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Some Uses Of Lugols Iodine Solution

By Elaine Guthrie


Iodine is one of the most widely used elements both domestically and industrially. A French physician was the person to ever use lugols iodine solution in the year 1829. He prepared it by mixing elemental iodine with potassium iodide and dissolving in water. Today, the resultant compound is widely used in domestic and industrial application. Its use has been especially appreciated in scientific research. It is also known by other terms such as Markodine, iodine potassium iodide and Strong solution.

Markodine is available as an over the counter formulations such as gels, tinctures and ointments. These formulations are mainly designed for topical use where there is a need to disinfect minor skin injuries. It is common to mix the iodine with another ingredient known as povidone so as to increase the effectiveness. Another major application is the use in disinfection of water especially in emergency situation.

Lugols is widely used in biochemical experiments. The most notable is the testing of starch presence in organic molecules. When a compound containing starch is placed in the presence of iodine there is a characteristic blue black reaction. This is due to the interaction of the compound with polysaccharide molecules found in starch. A similar reaction is seen with a disease known as amyloidosis.

The compound is important in management of some types of cancers particularly cervical cancer. In this test, the solution is used to stain the entire cervix and part of the upper vagina. Normal tissues take the whole stain and appear dark brown when examined under a colposcope. The abnormal tissues do not stain entirely and appear paler. The pathologist selects these areas for taking of biopsies.

The solution has been used in a number of selected patients suffering from Graves disease. The disease is a severe form of hyperthyroidism. Administering the solution during thyroidectomy (removal of thyroid gland), helps in reducing blood loss. This benefit is, however, not seen in patients whose thyroid hormonal levels are within the normal ranges or in those that are on medication.

For many years, Lugols was used in the treatment of gout. With the advent of newer and more effective therapies, it is no longer used as commonly. In the treatment of hyperthyroidism it was considered a first line therapy but has been dropped over time due to the side effect of inhibiting thyroid hormone effect (also known as Wolff Chaikoff effect). This often leads to hypothyroidism.

The element iodine is required for the growth of macroalgae and coral reef inhabitants. As a result, it is widely used in the marine aquarium industry. The role of the solution is thought to be in the removal of unwanted parasites and bacteria. Other benefits include enhancement of polyp expansion and the prevention of coral bleaching in the presence of increased light intensity.

In excessive levels Lugols may be harmful to the body. Undiluted solutions are both irritating and destructive to the mucosa particularly that of the stomach and the esophagus. This has been seen in some cases of endoscopic examination. Generally, however, it is considered to have low toxicity.




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