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Potassium iodide (SSKI)

Pregnancy & gynaecology-specific. Every dose row is source-referenced; verify against institutional protocols.

Potassium iodide (SSKI)EMERGENCY KITIodine / antithyroid adjunct

Regimens checked: 2026-10-17. Each indication has its own preparation, limits and safety checks.

Potassium iodide (SSKI): indication-specific regimens
IndicationDoseRouteFrequencyDuration / preparationMaximumMonitoring / cautions
Short-course endocrine/ICU therapy after thionamide in hormone-synthesis-driven storm
SSKI 5 drops every 6 hours, starting at least 1 hour AFTER the antithyroid drug
Oral or NG
Every 6 hours
Stop once stabilised/hormone levels controlled; prolonged iodine exposure in pregnancy can affect the fetal thyroid · Use the pharmacy-verified SATURATED potassium iodide solution (SSKI, 1 g/mL), its calibrated dispenser and prescribed drop volume; dilute in milk/juice before oral/NG administration. Lugol solution is a different formulation and has a different drop prescription
  • Product concentration confirmed against SSKI prescribing information. Do not prolong iodine in pregnancy without specialist review.
5 calibrated drops per dose in this regimen; never substitute an arbitrary dropper, radioactive-emergency tablets or Lugol drops
Monitor
  • Clinical recovery, FT4/FT3, hypersensitivity and pregnancy/neonatal thyroid planning
Contraindications / cautions
  • Do not give before the thionamide; destructive/factitious thyrotoxicosis is not an indication for this synthesis-blocking sequence
Pregnancy safety
Short specialist storm treatment; prolonged exposure risks fetal thyroid suppression
Lactation
Iodide reaches milk; endocrine/neonatal advice and infant thyroid planning are needed