Some Uses Of Lugols Iodine Solution

By Elaine Guthrie


Iodine is available in many different forms. Since it was first prepared in1829 by a French physician, Lugols iodine solution, continues to play a major role in scientific research and everyday use. The solution is prepared by dissolving elemental iodine and the compound potassium iodide in water. It is diluted to various concentrations depending on the intended use. It is also known as iodine potassium iodide Markodine or 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.

In biochemistry, Markodine is used in detection of starch in some organic compounds. In the presence of starch there will be a blue black colour change. This is because the element interacts with the polysaccharides found in starch. It, however, does not detect simple sugars such as glucose, fructose and galactose. A similar pattern of staining is seen when testing for a condition known as amyloidosis although amyloid is actually protein and not starch.

The solution is widely used in cervical cancer screening. In this test, it is applied on the vaginal wall and on the cervix under the exposure of an instrument known as a colposcope. Since normal vaginal and cervical tissues have a high amount of glycogen, they will stain brown. Abnormal or suspicious tissues do not stain adequately and appear paler. It is the light staining areas that are used to provide biopsy specimens for histological examination.

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.

One of the earliest uses of the solution was the treatment of gout. With the discovery of better drugs, it has been dropped from the list of the commonly used drugs for the condition. The same trend has been witnessed in the treatment of hyperthyroidism. In the latter case, it has fallen out of favour due to its ability to inhibit thyroid hormone synthesis. This is termed the Wolff Chaikoff phenomenon.

Macroalgae require elemental iodine for growth and survival. The element is also important for other coral reef inhabitants. For these reasons, it is heavily used in the maintenance of marine ecosystems. Its effects are mainly due to its ability to significantly reduce the number of harmful bacteria and parasites. The other major benefits are the prevention of coral reef bleaching and polyp expansion.

Excessive amounts of lugols may cause harm to body cells to varying extents. High concentrations have been reported to cause destruction of the stomach mucosa during endoscopic examination. However, it should be noted that these are rare incidences.




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