Pharmacodynamics and pharmacokinetics
The use of Iodomarin is indicated for the treatment and prevention of thyroid diseases.
Iodine is an indispensable, vital microelement for the human body, without which normal activity of the thyroid gland .
Its hormones regulate the functioning of the brain , heart , nervous and vascular systems , mammary glands , ovaries in women and testes in men, ensure the correct course of metabolic in the body (including proteins, carbohydrates and fats ), actively participate in energy metabolism, and are also responsible for the growth and normal development of the child.
The use of Iodomarin allows you to compensate for iodine deficiency when it is insufficiently supplied to the body through food, which is especially important in childhood, during periods of childbearing and breastfeeding, as well as for people who live in geochemical zones with iodine soil and water.
Iodine entering the body in physiological quantities makes it possible to normalize the size of the thyroid gland in children and young adults, as well as the ratio of thyroid hormones T3 and T4 and the level of thyroid-stimulating hormone .
After oral administration iodine is almost completely absorbed in the small intestine , after which within 2 hours it is distributed in the intercellular space and accumulates in the thyroid gland, salivary and mammary glands , kidneys, and stomach .
The concentration in blood plasma after using a p/os standard dose is from 10 to 50 ng/ml, while the concentration of iodine in breast milk, saliva and gastric juice is 30 times higher than its concentration in blood plasma .
The thyroid gland contains 75% of all iodine (from 10 to 20 mg).
Iodine from the body mainly through urine , and also, to a lesser extent, the lungs and intestinal .
Pharmacological properties
Pharmacodynamics.
Iodomarin is a medicine of inorganic iodine. Iodine is a vital trace element that is part of the thyroid hormones - thyroxine (t4) and triiodothyronine (t3) and ensures its normal functioning. When iodides enter the epithelial cells of the thyroid follicles, under the influence of the enzyme iodide peroxidase, iodine is oxidized to form elemental iodine. The substance enters into a substitution reaction with the aromatic tyrosine cycle, resulting in the formation of thyronines: 3,5-iodo derivative (thyroxine hormone - T4) and 3-iodo derivative (hormone triiodothyronine T3). Thyronines form a complex with the protein thyroglobulin, which is deposited in the colloid of the thyroid follicle and remains in this state for several days and weeks. With iodine deficiency, this process is disrupted. Iodine, which enters the body in physiological quantities, prevents the development of endemic goiter; normalizes the size of the thyroid gland in newborns, children, adolescents and adult patients; affects the T3/T4 ratio, TSH level.
Pharmacokinetics. After oral administration, inorganic iodine is almost completely absorbed in the small intestine. Within 2 hours after absorption, iodine is distributed in the intercellular space; accumulates in the thyroid gland, kidneys, stomach, mammary and salivary glands. The volume of distribution in a healthy person averages 23 liters (38% of body weight). The concentration in blood plasma after using a standard dose is 10–50 ng/ml, while the iodine content in breast milk, saliva, and gastric juice is 30 times higher than the concentration in blood plasma. The thyroid gland contains ¾ (10–20 mg) of all iodine found in the body. Iodine is excreted mainly in the urine, and to a lesser extent in feces and exhaled air. When equilibrium concentration is reached, the amount of iodine excreted is proportional to the daily intake from food.
Indications for use
Indications for use of the drug:
- prevention of endemic goiter (associated with insufficient iodine content in the environment);
- prevention of goiter recurrence after completion of a course of conservative treatment with thyroid hormones or surgical removal;
- treatment of euthyroid (non-toxic diffuse) goiter by iodine deficiency in children, adolescents and adults under 40 years of age.
Contraindications
Contraindications to the use of Iodomarin are:
- hypersensitivity to iodine ;
- hyperthyroidism;
- senile (herpetiform) dermatitis.
In case of toxic thyroid adenoma (Plummer syndrome), nodular goiter , the use of the drug in doses exceeding 300 mcg per day is contraindicated. The exception is the need to prescribe iodine-induced thyroid blockade before surgery on this organ.
It is recommended to avoid prescribing the drug:
- during radioactive iodine ;
- patients who have been diagnosed with thyroid cancer , as well as if there is a suspicion of a cancerous tumor .
Can I take Iodomarin if I have hypothyroidism?
Iodomarin for hypothyroidism is prescribed only in cases where the latter has developed against the background of severe iodine deficiency.
Side effects
Treatment of non-toxic diffuse goiter in newborn infants, children and adolescents, as well as the use of Iodomarin for preventive purposes (at any age), as a rule, does not provoke side effects.
In rare cases, against the background of long-term use of the drug, the development of iodism - aseptic inflammation of the skin and mucous membranes in places where iodine is released (in the area of the paranasal sinuses , salivary glands , respiratory tract ).
It manifests itself in the form of “cold” symptoms (lacrimation, conjunctivitis , runny nose , cough , “ iodine fever ”, etc.), bronchitis , the appearance of a metallic taste in the mouth and a characteristic odor from the mouth, increased salivation, urticaria , increased thirst, staining oral cavity, diarrhea , cramps , weakness, dizziness, soreness and burning sensation in the throat, a special skin rash (iododerma) and “iodine” acne. Vomit is yellow or blue.
, exfoliative dermatitis or Quincke's edema may develop .
When using the drug in a dose exceeding 150 mcg/day, latent (masked) hyperthyroidism often becomes manifest ( true hyperthyroidism ).
Long-term use of the drug at a dose exceeding 300 mcg/day can provoke iodine-induced thyrotoxicosis (the likelihood of its development is especially high in elderly patients who of goiter for a sufficiently long period of time; in the presence of Graves' disease or nodular goiter ).
Pharmacological properties of the drug Iodomarin
iodine is a trace element that takes part in the synthesis of thyroid hormones - thyroxine and triiodothyronine. The daily requirement for iodine to prevent the development of endemic goiter is 100–150 mcg. The WHO recommended daily amount of iodine is 150–300 mcg. Iodine usually enters the body through the digestive tract, but can also be absorbed through the skin or from body cavities. Inorganic iodine is absorbed in the small intestine, and through the skin - insignificantly and uncontrollably. The content of inorganic iodine in blood plasma is usually 0.1–0.5 μg/dl. In the body, iodine accumulates in the thyroid gland and other tissues, for example, in the tissue of the salivary glands, mammary glands, and the wall of the stomach. In saliva, gastric juice and breast milk, the concentration of iodine is 30 times higher than in blood plasma.
Instructions for Iodomarin (Method and dosage)
Instructions for use Iodomarin 100
To prevent goiter , Iodomarin for children under 12 years of age (including newborns) should be taken 1/2-1 tablet/day, the daily dose for patients over 12 years of age is 1-2 tablets/day.
During pregnancy and lactating women, it is recommended to take 2 tablets per day. Iodomarin 100 (200 mcg/day).
To prevent goiter recurrence, you should take 1-2 tablets per day.
Dosage regimen for euthyroid goiter :
- patients under 18 years of age (including newborn babies) - 1-2 tablets/day;
- adults under 40 years old - 3-5 tablets/day.
The tablets should be taken orally after meals with sufficient liquid. For children, the drug is pre-dissolved in milk or fruit juice.
For preventive purposes, it is recommended to drink Iodomarin for several years. If there are indications, the drug can be prescribed for life.
Treatment of goiter in newborn infants involves taking pills for 14-30 days; all other patients (children, adolescents and adults), as a rule, need to take the drug for six months to a year. In some cases, longer treatment may be required.
Instructions for use Yodomarin 200
To prevent iodine deficiency conditions and endemic goiter iodine entering the body of an adult does not exceed 150-200 mcg/day), you should take:
- ¼-½ tablet/day. (50-100 mcg/day) - children under 12 years of age (including newborn infants);
- ½-1 tablet/day. (100-200 mcg/day) - patients over 12 years of age;
- 1 tablet/day (200 mcg/day) - for pregnant women and during breastfeeding.
To prevent recurrence of iodine-deficient goiter after thyroidectomy , as well as after completing a course of therapy with thyroid hormones , both children and adults are prescribed to take 1-2 tablets daily.
Treatment of euthyroid goiter involves taking:
- from 100 to 200 mcg of iodine per day (½-1 tablet of Iodomarin 200) - for children;
- from 300 to 500 mcg of iodine per day (from 1 ½ to 2 ½ tablets) - for adults.
How to take Iodomarin 200?
It is recommended to take the tablets after meals. Take them with a sufficient amount of liquid, for example, a glass of water. Children under three years of age (including newborns) should first crush the tablets into powder before taking them.
Taking the drug for preventive purposes is usually recommended from several months to several years, often throughout life. Treatment of goiter in newborns usually takes from 2 to 4 weeks, in older children and adults - six months to a year or more.
In general, issues of dosing and duration of use of the drug for the prevention or treatment of thyroid diseases are decided individually by the attending physician.
Application
Prevention of iodine deficiency and endemic goiter in cases where the intake of iodine into the body of an adult is 150–200 mcg/day. it is necessary to additionally apply the following amount:
- newborns, infants and children under 12 years of age: 50–100 mcg of iodine per day (½–1 tablet Iodomarin 100 or ½ tablet Iodomarin 200);
- children over 12 years of age and adults: 100–200 mcg of iodine per day (1–2 tablets Iodomarin 100 or ½–1 tablet Iodomarin 200);
- period of pregnancy or breastfeeding: 200 mcg of iodine per day (2 tablets Iodomarin 100 or 1 tablet Iodomarin 200).
Prevention of relapse of iodine deficiency goiter after surgical treatment, as well as after completion of complex treatment with thyroid hormones: children and adults - 100-200 mcg of iodine per day (1-2 tablets Iodomarin 100 or ½-1 tablet Iodomarin 200).
Treatment of diffuse euthyroid iodine deficiency goiter:
- newborns, infants and children: 100–200 mcg of iodine per day (1–2 tablets Iodomarin 100 or ½–1 tablet Iodomarin 200);
- young adults: 300–500 mcg of iodine per day (3–5 tablets Iodomarin 100 or 1½–2½ tablets Iodomarin 200).
Mode of application. Take the tablets after meals and drink enough liquid, such as a glass of water. For infants and children under 3 years of age, the drug can be given in crushed form. The use of the drug for prophylactic purposes is usually carried out for several months or years, and more often - throughout life. For the treatment of goiter in newborns and infants, in most cases, 2-4 weeks are sufficient, in children and adults - 6-12 months or more. The question of the dosage and duration of use of the drug for preventive measures or for the treatment of thyroid diseases is decided by the doctor on an individual basis.
Children. The drug is used in children of any age if indicated.
Overdose
Symptoms of an overdose of Iodomarin are:
- reflex vomiting (in this case, the vomit is blue in color, which is due to the presence of starch-containing components in food);
- brown staining of mucous membranes;
- diarrhea (possibly melena, i.e. black, tarry stool);
- stomach ache.
In particularly severe cases, dehydration and shock may occur. of esophageal stenosis and the occurrence of the phenomenon of “iodism” have also been recorded
In case of acute intoxication, the patient is indicated for gastric lavage with a starch solution, a solution of five percent Sodium thiosulfate or protein (up to the removal of all traces of iodine), anti-shock therapy, and the prescription of symptomatic treatment to correct the disturbed water-electrolyte balance.
In case of chronic intoxication, you should stop taking the drug.
In case of iodine-induced hypothyroidism, you should stop taking Iodomarin. Treatment in this case is aimed at normalizing metabolism by prescribing thyroid hormones .
mild iodine-induced thyrotoxicosis develops while using the drug thyreostatic therapy is necessary (it should be remembered that its effect is always delayed).
In case of thyrotoxic crisis, intensive therapy, plasmacytopheresis procedures or removal of the thyroid gland .
Iodomarin 100
IODOMARIN®
Representative office: BERLIN-CHEMIE/MENARINI PHARMA GmbH ATX code: H03CA Marketing authorization holder: BERLIN-CHEMIE/MENARINI PHARMA, GmbH produced by BERLIN-CHEMIE, AG potassium iodide
Release form, composition and packaging Yodomarin® 100 Tablets are white or almost white, round, flat-cylindrical, with beveled edges, chamfered and one-sided scored. 1 tab. potassium iodide 131 mcg, which corresponds to the iodine content of 100 mcg Excipients: lactose monohydrate, basic light magnesium carbonate, gelatin, sodium carboxymethyl starch (type A), colloidal silicon dioxide, magnesium stearate.
50 - dark glass bottles (1) - cardboard packs. 100 - dark glass bottles (1) - cardboard packs.
Iodomarin® 200 Tablets are white or almost white, round, flat-cylindrical, with beveled edges, chamfered and scored on one side. 1 tab. potassium iodide 262 mcg, which corresponds to an iodine content of 200 mcg Excipients: lactose monohydrate, basic magnesium carbonate, gelatin, sodium carboxymethyl starch (type A), colloidal silicon dioxide, magnesium stearate. 25 - blisters (2) - cardboard packs. 25 - blisters (4) - cardboard packs.
Clinical and pharmacological group: Iodine preparation for the prevention and treatment of thyroid diseases Registration No.: • 200 mcg tablets: 50 or 100 - P N014123/01, 09/07/07. Active. VED. DLO. • 100 mcg tablets: 50 or 100 - P N013943/01, 07/18/07. Active. VED. DLO. ——————————————————————————— The description of the drug IODOMARIN® is based on the officially approved instructions for use of the drug IODOMARIN® for specialists and approved by the manufacturer for 2010 edition. ——————————————————————————— Pharmacological action | Pharmacokinetics | Indications | Dosage regimen | Side effect | Contraindications | Pregnancy and lactation | Special instructions | Overdose | Drug interactions | Terms of release from pharmacies | Storage conditions and expiration dates —————————————————————————— Pharmacological action Iodine preparation for the treatment and prevention of thyroid diseases. Iodine is a vital trace element necessary for the normal functioning of the thyroid gland. Thyroid hormones perform many vital functions, incl. regulate the metabolism of proteins, fats, carbohydrates and energy in the body, the activity of the brain, nervous and cardiovascular systems, reproductive and mammary glands, as well as the growth and development of the child.
The use of the drug Yodomarin® replenishes iodine deficiency in the body, preventing the development of iodine deficiency diseases, and helps normalize the function of the thyroid gland, which is especially important for children and adolescents, as well as during pregnancy and lactation.
Pharmacokinetics Data on the pharmacokinetics of the drug Iodomarin® are not provided.
Indications for the use of the drug IODOMARIN® - prevention of endemic goiter (especially in children, adolescents, during pregnancy and during breastfeeding), - prevention of relapse of goiter 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.
Dosage regimen For the purpose of preventing endemic goiter, the drug is prescribed to newborns and children under 12 years of age in a dose corresponding to 50-100 mcg of iodine / Adults and children over 12 years of age - in a dose corresponding to 100-200 mcg of iodine / During pregnancy and lactation (breastfeeding) - in a dose corresponding to 200 mcg / In order to prevent goiter relapse, the drug is prescribed in a dose corresponding to 100-200 mcg / When treating euthyroid goiter in newborns, children and adolescents under 18 years of age, the drug is prescribed in a dose corresponding to 100 - 200 mcg of iodine / Adults under 40 years of age - in a dose corresponding to 300-500 mcg of iodine / The drug is taken after meals with a sufficient amount of liquid. When used in children, it is recommended to first dissolve the drug in milk or juice. Prophylactic administration is carried out for several years, if indicated - for life. For the treatment of goiter in newborns, on average, 2-4 weeks are enough; 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 effects From the endocrine system: when using the drug in a dose of more than 150 mcg of iodine, latent hyperthyroidism can become manifest; when using the drug in a dose exceeding 300 mcg of iodine, iodine-induced thyrotoxicosis may develop (especially in elderly patients, suffering from goiter for a long time, in the presence of nodular goiter or diffuse toxic goiter). Allergic reactions: rarely - iodism, manifested by a metallic taste in the mouth, swelling and inflammation of the mucous membranes ("iodine" rhinitis, conjunctivitis, bronchitis), "iodine" fever, "iodine" acne, in some cases - Quincke's edema, exfoliative dermatitis.
With the prophylactic use of the drug Iodomarin® in patients of any age, side effects are usually not observed.
Contraindications to the use of the drug IODOMARIN® - hyperthyroidism, - toxic adenoma of the thyroid gland, nodular goiter when used in doses of more than 300 mcg / (except for the period of preoperative iodine therapy to block the function of the thyroid gland), - Dühring's herpetiform (senile) dermatitis, - hypersensitivity to iodine. 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 of the drug IODOMARIN® during pregnancy and lactation During pregnancy and lactation, the need for iodine increases, so it is especially important to use the drug Iodomarin® in sufficient doses (200 mcg/) to ensure adequate intake of iodine into the body. The use of the drug Yodomarin® during pregnancy and lactation (breastfeeding) is possible according to indications only in recommended doses, because the active substance penetrates the placental barrier and is excreted in breast milk.
Special instructions Thyrostatic agents inhibit the transition of iodine to an organic compound in the thyroid gland and, thus, can cause the formation of goiter. Effect on the ability to drive vehicles and operate machinery Iodomarin® does not affect the ability to drive vehicles or perform other potentially hazardous activities.
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, esophageal stenosis and the phenomenon of “iodism” were observed. Treatment: in case of acute intoxication - discontinuation of the drug, gastric lavage with a solution of starch, protein or 5% sodium thiosulfate solution until all traces of iodine are removed; in case of chronic intoxication - discontinuation of the drug. Symptomatic therapy for water and electrolyte imbalances, anti-shock therapy. When treating iodine-induced hypothyroidism - discontinuation of the drug, normalization of metabolism with the help of thyroid hormones. When treating iodine-induced thyrotoxicosis, no treatment is required for mild forms; for 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.
Drug interactions Iodine deficiency increases, and iodine excess decreases the effectiveness of hyperthyroidism treatment with thyreostatic drugs (before or during the treatment of hyperthyroidism, it is recommended, if possible, to avoid any use of iodine). 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.
Conditions for dispensing from pharmacies The drug is approved for use as an over-the-counter product.
Conditions and periods of storage The drug should be stored in a place protected from light, out of reach of children at a temperature not exceeding 25°C. Shelf life: 3 years.
Interaction
Excessive iodine content reduces, and insufficient iodine increases the effectiveness of treatment of hyperthyroidism with thyreostatic drugs . In connection with this, before taking these medications, as well as during the treatment of hyperthyroidism , you should, if possible, avoid taking iodine in any form.
On the other hand, thyreostatic drugs inhibit the transformation of iodine into an organic compound in the thyroid gland and, therefore, can cause the development of goiter .
Combination therapy using high doses of iodine and drugs containing lithium salts can provoke hypothyroidism and the development of goiter .
Iodomarin in high doses in combination with potassium-sparing diuretics can cause hyperkalemia .
Analogues of Iodomarin
Level 4 ATC code matches:
Blue Yod
Potassium iodide
Synonyms of Iodomarin 100 are: Antisturmin , children's Iodine Vitrum , Iodide 100 , Iodine Vitrum 100 mcg , Iodandin 100 mcg , Iodbalance 100 mcg , Microiodide 100 , Potassium iodide Renewal 100 mcg .
Structural analogues of Iodomarin 200: 9 months Potassium iodide , Iodine Vitrum 100 mcg , Iodine Vitrum 200 mcg , Iodantine 200 mcg , Iodine balance 200 mcg , Microiodide 200 , Potassium iodide Renewal 200 mcg .
Iodine balance or Iodomarin - which is better?
Iodbalance and Iodomarin are generic drugs. Having analyzed why they are prescribed, how to take both drugs, the range of contraindications, as well as possible drug interactions, we can conclude that the only difference between the drugs is a slight difference in price ( Iodine balance is slightly cheaper than its analogue).
Iodomarin during pregnancy and breastfeeding
Pregnant women and lactation have an increased need for iodine .
In the 1st trimester, when the formation and formation of the child’s main organs and systems occurs, insufficient supply of this microelement can cause changes in the mother’s hormonal levels and, consequently, disturbances in the formation of the fetus (primarily the child’s brain ).
In children who did not receive enough iodine during prenatal development, pathologies of the development of the nervous system , problems with the thyroid gland (up to the appearance of neoplasms), mental defects and mental retardation .
In the early stages of pregnancy, the fetus does not have thyroid gland hormones . Therefore, in order to avoid problems after conception, doctors recommend starting to take iodine supplements when planning a pregnancy (optimally within six months, so that the body is well prepared for bearing a child).
Also, iodine can trigger the launch of a protective mechanism: perceiving pregnancy as an additional burden, the mother’s body will do its best to get rid of it. In particularly severe cases, miscarriage often occurs.
When using Iodomarin for pregnant and lactating women, it should be remembered that potassium iodide has the ability to penetrate the placenta and into breast milk. Therefore, the drug should be taken strictly in recommended doses.
The dosage during pregnancy is usually the following - 200 mcg/day: Iodomarin 200 during pregnancy is prescribed to take 1 tablet per day, Iodomarin 100 - 2 tablets per day.
special instructions
The drug should not be used for hypothyroidism, unless hypothyroidism is caused by iodine deficiency. Prescription of iodine should be avoided during therapy with radioactive iodine, the presence or suspicion of thyroid cancer. It should be taken into account that during drug therapy in patients with renal failure, hyperkalemia may develop.
Iodomarin contains lactose. Patients with a rare hereditary form of galactose intolerance, lactase deficiency or glucose-galactose malabsorption syndrome should not take Iodomarin.
Use during pregnancy and lactation. During pregnancy and breastfeeding, the need for iodine is increased, so a sufficient intake of iodine in the body (250 mcg/day) is especially important. Due to the ability of iodine to cross the placenta and the sensitivity of the fetus to pharmacologically active doses of iodine, it should be used only in recommended doses. This also applies to breastfeeding, since the concentration of iodine in breast milk is 30 times higher than in blood plasma.
An exception is high-dose iodine prophylaxis, which is carried out after nuclear accidents.
The ability to influence reaction speed when driving vehicles or operating machinery. Does not affect.
Reviews about Yodomarin
Reviews for Iodomarin 100, like reviews for Iodomarin 200, are mostly positive. Using the drug for medicinal purposes can reduce the symptoms of the disease; when taking the tablets for preventive purposes, many people note a decrease in irritability, an improvement in general well-being and memory, and an increase in concentration.
There are no less good reviews for Iodomarin during pregnancy. In women, the use of this remedy helps prevent the development of iodine deficiency conditions and associated diseases, normalize the metabolism of proteins , lipids and carbohydrates , and ensure normal activity of the brain and cardiovascular system .
iodine intake is the key to normal physical and mental development.
In some reviews, people write that taking Iodomarin helped them bring their weight to normal levels. So, can the drug be used for weight loss? Endocrinologists answer that it is possible, but only according to the doctor’s indications.
In a number of situations, excess weight is a consequence of decreased thyroid function , and then it is impossible to lose it either with the help of diets or with the help of physical activity.
The manufacturer does not recommend taking Iodomarin for hypothyroidism , excluding, however, those cases where the disease is associated with obvious iodine .
It should be remembered that is responsible of the secretion of thyroid hormones , but the hypothalamic hormones, which, in turn, are controlled by the cerebral cortex, are responsible for regulating the influence of the pituitary gland on the thyroid gland .
Thyroid hormones also influence the pituitary gland , hypothalamus , a number of endocrine glands , the course of metabolic processes, and the condition of internal organs and their systems.
Thus, uncontrolled use of Iodomarin for the purpose of losing weight can provoke serious disturbances in the usual rhythm of thyroid activity and, as a consequence, the entire endocrine system of the body with all the ensuing consequences.
To gently stimulate thyroid function and activate metabolic processes, it is recommended to first review your diet, supplementing it with foods high in iodine (seafood, onions, garlic, eggplants, beets, radishes, persimmons, grapefruits, etc.), or at least replacing regular iodized salt.
Iodomarin is used as a dietary supplement. You can take it for weight loss only after consulting a doctor and not exceeding the recommended dose.
Note!
Description of the drug Iodomarin table. 100mcg No. 100 on this page is a simplified author’s version of the apteka911 website, created on the basis of the instructions for use.
Before purchasing or using the drug, you should consult your doctor and read the manufacturer's original instructions (attached to each package of the drug). Information about the drug is provided for informational purposes only and should not be used as a guide to self-medication. Only a doctor can decide to prescribe the drug, as well as determine the dose and methods of its use.
Iodomarin price, where to buy
The price of Iodomarin 100 in Russian pharmacies is about 145 rubles for package No. 100, the price of Iodomarin 200 is about 215 rubles for package No. 100 and about 135 rubles for package No. 50.
How much does Yodomarin cost in Ukraine?
You can buy Iodomarin 100 No. 100 for an average of 70-77 UAH, the cost of Iodomarin 200 is from 58 UAH (for package No. 50)
- Online pharmacies in RussiaRussia
- Online pharmacies in UkraineUkraine
- Online pharmacies in KazakhstanKazakhstan
ZdravCity
- Iodomarin for the expectant mother tablets 140 mg 30 pcsToll Manufacturind Services SL
366 RUR order
Pharmacy Dialogue
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RUB 144 order
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123 RUR order
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RUB 241 order
- Iodomarin for the expectant mother tablets 140 mg No. 30Toll Manufacturing
403 rub. order
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Pharmacy24
- Iodomarin 100 mg No. 100 tablets Menarine von Heyden GmbH/ Berlin Chemi AG (Menarine Group), Nimechchina/Nimechchina
107 UAH.order - Iodomarin 200 mg No. 50 tablets Menarini von Heyden GmbH/ Berlin Chemi AG (Menarini Group), Nimecchina/Nimecchina
107 UAH order
PaniPharmacy
- Iodomarin tablets Iodomarin tablets 100 µg No. 100 Germany, Berlin-Chemie
108 UAH order
- Iodomarin tablets Iodomarin tablets 200 µg No. 50 Germany, Berlin-Chemie
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