Povidone iodine


Generic Medicine Info
Indications and Dosage
Mouth/Throat
Mouth and throat infections, Oral hygiene
Adult: As 1% solution: Rinse or gargle 10 mL undiluted solution with an equal volume of warm water for 30 seconds 4 times daily for up to 14 days, or as directed.
Child: As 1% solution: >6 years Same as adult dose.

Ophthalmic
Prophylaxis of ocular infection following surgical procedures
Adult: As 5% solution: Instill 2-3 drops  onto affected eye(s), leave for 2 minutes then rinse off with 0.9% Na chloride solution.

Topical/Cutaneous
Acne vulgaris
Adult: As 4% solution: Apply bid directly or with moistened sponge unto affected area, leave for 3-5 minutes then rinse off with water.
Child: As 4% solution: >2 years Same as adult dose.

Topical/Cutaneous
Pyoderma, Seborrhoeic dermatitis
Adult: As 4% shampoo: Apply 2-3 capfuls in wet scalp, rinse and repeat application, lather with a warm water. Repeat procedure once weekly until desired improvement achieved.
Child: As 4% shampoo: 2-12 years Apply 1-2 capfuls in wet scalp, rinse and repeat application, lather with a warm water. Repeat procedure once weekly until desired improvement achieved. >12 years Same as adult dose.

Topical/Cutaneous
Antiseptic
Adult: As 5-10% solution, 10% gel, 10% ointment, or 10 % aerosol spray: Apply as directed.
Child: As 5-10% solution, 10% gel or 10% ointment: Same as adult dose. As 10% aerosol spray: ≥2 years Same as adult dose.

Vaginal
Vaginal irritation
Adult: As 0.3% douche: Insert 0.3% solution once daily for 5-7 days.
Incompatibility
May cause bubbly brown explosion with hydrogen peroxide solution.
Contraindications
History of abnormal thyroid function or goitre (e.g. nodular colloid goitre, endemic goitre, Hashimoto’s thyroiditis).
Special Precautions
Patient with serious wounds including burns. Renal impairment. Children. Pregnancy and lactation.
Adverse Reactions
Significant: Hypo- or hyper-thyroidism (long-term). Rarely, hypersensitivity reactions; conjunctival hyperaemia, superficial punctuate keratitis, cytotoxicity (ophth).
Dermatologic: Rarely, local irritation, pruritus, rash, oedema, burns.
Topical/Vag: D; Ophth: C
Drug Interactions
May increase risk of thyroid-related reactions with lithium. Risk of formation of caustic compounds with ophthalmic formulations containing Hg-based preservatives.
Lab Interference
May interfere with thyroid function tests. False-positive result with contaminated povidone iodine for the detection of occult blood in stool or blood in urine.
Action
Description: Povidone iodine is an iodophore that has a broad-spectrum germicidal activity against a wide range of bacteria, viruses, fungi, protozoa and spores. It is a complex of polyvinylpyrrolidone (povidone) with iodine. After application, it gradually and continuously delivers iodine to exert its germicidal activity.
Pharmacokinetics:
Absorption: Absorbed from skin, vaginal mucosa.
Distribution: Crosses the placenta and enters breast milk.
Excretion: Mainly via urine.
Storage
Store below 25°C. Protect from light.
ATC Classification
D09AA09 - povidone-iodine ; Belongs to the class of ointment dressings with antiinfectives.
D11AC06 - povidone-iodine ; Belongs to the class of medicated shampoos.
D08AG02 - povidone-iodine ; Belongs to the class of iodine product antiseptics. Used in the treatment of dermatological diseases.
S01AX18 - povidone-iodine ; Belongs to the class of other antiinfectives. Used in the treatment of eye infections.
G01 - GYNECOLOGICAL ANTIINFECTIVES AND ANTISEPTICS ; Used in the treatment of gynecological infections.
R02AA15 - povidone-iodine ; Belongs to the class of antiseptics used in throat preparations.
References
Anon. Povidone-Iodine (Ophthalmic). Lexicomp Online. Hudson, Ohio. Wolters Kluwer Clinical Drug Information, Inc. https://online.lexi.com. Accessed 16/01/2018.

Anon. Povidone-Iodine (Topical). Lexicomp Online. Hudson, Ohio. Wolters Kluwer Clinical Drug Information, Inc. https://online.lexi.com. Accessed 16/01/2018.

Aplicare Povidone-Iodine Gel (Aplicare, Inc.). DailyMed. Source: U.S. National Library of Medicine. https://dailymed.nlm.nih.gov/dailymed/. Accessed 16/01/2018.

Betadine Gargle and Mouthwash (Ayrton Saunders Ltd). MHRA. https://products.mhra.gov.uk/. Accessed 16/01/2018.

Betadine Shampoo (Ayrton Saunders Ltd). MHRA. https://products.mhra.gov.uk/. Accessed 16/01/2018.

Betadine Skin Cleanser (Ayrton Saunders Ltd). MHRA. https://products.mhra.gov.uk/. Accessed 16/01/2018.

Betadine Solution (Alcon Laboratories, Inc.). DailyMed. Source: U.S. National Library of Medicine. https://dailymed.nlm.nih.gov/dailymed/. Accessed 16/01/2018.

Betadine Solution (Purdue Products LP). DailyMed. Source: U.S. National Library of Medicine. https://dailymed.nlm.nih.gov/dailymed/. Accessed 16/01/2018.

Betadine Spray (Purdue Products LP). DailyMed. Source: U.S. National Library of Medicine. https://dailymed.nlm.nih.gov/dailymed/. Accessed 16/01/2018.

Betadine Surgical Scrub Solution (Purdue Products LP). DailyMed. Source: U.S. National Library of Medicine. https://dailymed.nlm.nih.gov/dailymed/. Accessed 16/01/2018.

Betadine Swab (Purdue Products LP). DailyMed. Source: U.S. National Library of Medicine. https://dailymed.nlm.nih.gov/dailymed/. Accessed 16/01/2018.

Buckingham R (ed). Povidone-Iodine. Martindale: The Complete Drug Reference [online]. London. Pharmaceutical Press. https://www.medicinescomplete.com. Accessed 16/01/2018.

Joint Formulary Committee. Povidone-Iodine. British National Formulary [online]. London. BMJ Group and Pharmaceutical Press. https://www.medicinescomplete.com. Accessed 16/01/2018.

Major Povidone-Iodine Ointment (Major Pharmaceuticals). DailyMed. Source: U.S. National Library of Medicine. https://dailymed.nlm.nih.gov/dailymed/. Accessed 16/01/2018.

Recuro Vaginal Douche (Iona Pharmacy). DailyMed. Source: U.S. National Library of Medicine. https://dailymed.nlm.nih.gov/dailymed/. Accessed 16/01/2018.

Disclaimer: This information is independently developed by MIMS based on Povidone iodine from various references and is provided for your reference only. Therapeutic uses, prescribing information and product availability may vary between countries. Please refer to MIMS Product Monographs for specific and locally approved prescribing information. Although great effort has been made to ensure content accuracy, MIMS shall not be held responsible or liable for any claims or damages arising from the use or misuse of the information contained herein, its contents or omissions, or otherwise. Copyright © 2021 MIMS. All rights reserved. Powered by MIMS.com
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