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iodoquinol (Yodoxin)

 

Classes: Antiparasitic Agents

Dosing and uses of Yodoxin (iodoquinol)

 

Adult dosage forms and strengths

tablets

  • 210mg
  • 650mg

 

Intestinal Amebiasis

650 mg PO PC TID for 20 days

 

Other Indications & Uses

Entamoeba histolytica

Off-label: balantidiasis, Blastocystis hominis, Dientamoeba fragilis

 

Pediatric dosage forms and strengths

tablets

  • 210mg
  • 650mg

 

Intestinal Amebiasis

30-40 mg/kg/day divided PO PC TID PO for 20 days; not to exceed 1.95 g/day

 

Yodoxin (iodoquinol) adverse (side) effects

Frequency not defined

Fever

Chills

Agitation

Retrograde amnesia

Headache

Rash

Urticaria

Pruritus

Thyroid gland enlargement

Diarrhea

Nausea

Vomiting

Stomach pain

Abdominal cramps

Peripheral neuropathy

Weakness

Optic neuritis

Optic atrophy

Visual impairment

Itching of rectal area

 

Warnings

Contraindications

Hypersensitivity to 8-hydroxyquinolones or iodoquinoL

Iodine sensitivity

 

Cautions

Thyroid dz

Interferes w/ thyroid tests for up to 6 mth after discontiunation

Do not repeat course before 2-3 wk

Not effective in amebic hepatitis or liver abscess

 

Pregnancy and lactation

Pregnancy category: C

Lactation: unknown

 

Pregnancy categories

A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA: Information not available.

 

Pharmacology of Yodoxin (iodoquinol)

Absorption: poor & erratic

Metabolism: hepatic

Excretion: mostly feces; metabolites in urine

 

Mechanism of action

Acts primarily in intestinal lumen