Re: The Value of SSKI (bronchitis, strep, sinuses etc)

grizz

add this to what SHOULD be done:

PIMA (trade name for SSKI )

http://reference.medscape.com/drug/pima-syrup- SSKI -potassium-iodide-343399

ADULTS

Dosing Forms & Strengths
Radiation Emergency

Indicted during environmental radiation emergency to block uptake of radioactive Iodine isotopes in thyroid and reduce risk of thyroid cancer

130 mg PO qDay; not to exceed 1 dose/24 hr

Ideally initiate 1-48 hr prior to exposure

Continue daily dose until exposure risk has passed and/or until other measures (eg, evacuation, sheltering, control of the food and milk supply) have been successfully implemented

Risk reduction with acute exposure

KI initiated shortly before or immediately after acute exposure: 90-99% risk reduction
KI initiated within 3-4 hr after acute exposure: 50% risk reduction
KI initiated up to 12 hr after acute exposure: limited benefit may be achieved

Expectorant

SSKI : 300-600 mg PO q6-8hr
Thyrotoxic Crisis

250-500 mg (5-10 gtt of 1 g/mL) PO q4-6hr
Preoperative Thyroidectomy

50-250 mg (1-5 gtt of 1 g/mL) PO q8hr for 10-14 days
Other Indications & Uses

Cystic fibrosis, chronic sinusitis (adjunct)

CHILDREN

Dosing Forms & Strengths
Radiation Emergency

Indicted during environmental radiation emergency to block uptake of radioactive Iodine isotopes in thyroid and reduce risk of thyroid cancer

Infants <1 month: 16.25 mg PO qDay; not to exceed 1 dose/24 hr

1 month-3 years: 32.5 mg PO qDay; not to exceed 1 dose/24 hr

3-13 years: 65 mg PO qDay; not to exceed 1 dose/24 hr

>13 years or adolescents weighing >70 kg (154 lb): 130 mg PO qDay; not to exceed 1 dose/24 hr

Ideally initiate 1-48 hr prior to exposure

Continue daily dose until exposure risk has passed and/or until other measures (eg, evacuation, sheltering, control of the food and milk supply) have been successfully implemented

Risk reduction with acute exposure

KI initiated shortly before or immediately after acute exposure: 90-99% risk reduction
KI initiated within 3-4 hr after acute exposure: 50% risk reduction
KI initiated up to 12 hr after acute exposure: limited benefit may be achieved

Neonatal Graves Disease

SSKI: 1 gtt PO q8hr

Expectorant

SSKI: 60-250 mg PO q6hr


as an expectorant, the adult dose is 300-600mg by mouth every 6-8 hours. for children, the dose is 60-250mg every 6 hours.

this alone should blow anyones concern about high doses of Iodine completely out of the water, as if there isnt enough evidence already. Tweet