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What is the correct dose of Lugol's iodine solution and duration of therapy for preparing a thyrotoxic patient for surgery and minimizing the risk of thyroid storm?

I have a bottle of Lugol's Solution 2% and the label says it contains 94% distilled water, 4% potassium iodide, and 2% iodine, and it is a 2-ounce bottle. Comes with a dropper.
1 Answer
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Mednet MemberInvited Expert
Endocrinology · BMCWorking Well Occupational Health Clinic
Answered on

Potassium iodide (KI) can be given 3 times per day in a full glass of water or juice (bitter) for 10 days before Graves' hyperthyroidism surgery as follows:

  • Lugol's solution (8 mg iodide/drop): 5-7 drops
  • Saturated solution of potassium iodide (SSKI) (50 mg iodide/drop): 1-2 drops

Minor calculated ...

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