Iodomarin during pregnancy is used to prevent iodine deficiency conditions in a woman and a fetus. The medicine contains potassium iodide, which stimulates the secretory activity of the thyroid gland. During pregnancy, the need for iodine increases by almost 2 times. Without it, the biosynthesis of thyroid hormones – triiodothyronine (T3) and tetraiodothyronine (T4) – is impossible . Deficiency conditions negatively affect the endocrine system, provoking thyroid dysfunction in both the woman and the child.
Do I need to drink Yodomarin during pregnancy and when planning a baby
Iodomarin is a drug from the group of thyroid drugs that affect the production of iodine-containing hormones. It contains potassium iodide, which, under the influence of the enzyme iodide peroxidase, is converted into elemental iodine. The need for this microelement increases with gestation. Iodine is involved in the biosynthesis of tri- and tetraiodothyronine , which have a range of general physiological properties:
- increase tissue oxygen demand;
- stimulate physical and mental development;
- increase blood pressure;
- accelerate physical activity;
- affect the secretory function of the liver;
- participate in metabolism and catabolism;
- stimulate the biosynthesis of growth hormone;
- regulate water exchange, etc.
Endocrinologists prescribe Yodomarin for the expectant mother in order to prevent thyroid pathologies. During pregnancy, iodine deficiency is exacerbated by the active development of the fetus. The lack of a trace element is fraught not only with thyroid diseases, but also with miscarriage.
Iodomarin is prescribed for more than 70% of patients during pregnancy. To prevent congenital diseases in a child, the medicine is taken all 3 trimesters.
Iodomarin when planning pregnancy: reception features
At the planning stage of pregnancy, you need to be examined not only by a gynecologist, but also by an endocrinologist. When latent diseases are detected, treatment is prescribed to prevent complications during gestation . According to statistics, 75-80% of women are diagnosed with iodine deficiency states.
Folic acid and Iodomarin when planning pregnancy reduce the likelihood of congenital abnormalities in a child. Indications for taking vitamins and iodine-containing preparations are:
- prevention and treatment of iodine deficiency ;
- prevention of iodine deficiency after thyroid surgery;
- euthyroid goiter in the mother.
Iodomarin affects metabolism, energy distribution, endocrine and reproductive systems. At the stage of pregnancy planning, the daily dose of the drug is determined by the endocrinologist. In the absence of thyroid diseases, it is standard – 100 mcg per day. For women with iodine deficiency, the dosage is doubled – 200 mcg per day.
In 96% of cases, acquired iodine deficiency can be treated with Yodomarin . Conception planning therapy is aimed at restoring the volume and secretory activity of the thyroid gland. Complete cure of endocrine pathologies prevents congenital thyroid insufficiency in a child.
At the stage of pregnancy planning, experts recommend determining the thyroid status of expectant mothers. Providing daily physiological requirements for potassium iodide prevents fetal freezing, spontaneous abortion, cretinism in a child.
How much and how to drink Iodomarin during pregnancy
Insufficiency of the thyroid gland leads to malfunctions of the immune, digestive, nervous, reproductive, excretory, cardiovascular systems. In order for the pregnancy to proceed without complications, most women are prescribed Iodomarin . Therefore, expectant mothers often ask doctors how long to take the medicine.
Endocrinologists advise taking an iodine-containing product in every trimester of pregnancy. The dosage is determined by the stage of intrauterine development of the fetus. If before conception the daily requirement for iodine does not exceed 100 mcg, then during gestation it almost doubles.
Instructions for the use of Yodomarin :
- Early pregnancy. In the 1st trimester, the vital organs of the fetus are laid. The production of your own iodine-containing hormones will begin only at the 18th week of pregnancy, and before that, the development of all systems occurs due to maternal hormones. In the first 3 months of gestation, the synthesis of tetraiodothyronine in women increases by 40%. Iodomarin 200 during pregnancy fully satisfies the daily requirement for iodine.
- Late dates. Iodine deficiency in the 2nd and 3rd trimester is fraught with hypoxia and fetal freezing. To prevent complications, women should continue to take Yodomarin in the dosage prescribed by the doctor. If, according to the test results, the level of thyroid hormones in the body increases greatly, the dose is halved.
Iodomarin is produced in tablet form with 100 mcg or 200 mcg of potassium iodide. Take the medicine once a day, 200 mcg after meals. To avoid irritation of the gastric mucosa, drink 200 ml of water.
Iodine preparations during lactation
A nursing mother needs to maintain an intensive production of thyroid hormones by taking iodine preparations. The lack of trace elements in the child’s body is dangerous by pathologies of the nervous, cardiovascular system. Therefore, during the entire lactation period, take 1 tablet (200 μg) of Iodomarin per day.
How long to take Iodomarin during lactation, the doctor decides. The need for therapy depends on the thyroid status of the woman and the child. It should be taken into account that the iodine level in breast milk is 30 times higher than in blood plasma.
During breastfeeding, you need to monitor the well-being of the child. With symptoms of an overdose, treatment with Yodomarin is stopped. An excess of iodine in a child’s body is indicated by:
- bloating;
- yellowing of the skin;
- tearfulness;
- sleep disturbance;
- rejection of the breast;
- loose stools;
- hyperactivity.
Changes in the child’s behavior are the basis for contacting a pediatrician. An overdose of Iodomarin is accompanied by signs of food allergies, skin rashes.
Who shouldn’t take Yodomarin
Iodomarin is a pharmacy drug that causes undesirable effects and secondary diseases in a number of patients. Contraindications to the appointment of tablets during pregnancy are:
- hypersensitivity to potassium iodide;
- dermatitis herpetiformis;
- hemorrhagic diathesis;
- severe thyrotoxicosis;
- autonomous thyroid adenoma;
- pulmonary tuberculosis.
With latent thyrotoxicosis, the drug is taken in doses up to 150 μg of potassium iodide per day. If a woman is diagnosed with diffuse goiter during pregnancy , the maximum daily dose is 300-100 mcg of the drug.
Iodomarin is not used for thyroid cancer and hypothyroidism. The exception applies only to diseases that were caused by iodine deficiency conditions.
Adverse reactions and overdose
An overdose of Iodomarin during pregnancy is no less dangerous than iodine deficiency . It is manifested by intoxication, which is indicated by the following symptoms:
- staining of mucous membranes in dark purple or brown;
- painful sensations in the intestines;
- loose stools;
- dehydration;
- bloody impurities in the feces;
- state of shock.
Chronic overdose of Iodomarin leads to iodism . This pathological condition is accompanied by:
- conjunctivitis;
- acne-like eruptions;
- swelling of the mucous membranes;
- nasal congestion;
- nervous excitement;
- metallic taste in the mouth;
- fever.
Preventive use of iodine-containing hormones during pregnancy rarely causes adverse reactions in women. But sometimes taking the drug in doses of more than 200 mcg leads to:
- swelling of the salivary glands;
- angioneurotic edema (Quincke’s edema);
- tachycardia;
- causeless anxiety;
- diarrhea;
- increased sweating;
- skin rashes;
- pain in the epigastrium ;
- sleep disturbance;
- hand tremor;
- irritability.
The active components of Yodomarin easily overcome the placental barrier and penetrate into the child’s body. Therefore, you need to stop taking the medication with a high sensitivity to potassium iodide or undesirable effects.
Abuse of Iodomarin during gestation is fraught with goiter and hypothyroidism in the infant.
Drug analogues
There are many iodine-containing agents that are similar in therapeutic effect to Yodomarin . To prevent iodine deficiency and thyroid pathologies during gestation, the following are used:
- Yodovital ;
- Antistramine ;
- Microiodide ;
- Iodine Normil ;
- Iodine-Active;
- Iodide- Farmak ;
- Potassium iodide Reneval ;
- Iodtirox ;
- Yodex .
There are no structural analogs of Iodomarin with exactly the same chemical composition. Imported and domestic substitutes contain other excipients. Some of them provoke allergic reactions. Therefore, before starting therapy, you should consult your doctor.
During pregnancy, endocrinologists advise taking medications with a minimum content of highly allergenic components – Lactogon , Iodine balance .
The duration of therapy must be agreed with the doctor.
Iodomarin is one of the most effective drugs to prevent iodine deficiency . It is prescribed by 70% of patients during pregnancy. Treatment is carried out with insufficient intake of iodine with food – up to 300 mcg / day. Due to the possible side effects, the tablets are taken in the dosage prescribed by the specialist. You cannot prolong therapy without consulting an endocrinologist. Long- term treatment with Iodomarin at a dose higher than 1 mg / day is dangerous by a decrease in the synthesis of thyroid hormones and hypothyroidism.