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potassium iodide

 
Dictionary: potassium iodide

n.
A white crystalline compound, KI, used in photography and medicine and as an analytical reagent.


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Chemistry Dictionary: potassium iodide
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A white crystalline solid, KI, with a strong bitter taste, soluble in water, ethanol, and acetone; cubic; r.d. 3.13; m.p. 681°C; b.p. 1330°C. It may be prepared by the reaction of iodine with hot potassium hydroxide solution followed by separation from the iodate (which is also formed) by fractional crystallization. In solution it has the interesting property of dissolving iodine to form the triiodide ion I3, which is brown. Potassium iodide is widely used as an analytical reagent, in photography, and also as an additive to table salt to prevent goitre and other disorders due to iodine deficiency.



Drug Info: Potassium Iodide, KI
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Brand names: IOSAT™Maki™ Pima®SSKI®THYRO-BLOCK®ThyroShield™

Chemical formula:



Potassium Iodide, KI oral solution or syrup

What is potassium iodide oral solution or syrup?

POTASSIUM IODIDE, KI (Pima®, SSKI®) is a medicine that provides iodine. Iodine helps to treat many different conditions, especially conditions of the thyroid gland. Potassium iodide is commonly given to treat hyperthyroidism or to help prepare the thyroid gland for thyroid surgery. Potassium iodide has also been used to treat certain skin conditions. While this drug was once used to help coughs and clear mucus from the chest, it is now thought to be ineffective. Potassium Iodide should generally only be used under the prescription or advice of a health care professional with prescriptive authority.

Some Potassium Iodide products are intended to be used to protect the thyroid gland against radiation injury (example: ThyroShield® non-prescription oral solution). and are used only to protect the thyroid gland from exposure to radioactive iodine, which may occur in the event of a nuclear plant accident or an attack with nuclear weapons. To be effective, the oral solution needs to be taken as soon as possible in the event of a radioactive incident, preferably within a few hours. Potassium iodide cannot protect against all types of radiation exposure or injury. At this time, only certain products are FDA-approved for this purpose. Also, solutions intended for use only in radiation emergencies should not be used for other medical purposes. Use for radiation protection should be under the guidance of a prescriber or public health authority.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:
• Addison's disease
• bronchitis
• cystic fibrosis
• dehydration
• dermatitis herpetiformis
• goiter
• heart disease
• high level of potassium in the body
• kidney disease
• thyroid disease
• tuberculosis
• vasculitis
• an unusual or allergic reaction to potassium iodide, iodine, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I take this medicine?

Take potassium iodide oral solution or syrup by mouth. Measure the dose using the dropper provided or with a specially marked spoon; the proper measurement device depends on the type of potassium iodide solution you are taking. Ask your pharmacist if you do not have one; household spoons are not accurate for measuring this medicine. Take after meals or with food or milk. For oral solutions, the dose is usually diluted with a full glass of water, fruit juice, or milk before drinking. Follow the directions for your specific medicine on the prescription label. Take your doses at regular intervals. Do not take your medicine more often than directed.

Some Potassium Iodide solutions are intended for emergency use only. If this medicine is needed for a radiation exposure, most persons will take one dose per day until the risk of radiation exposure has passed and/or until public health officials have successfully implemented other protective actions, like evacuation, shelter, and control of the food supply. Contact your health care provider if you have any questions about taking this medicine. Do not take this medicine more often than directed.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed. Do not give potassium iodide to your infant or child unless you have the approval of your health care professional or public health official. If your child or infant needs to take this medicine, you may need to learn how to prepare the doses in a drink or infant formula to hide the salty taste. Special instructions are available; ask your prescriber or pharmacist.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What drug(s) may interact with potassium iodide?

• drospirenone; ethinyl estradiol
heparin
lithium
methimazole
• potassium supplements
• propylthiouracil
• some medicines for high blood pressure or heart failure
• some water pills or diuretics (examples: amiloride, spironolactone, triamterene)

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What should I watch for while taking potassium iodide?

Visit your prescriber or health care professional for regular checks on your progress, and to make sure your body is producing the right amount of thyroid hormone.

If you are taking a non-prescription product for prevention of thyroid problems due to radiation exposure, do not take for more than 14 days without the advice of a health care professional. Public health officials or your prescriber will be able to instruct you on the needed length of treatment. Potassium iodide will only protect the thyroid gland, and does not protect against other forms of radiation exposure or injury.

If you are on a low-potassium diet, talk to your prescriber or health care professional about your potassium intake before taking potassium iodide.

If you are going to have surgery, tell your prescriber or health care professional that you are taking potassium iodide solution or syrup.

What side effects may I notice from taking potassium iodide?

Side effects that you should report to your prescriber or health care professional as soon as possible:
• burning in the mouth or throat
• difficulty breathing or shortness of breath
• sore gums and teeth
• fever
• goiter (enlarged thyroid gland causing swelling in the throat)
• irregular heartbeat or palpitations
• menstrual changes
• metallic taste
• numbness or tingling in the hands or feet
• severe headache
• skin rash and itching (hives) or acne-like skin problems
• swelling of face, mouth, arms, or neck
• weakness

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
• diarrhea
• nausea, vomiting
• stomach pain or cramps

Where can I keep my medicine?

Keep out of the reach of children, in a container that small children cannot open.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from cold temperatures and do not freeze. Protect from light. Do not use if the solution becomes discolored (like a change to brownish yellow). Throw away any unused medicine after the expiration date.

Last updated: 2/21/2005 10:38:00 AM

Important Disclaimer: The drug information provided here is for educational purposes only. It is intended to supplement, not substitute for, the diagnosis, treatment and advice of a medical professional. This drug information does not cover all possible uses, precautions, side effects and interactions. It should not be construed to indicate that this or any drug is safe for you. Consult your medical professional for guidance before using any prescription or over the counter drugs.

Intelligence Encyclopedia: Potassium Iodide
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Potassium iodide (chemical formula KI) is a salt that is similar in structure and physical character to common table salt (sodium chloride; NaCl). Indeed, potassium iodide is a common commercial additive to table salt, to produce "iodized" salt.

Potassium iodide is noteworthy in security because of its ability to block the uptake of radioactive iodine by the body's thyroid gland. Located in the neck, the sole task of the thyroid gland is the production of a hormone that is one of the body's principle metabolic regulators. Thus, the disruption of the thyroid gland—such as occurs when the uptake of radioactive iodine triggers the development of thyroid cancer—threatens health and can even led to death.

If taken in time following an accidental or deliberate release of radioactive iodine, such as would occur with a leak from a nuclear power plant or the detonation of a bomb containing a radioactive payload, potassium iodide saturates the thyroid with a form of iodine that persists in the gland. The radioactive form of iodine cannot out-compete this stable form of iodine, and so is excreted from the body.

Ingestion of KI has long been a precaution for workers in nuclear power plants and for military personnel engaged in a conflict where the use of nuclear weapons is considered to be a possibility. Much of what is known of the protective effects of potassium iodide has come from the measurements of radiation accumulation in the thyroid glands of hundreds of thousands of people in the weeks following the Chernobyl reactor disaster of April 1986, and the therapeutic effects KI achieved in Poland during that time.

Since the terrorist attacks on the United States in the latter months of 2001, the need for a distribution of KI to civilians has become recognized. This has become especially evident with the exposed vulnerability of nuclear power plants to terrorist attack, and to the conceivable use of "dirty" bombs by terrorists. The latter, essentially a conventional explosive charge that spews out radioactive substances including iodine, could contaminate many people in a crowded urban area.

The protective effects of potassium iodide last about 24 hours from the time it is ingested. Thus, a civilian or military protective strategy requires daily doses of KI. Longer term or more permanent use of the salt is not recommended yet, as prolonged use has been linked to thyroid malfunction, especially in those with Grave's disease or autoimmune inflammation of the thyroid gland.

Further Reading

Books

Harrison, J. R., W. Paile, and K. Baverstock. "Public Health Implications of Iodine Prophylaxis in Radiological Emergencies" in: Thomas, G., A. Karaoglou, and E. D. Williams, eds. Radiation and Thyroid Cancer. Singapore: World Scientific, 1999.

Periodicals

Astakhova, L. N., L. R. Anspaugh, G. W. Beebe, et al. "Chernobyl-Related Thyroid Cancer in Children in Belarus." Radiation Research no. 150 (1998): 349–356.

Robbins, J., and A. B. Schneider. "Thyroid Cancer following Exposure to Radioactive Iodine." Reviews in Endocrine and Metabolic Disorders no. 1 (2000): 197–203.

Electronic

U.S. Food and Drug Administration. "Guidance: Potassium Iodide as a Thyroid Blocking Agent in radiation Emergencies." Center for Drug Evaluation and Research. December 10, 2001. <http://www.fda.gov/cder/guidance/4825fnl.htm> (April 9, 2003).

U.S. Nuclear Regulatory Commission. "Frequently Asked Questions About Potassium Iodide." National Research Council. April 2, 2003. <http://www.nrc.gov/what-wedo/regulatory/emer-resp/emer-prep/ki-faq.html> (April 12, 2003).

Wikipedia: Potassium iodide
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Potassium iodide
Potassium iodide.jpg
Potassium-iodide-3D-ionic.png
IUPAC name
Identifiers
CAS number 7681-11-0 Yes check.svgY
PubChem 4875
RTECS number TT2975000
Properties
Molecular formula KI
Molar mass 166.0028 g/mol
Appearance white crystalline solid
Density 3.123 g/cm3
Melting point

681 °C, 954 K, 1258 °F

Boiling point

1330 °C, 1603 K, 2426 °F

Solubility in water 128 g/100 ml (6 °C)
140 g/100 mL (20 °C)
Solubility 2 g/100 mL (ethanol)
soluble in acetone
slightly soluble in ether, ammonia
Structure
Dipole moment hi
Hazards
MSDS External MSDS
EU Index Not listed
NFPA 704
NFPA 704.svg
1
1
0
 
Related compounds
Other anions Potassium fluoride
Potassium chloride
Potassium bromide
Other cations Lithium iodide
Sodium iodide
Rubidium iodide
Caesium iodide
 Yes check.svgY (what is this?)  (verify)
Except where noted otherwise, data are given for materials in their standard state (at 25 °C, 100 kPa)
Infobox references

Potassium iodide is an inorganic compound with formula KI. This white salt is the most commercially significant iodide compound, with approximately 37,000 tons produced in 1985. It is less hygroscopic than sodium iodide, making it easier to work with. Aged and impure samples are yellow because of oxidation of the iodide to iodine.[1]

Potassium iodide is used medicinally in tablets, usually containing 130 mg of KI, or as a "saturated solution of potassium iodide" (SSKI) which in the U.S.P. generic formulation contains 1000 mg of KI per mL (or 500 mg KI in 10 drops, assumed to be 0.5 mL). [2]

Contents

Structure, production, properties

Potassium iodide is ionic, K+I. It crystallises in the sodium chloride motif. It is produced industrially by treating KOH with iodine.[1]

Inorganic chemistry

Since the iodide ion is a mild reducing agent, I is easily oxidised to I2 by powerful oxidising agents such as chlorine:

2 KI(aq) + Cl2(aq) → 2 KCl + I2(aq)

This reaction is employed in the isolation of iodine from natural sources. Even air will oxidize iodide as evidenced by the observation of a purple extract when aged samples of KI are rinsed with dichloromethane. As formed under acidic conditions, hydroiodic acid (HI) is a stronger reducing agent.[3][4][5]

Like other iodide salts, KI forms I3 when combined with elemental iodine.

KI(aq) + I2(s) → KI3(aq)

Unlike I2, I3 salts can be highly water-soluble. Through this reaction iodine is used in redox titrations. Aqueous KI3, "Lugol's solution," are used as disinfectants and as etchants for gold surfaces.

Potassium iodide is the precursor to silver(I) iodide, which is used for high speed photographic film:

KI(aq) + AgNO3(aq) → AgI(s) + KNO3(aq)

Organic chemistry

KI serves as a source of iodide in organic synthesis. A useful application is in the preparation of aryl iodides from arenediazonium salts.[6][7] For example:

KI Sandmeyer.png

Applications

The major uses of KI include nutritional supplement in animal feeds, a precursor to AgI, and as a component in disinfectants. Potassium iodide is also added to hair chemicals, and sometimes table salt in small quantities to make it "iodized." KI is also used as a fluorescence quenching agent in biomedical research because of collisional quenching by its iodide ion.

SSKI

A saturated solution of potassium iodide, abbreviated SSKI, is also used as treatment for sporotrichosis, a fungal infection. Since potassium iodide is highly soluble in water, SSKI contains 1 gram KI per milliliter (mL) of solution. This is less than 100% by weight, because SSKI is significantly more dense than pure water. Because KI is about 76.4% iodide by weight, SSKI contains about 764 mg iodide per mL.

Saturated solutions of potassium iodide can also be an emergency treatment for hyperthyroidism (so-called thyroid storm), as high amounts of iodide temporarily suppress secretion of thyroxine from the thyroid gland.[8]

Iodide solutions made from a few drops of SSKI added to drinks have also been used as expectorants to increase the water content of respiratory secretions and encourage effective coughing.

Radiation protection

Following the Chernobyl nuclear reactor disaster in April, 1986, a saturated solution of potassium iodide (SSKI) was administered to 10.5 million children and 7 million adults in Poland[9] as a prophylactic measure against accumulation of radioactive iodine-131 in the thyroid gland.

Potassium iodide was also approved in 1982 by the US FDA to protect the thyroid glands from radioactive iodine. In the event of an accident or attack at a nuclear power plant, or fallout from a nuclear bomb, several volatile fission product radionuclides may be released. 131I is a common fission by-product and is particularly dangerous as the body concentrates it in the thyroid gland, which may lead to thyroid cancer. By saturating the body with a source of stable iodide prior to exposure, inhaled or ingested 131I tends to be excreted. Potassium iodide cannot protect against any other causes of radiation poisoning, nor can it provide any degree of protection against dirty bombs that produce radionuclides other than isotopes of iodine. In case of a nuclear emergency, iodine used for the cleaning of wounds should not be ingested, as it is poisonous.

Recommended Dosage for Radiological Emergencies involving radioactive iodine[10]
Age KI in mg
Over 12 years old 130
3 – 12 years old 65
1 – 36 months old 32
< 1 month old 16

See fission products and the external links for more details.

Potassium iodide’s (KI) value as a radiation protective (thyroid blocking) agent was demonstrated at the time of the Chernobyl nuclear accident when Soviet authorities distributed it in a 30 km zone around the plant. The purpose was to protect residents from radioactive iodine, a highly carcinogenic material found in nuclear reactors which had been released by the damaged reactor. Unfortunately, only a limited amount of KI was available, but those who received it were protected. Later, the US Nuclear Regulatory Commission (NRC) reported, “thousands of measurements of I-131 (radioactive iodine) activity…suggest that the observed levels were lower than would have been expected had this prophylactic measure not been taken. The use of KI…was credited with permissible iodine content in 97% of the evacuees tested.” [11]

Poland, 300 miles from Chernobyl, also gave out KI to protect its population. Approximately 18 million doses were distributed, with follow-up studies showing no known thyroid cancer among KI recipients. [12] But time has shown that people living in irradiated areas where KI was not available have developed thyroid cancer at epidemic levels, which is why the US Food and Drug Administration (FDA) reported “The data clearly demonstrate the risks of thyroid radiation…KI can be used [to] provide safe and effective protection against thyroid cancer caused by irradiation. [13]

Chernobyl also demonstrated that the need to protect the thyroid from radiation was greater than expected. Within ten years of the accident, it became clear that thyroid damage caused by released radioactive iodine was virtually the only adverse health effect that could be measured. As reported by the NRC, studies after the accident showed, that “As of 1996, except for thyroid cancer, there has been no confirmed increase in the rates of other cancers, including leukemia, among the…public, that have been attributed to releases from the accident.” [14]

But equally important to the question of KI is the fact that radiation releases are not “local” events. Researchers at the World Health Organization accurately located and counted the cancer victims from Chernobyl and were startled to find that “the increase in incidence [of thyroid cancer] has been documented up to 500 km from the accident site…significant doses from radioactive iodine can occur hundreds of kilometers from the site, beyond emergency planning zones." [15] Consequently, far more people than anticipated were affected by the radiation, which caused the United Nations to report in 2002 that “The number of people with thyroid cancer…has exceeded expectations. Over 11,000 cases have already been reported.” [16]

These findings were consistent with studies of the effects of previous radiation releases. In 1945, millions of Japanese were exposed to radiation from nuclear weapons, and the effects can still be measured. Today, nearly half (44.8%) the survivors of Nagasaki studied have identifiable thyroid disease, with the American Medical Association reporting “it is remarkable that a biological effect from a single brief environmental exposure nearly 60 years in the past is still present and can be detected.” [17]

These events, as well as the development of thyroid cancer among residents in the South Pacific from radioactive fallout following weapons testing in the 1950’s (on islands nearly 200 miles downwind of the tests) were instrumental in the decision by the FDA in 1978 to issue a request for the availability of KI for thyroid protection in the event of a release from a commercial nuclear power plant or weapons-related nuclear incident. Noting that KI’s effectiveness was “virtually complete” and finding that iodine in the form of potassium iodide (KI) was substantially superior to other forms including iodate (KIO-3) in terms of safety, effectiveness, lack of side effects, and speed of onset, the FDA invited manufacturers to submit applications to produce and market KI. [18] Today, three companies (Anbex, Inc., Fleming Co, and Recip of Sweden) have met the strict FDA requirements for manufacturing and testing of KI, and they offer products (IOSAT, ThyroShield, and Thyro-Safe, respectively) which are available for purchase on the internet.

Adverse reactions

There have been some reports of potassium iodide treatment causing swelling of the parotid gland (one of the three glands which secrete saliva), due to its stimulatory effects on saliva production. [19]

Adverse effects of SSKI, which is given orally in adult doses of about 250 mg KI several times a day (5 drops of SSKI several times a day, for an adult) for thryoid blockage and occassionally as an expectorant, include: acne, loss of appetite, or upset stomach during the first several days as the body adjusts to the medication. More severe side effects which required notification of a physician are: fever, weakness, unusual tiredness, swelling in the neck or throat, mouth sores, skin rash, nausea, vomiting, stomach pains, irregular heartbeat, numbness or tingling of the hands or feet, a metallic taste in the mouth. [20]

Precautions

Mild irritant, wear gloves. Chronic overexposure can have adverse effects on the thyroid. Potassium iodide is a possible teratogen (causing fetal goiter).

References

  1. ^ a b Phyllis A. Lyday "Iodine and Iodine Compounds" in Ullmann's Encyclopedia of Industrial Chemistry, 2005, Wiley-VCH, Weinheim
  2. ^ http://www.drugs.com/mmx/sski.html
  3. ^ N. N. Greenwood, A. Earnshaw, Chemistry of the Elements, Pergamon Press, Oxford, UK, 1984
  4. ^ Handbook of Chemistry and Physics, 71st edition, CRC Press, Ann Arbor, Michigan, 1990
  5. ^ The Merck Index, 7th edition, Merck & Co., Rahway, New Jersey, 1960
  6. ^ L. G. Wade, Organic Chemistry, 5th ed., pp. 871-2, Prentice Hall, Upper Saddle RIver, New Jersey, 2003.
  7. ^ J. March, Advanced Organic Chemistry, 4th ed., pp. 670-1, Wiley, New York, 1992.
  8. ^ Guy Abraham (2005). "The Wolff-Chaikoff Effect: Crying Wolf?". The Original Internist: 112–118. http://optimox.com/pics/Iodine/pdfs/IOD04.pdf. 
  9. ^ [1] US FDA, "Potassium Iodide as a Thyroid Blocking Agent in Radiation Emergencies," U.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation and Research (CDER); December, 2001.
  10. ^ Guidelines for Iodine Prophylaxis following Nuclear Accidents, World Health Organization, Update 1999
  11. ^ US Nuclear Regulatory Commission, Report on the Accident at the Chernobyl Nuclear Power Station, NUREG-1250.
  12. ^ "Iodine Prophylaxis in Poland After the Chernobyl Reactor Accident: Benefits and Risks". American Journal of Medicine 94. 1993. 
  13. ^ US Food and Drug Administration, FDA Talk Paper: Guidance on Protection Against Thyroid Cancer in Case of a Nuclear Accident
  14. ^ US Nuclear Regulatory Commission, Assessment of the Use of Potassium Iodide (KI) As a Public Protective Action During Severe Reactor Accidents Quoting Thyroid Cancer in Children of Belarus Following the Chernobyl Accident, NUREG-1633
  15. ^ World Health Organization, Guidelines for Iodine Prophylaxis Following Nuclear Accidents, Update 1999. World Health Organization, Geneva
  16. ^ United Nations: Office for the Coordination of Humanitarian Affairs (OCHA), Chernobyl, a Continuing Catastrophe, New York and Geneva, 2000
  17. ^ "Thyroid Disease 60 Years After Hiroshima and 20 Years After Chernobyl". JAMA 295 (9). 2006. 
  18. ^ US Federal Register, Vol. 43, No. 242, Dec 15, 1978.
  19. ^ McCance; Huether. "Pathophysiology: The biological basis for disease in Adults and Children". 5th Edition. Elsievier Publishing
  20. ^ http://www.medicinenet.com/potassium_iodide-oral/article.htm

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