrence of goiter after its surgical removal or successful treatment with hormonal drugs.
The need for nutrients in expectant mothers is increasing, so it is especially important that enough iodine enters their body. According to the instructions, Iodomarin is not only safe for pregnant women, but is recommended for them to use.
A gynecologist can prescribe Iodomarin to a woman, and at the very first appointment, that is, even in the first trimester of pregnancy. This is explained by the fact that the normal function of the thyroid gland is very important at this stage, when the embryo does not yet have its own thyroid gland, and it receives the necessary hormones from the mother.
Gynecologists usually recommend taking an iodine preparation not only in the first, but also in the second and third trimesters of pregnancy. The probability of overdose, given the upper safe limit of the norm of 500 mcg / day, is usually not. And if in the region of your residence the content of the mineral element in the soil is considered insufficient, then the appointment of tablets is especially important for the prevention of iodine deficiency.
But even if Iodomarin was prescribed to you by a gynecologist, you definitely need to go to an endocrinologist, get tested for hormones and examine the thyroid gland. If, as a result of these actions, it is established that the organ is functioning normally, and the woman receives the necessary amount of iodine naturally through iodine-containing products, then there is no need to prescribe it additionally.
An endocrinologist's point of view on the importance of iodine for the body and explanations on the work of the thyroid gland - video
Iodomarin with what dosage to choose during pregnancy
The drug is available in two dosages:
- 100 mcg of iodine in 1 tablet (Jodomarin 100);
- 200 micrograms of iodine in 1 tablet (Jodomarin 200).
According to WHO, the average daily requirement for iodine in a pregnant woman is 250 mcg, and the safe upper limit of intake should not exceed 500 mcg. But these data are not the same for different countries of the world. In the US, the maximum amount of a mineral that enters the body per day should not exceed 1100 micrograms, and in Australia - 2000 micrograms. In our country, doctors usually prescribe Iodomarin 200 if there is no iodine in the multivitamins that a woman takes, and Iodomarin 100 when iodine is already present in their composition.
Contraindications and side effects indicated by the manufacturer in the instructions
Contraindications, according to the instructions, are as follows:
- hypersensitivity to iodine;
- hyperfunction of the thyroid gland or hyperthyroidism, in which an excessive amount of hormones is produced;
- toxic adenoma (benign neoplasm) of the thyroid gland;
- nodular goiter when prescribing high doses of the drug (with the exception of preoperative iodine therapy);
- herpetiform (senile) Dühring's dermatitis.
The annotation states that with the prophylactic use of Iodomarin, side effects, as a rule, are not observed. However, in rare cases, the constant use of tablets can lead to:
- the development of "iodism", which is manifested by a metallic taste in the mouth, swelling and inflammation of the mucous membranes (runny nose, conjunctivitis, bronchitis), "iodine fever", "iodine acne";
- Quincke's edema;
- exfoliative dermatitis (skin disease caused by Staphylococcus aureus);
- the transition of latent hyperthyroidism into a pronounced form;
- the occurrence of thyrotoxicosis (intoxication with thyroid hormones), provoked by an excess of iodine.
Harm of an overdose of iodine
An overdose of iodine poses a threat to the expectant mother and her child, so you need to know the symptoms that signal danger:
- staining of the mucous membranes in brown;
- reflex vomiting (if there are starch-containing components in the food, the vomit becomes blue in color);
- abdominal pain and diarrhea (possible black loose stools);
- stenosis of the esophagus;
- the phenomenon of "iodism";
- dehydration;
- shock state.
In case of an overdose, stop using Iodomarin and consult a doctor.
Excess iodine can lead to the development of hypothyroidism and goiter in a child.
Simultaneous reception of Iodomarin with Euthyrox and other drugs
With a decrease in thyroid function (hypothyroidism), Euthyrox is often prescribed. It happens that along with him, the doctor also prescribes Iodomarin. Is it justified?
Euthyrox and Iodomarin are completely different medicines. The first is a synthetic thyroid hormone thyroxine, and the second is iodine, which is part of the structure of the hormone when it is produced in the body. During treatment with Euthyrox, Iodomarin is superfluous. However, there are cases when, for the complex treatment of thyroid diseases, an endocrinologist can prescribe them at the same time. If in doubt, it is necessary to consult a specialist, and preferably not one, but several.
With products containing iodine, you need to be very careful and it is better not to take them at all with Iodomarin in order to avoid an overdose.
There is a lot of mineral, for example, in Lugol, it is not recommended for pregnant women.
In the official instructions for interaction with other drugs, it is written about a possible strengthening or weakening of the action, as well as the development of side effects when Iodomarin is used together with:
- lithium salts;
- potassium-sparing diuretics;
- substances that inhibit the formation of thyroid hormones.
Iodomarin analogues on the market
Analogues of Iodomarin are preparations with the active substance potassium iodide. All of them have similar indications, contraindications, and even an identical form of release and dosage. A significant difference lies only in the manufacturer and price.
In Russia, about 70% of the population is iodine deficient. This element is an important part of the hormones produced by the thyroid gland. With a decrease in its activity, metabolism is disturbed, intelligence and working capacity decrease, and irritability appears. Iodine deficiency is exacerbated at various periods of life: in adolescence, in the elderly, as well as during pregnancy and lactation. Prevention of iodine deficiency during childbearing should be carried out for all 9 months. The lack of this element leads to serious complications, the most dangerous of which are miscarriage, mental retardation of the child. Iodomarin during pregnancy is prescribed to almost all women. It is the most common drug for the prevention of deficient conditions.
In Russia, iodine deficiency is found in all regions, even in Primorye. In this regard, the model of universal prevention of deficiency has been adopted. Pregnant women need this element in even greater quantities than other groups of people, because it is necessary for the normal development of the fetus, in particular, its nervous system.
The daily requirement of pregnant and lactating women for iodine is 200 mcg. At the same time, on average, about 40-60 mcg of it comes with food. It is obvious that one cannot do without preparations containing iodine. Thus, pregnancy can be considered one of the indications for taking Iodomarin. This drug is prescribed to prevent pathologies of fetal development and spontaneous miscarriage.
Contraindications for the appointment of the drug Iodomarin during pregnancy are hyperthyroidism, hypersensitivity to pharmacological doses of iodine, thyroid cancer (or suspicion of it). Also, it should not be used for hypothyroidism, caused not by iodine deficiency, but by other reasons.
Iodomarin and pregnancy: instruction
In the body, iodine ensures the normal functioning of the thyroid gland. It takes part in the production of hormones. If this element is not enough, then the functioning of the nervous system, heart and immunity is disrupted. A person feels constant fatigue, irritability, memory deteriorates, efficiency decreases, sexual desire decreases, headaches and muscle pains appear.
During pregnancy, the need for this trace element increases. Taking Iodomarin avoids health problems not only for the mother, but also for the child.
Iodomarin in the early stages
Iodomarin in the early stages of pregnancy is especially necessary for a woman, since the child does not yet have its own thyroid gland, and its condition is completely determined by the mother's hormones. In the 1st trimester, the laying and formation of all organs and systems takes place. A lack of iodine causes a change in the level of hormones in a woman, which can affect these processes. The formation of the brain in the fetus is most severely disrupted and subsequently serious pathologies develop in the psychomotor sphere (cretinism).
Taking Iodomarin during pregnancy and during its planning reduces the risk of miscarriage and arrest in the development of the fetus. In order for the body to be prepared for bearing a child, it is worth starting to drink pills already six months before the intended conception.
Iodomarin in the later stages
When a doctor prescribes Iodomarin during pregnancy, a woman has a question: how long to take the drug? The need for iodine remains high throughout all 9 months, as well as during breastfeeding.
If this element is not enough in the 2nd and 3rd trimesters, then the risk of developing the fetus, malformations, and congenital hypothyroidism is high. In the later stages, active growth and development of the skeleton occurs.
At the bone level, thyroid hormones are involved in two processes:
- in the division of cells from which bones are formed;
- in the deposition of minerals - calcium and phosphorus - in the bone substance.
Thus, the development of bone and cartilage tissue directly depends on the intake of iodine in the body of the unborn child.
Iodomarin is necessary for a woman not only during pregnancy, but also during breastfeeding. Iodine deficiency can cause insufficient milk supply, and in severe cases, a complete cessation of its production.
How to take Iodomarin during pregnancy
Iodomarin 200 is most often prescribed during pregnancy, the instructions for it contain information that it is enough for expectant mothers to take 1 tablet per day. The number "200" in this case means the amount of iodine in 1 pc. (200 mcg).
If the nearest pharmacy has only Iodomarin 100, during pregnancy it will be necessary to take 2 tablets per day. The same dosage is relevant for the period of breastfeeding.
Iodomarin during pregnancy as a means of preventing a deficiency state should be taken 1 time per day, after meals. There is an opinion that the absorption of iodine will occur better if you take the pill with milk, but there is no clinical evidence for this. You can drink the drug with any liquid.
How to drink Iodomarin during pregnancy? The body of each woman is unique, so the doctor will determine the exact dosage of Iodomarin during pregnancy.
Possible side effects
Iodomarin during pregnancy is prescribed by doctors almost without fear, since side effects from taking it are extremely rare. All of them refer to cases of individual intolerance to pharmacological doses of iodine - more than 1000 mcg / day. In other words, adverse reactions can develop with excessive use of the drug. The dose of Iodomarin during pregnancy is 200 mcg / day, it is called physiological and cannot harm either the child or the mother.
If you accidentally drink a large number of tablets, you should immediately seek medical help. Diarrhea, abdominal pain, nausea, vomiting, a metallic taste in the mouth, and darkening of the mucous membranes may occur.
