Pharmacodynamics and pharmacokinetics
The use of Iodomarin is indicated for the treatment and prevention of thyroid diseases.
Iodine is an indispensable, vital microelement for the human body, without which normal activity of the thyroid gland .
Its hormones regulate the functioning of the brain , heart , nervous and vascular systems , mammary glands , ovaries in women and testes in men, ensure the correct course of metabolic in the body (including proteins, carbohydrates and fats ), actively participate in energy metabolism, and are also responsible for the growth and normal development of the child.
The use of Iodomarin allows you to compensate for iodine deficiency when it is insufficiently supplied to the body through food, which is especially important in childhood, during periods of childbearing and breastfeeding, as well as for people who live in geochemical zones with iodine soil and water.
Iodine entering the body in physiological quantities makes it possible to normalize the size of the thyroid gland in children and young adults, as well as the ratio of thyroid hormones T3 and T4 and the level of thyroid-stimulating hormone .
After oral administration iodine is almost completely absorbed in the small intestine , after which within 2 hours it is distributed in the intercellular space and accumulates in the thyroid gland, salivary and mammary glands , kidneys, and stomach .
The concentration in blood plasma after using a p/os standard dose is from 10 to 50 ng/ml, while the concentration of iodine in breast milk, saliva and gastric juice is 30 times higher than its concentration in blood plasma .
The thyroid gland contains 75% of all iodine (from 10 to 20 mg).
Iodine from the body mainly through urine , and also, to a lesser extent, the lungs and intestinal .
Pharmacological properties
Pharmacodynamics
Iodine is a vital trace element that is a component of the thyroid hormones - thyroxine and triiodothyronine. Thyroid hormones are involved in the development of all organs and systems, in the regulation of metabolic processes in the body: they are responsible for the exchange of proteins, fats, carbohydrates and energy in the body, regulate the activity of the brain, the nervous and cardiovascular systems of the reproductive and mammary glands, as well as the growth and child development.
Iodine deficiency is especially dangerous for children, adolescents, pregnant and lactating women.
Indications for use
Indications for use of the drug:
- prevention of endemic goiter (associated with insufficient iodine content in the environment);
- prevention of goiter recurrence after completion of a course of conservative treatment with thyroid hormones or surgical removal;
- treatment of euthyroid (non-toxic diffuse) goiter by iodine deficiency in children, adolescents and adults under 40 years of age.
Contraindications
Contraindications to the use of Iodomarin are:
- hypersensitivity to iodine ;
- hyperthyroidism;
- senile (herpetiform) dermatitis.
In case of toxic thyroid adenoma (Plummer syndrome), nodular goiter , the use of the drug in doses exceeding 300 mcg per day is contraindicated. The exception is the need to prescribe iodine-induced thyroid blockade before surgery on this organ.
It is recommended to avoid prescribing the drug:
- during radioactive iodine ;
- patients who have been diagnosed with thyroid cancer , as well as if there is a suspicion of a cancerous tumor .
Can I take Iodomarin if I have hypothyroidism?
Iodomarin for hypothyroidism is prescribed only in cases where the latter has developed against the background of severe iodine deficiency.
special instructions
It should be taken into account that during drug therapy in patients with renal failure, hyperkalemia may develop. Before starting therapy, it is necessary to exclude the presence of hyperthyroidism or nodular toxic goiter in the patient, as well as a history of these diseases. If there is a predisposition to autoimmune thyroid diseases, the formation of antibodies to thyroid peroxidase is possible. Saturation of the thyroid gland with iodine can prevent the accumulation of radioactive iodine used for therapeutic or diagnostic purposes. In this regard, it is not recommended to take the drug before carrying out activities using radioactive iodine.
Side effects
Treatment of non-toxic diffuse goiter in newborn infants, children and adolescents, as well as the use of Iodomarin for preventive purposes (at any age), as a rule, does not provoke side effects.
In rare cases, against the background of long-term use of the drug, the development of iodism - aseptic inflammation of the skin and mucous membranes in places where iodine is released (in the area of the paranasal sinuses , salivary glands , respiratory tract ).
It manifests itself in the form of “cold” symptoms (lacrimation, conjunctivitis , runny nose , cough , “ iodine fever ”, etc.), bronchitis , the appearance of a metallic taste in the mouth and a characteristic odor from the mouth, increased salivation, urticaria , increased thirst, staining oral cavity, diarrhea , cramps , weakness, dizziness, soreness and burning sensation in the throat, a special skin rash (iododerma) and “iodine” acne. Vomit is yellow or blue.
, exfoliative dermatitis or Quincke's edema may develop .
When using the drug in a dose exceeding 150 mcg/day, latent (masked) hyperthyroidism often becomes manifest ( true hyperthyroidism ).
Long-term use of the drug at a dose exceeding 300 mcg/day can provoke iodine-induced thyrotoxicosis (the likelihood of its development is especially high in elderly patients who of goiter for a sufficiently long period of time; in the presence of Graves' disease or nodular goiter ).
Side effects
With the prophylactic use of iodide in patients of any age, as well as with therapeutic use in newborns, infants and children, no side effects are usually observed. however, in the presence of large autonomous foci of the thyroid gland and when iodine is prescribed in daily doses exceeding 150 mcg, it is impossible to completely exclude the occurrence of severe hyperthyroidism.
The following adverse reactions occurred with the following frequency: very often (≥1/10); often (from ≥1/100 to 1/10); uncommon (≥1/1000 to 1/100); rare (≥1/10,000 to 1/1000); very rare (1/10,000); unknown (cannot be estimated from available data).
From the immune system: very rarely - hypersensitivity reactions (for example, rhinitis caused by iodine, bullous or tuberous iododerma, exfoliative dermatitis, angioedema, fever, acne and swelling of the salivary glands).
From the endocrine system: very rarely - during the treatment of diffuse euthyroid iodine deficiency goiter in adults, in some cases the development of hyperthyroidism caused by iodine is possible. In the vast majority of cases, the prerequisite for this is the presence of diffuse or limited autonomous foci of the thyroid gland. First of all, this applies to elderly patients with long-term goiter.
Also possible: manifestations of iodism (including symptoms such as swelling of the nasal mucosa, urticaria, Quincke's edema, skin rash, itching, in isolated cases - anaphylactic shock), eosinophilia, tachycardia, tremor, irritability, sleep disturbance, increased sweating, discomfort in the epigastric region, diarrhea. When using the drug in high doses, in some cases the development of goiter and hypothyroidism is possible.
Reports of suspected adverse reactions. Reporting of suspected adverse reactions after drug registration plays an important role. This allows continued monitoring of the benefit-risk ratio of the drug. Health care workers should report any suspected adverse reactions through the national reporting system.
Instructions for Iodomarin (Method and dosage)
Instructions for use Iodomarin 100
To prevent goiter , Iodomarin for children under 12 years of age (including newborns) should be taken 1/2-1 tablet/day, the daily dose for patients over 12 years of age is 1-2 tablets/day.
During pregnancy and lactating women, it is recommended to take 2 tablets per day. Iodomarin 100 (200 mcg/day).
To prevent goiter recurrence, you should take 1-2 tablets per day.
Dosage regimen for euthyroid goiter :
- patients under 18 years of age (including newborn babies) - 1-2 tablets/day;
- adults under 40 years old - 3-5 tablets/day.
The tablets should be taken orally after meals with sufficient liquid. For children, the drug is pre-dissolved in milk or fruit juice.
For preventive purposes, it is recommended to drink Iodomarin for several years. If there are indications, the drug can be prescribed for life.
Treatment of goiter in newborn infants involves taking pills for 14-30 days; all other patients (children, adolescents and adults), as a rule, need to take the drug for six months to a year. In some cases, longer treatment may be required.
Instructions for use Yodomarin 200
To prevent iodine deficiency conditions and endemic goiter iodine entering the body of an adult does not exceed 150-200 mcg/day), you should take:
- ¼-½ tablet/day. (50-100 mcg/day) - children under 12 years of age (including newborn infants);
- ½-1 tablet/day. (100-200 mcg/day) - patients over 12 years of age;
- 1 tablet/day (200 mcg/day) - for pregnant women and during breastfeeding.
To prevent recurrence of iodine-deficient goiter after thyroidectomy , as well as after completing a course of therapy with thyroid hormones , both children and adults are prescribed to take 1-2 tablets daily.
Treatment of euthyroid goiter involves taking:
- from 100 to 200 mcg of iodine per day (½-1 tablet of Iodomarin 200) - for children;
- from 300 to 500 mcg of iodine per day (from 1 ½ to 2 ½ tablets) - for adults.
How to take Iodomarin 200?
It is recommended to take the tablets after meals. Take them with a sufficient amount of liquid, for example, a glass of water. Children under three years of age (including newborns) should first crush the tablets into powder before taking them.
Taking the drug for preventive purposes is usually recommended from several months to several years, often throughout life. Treatment of goiter in newborns usually takes from 2 to 4 weeks, in older children and adults - six months to a year or more.
In general, issues of dosing and duration of use of the drug for the prevention or treatment of thyroid diseases are decided individually by the attending physician.
Iodomarin 100 tablets 100mkg No. 100 No. 1
Name
Iodomarin tablet 100 µg No. 100
Description
Tablets are white or almost white, round, flat-cylindrical, with a chamfer and a score on one side.
Main active ingredient
Iodine
Release form
Tablets are white or almost white, round, flat-cylindrical, with a chamfer and a score on one side. 1 tab. potassium iodide 131 mcg, which corresponds to the iodine content of 100 mcg Excipients: lactose monohydrate - 75.119 mg, basic magnesium carbonate - 28.25 mg, gelatin - 4 mg, sodium carboxymethyl starch (type A) - 4.75 mg, colloidal silicon dioxide - 1.75 mg, magnesium stearate - 1 mg. 50 pcs. — bottles (1) — cardboard packs. 100 pieces. — bottles (1) — cardboard packs.
special instructions
Effect on the ability to drive vehicles and operate machinery Iodomarin® does not affect the ability to drive vehicles or perform other potentially hazardous activities.
pharmachologic effect
Iodine preparation for the treatment and prevention of thyroid diseases. Iodine is a vital trace element necessary for the normal functioning of the thyroid gland. Thyroid hormones perform many vital functions, incl. regulate the metabolism of proteins, fats, carbohydrates and energy in the body, the activity of the brain, nervous and cardiovascular systems, reproductive and mammary glands, as well as the growth and development of the child. The use of the drug Yodomarin® replenishes iodine deficiency in the body, preventing the development of iodine deficiency diseases, and helps normalize the function of the thyroid gland, which is especially important for children and adolescents, as well as during pregnancy and lactation.
Pharmacokinetics
Data on the pharmacokinetics of the drug Yodomarin® are not provided.
Indications for use
- prevention of endemic goiter (especially in children, adolescents, women during pregnancy and during breastfeeding); - prevention of goiter recurrence after its surgical removal or after the end of drug treatment with thyroid hormones; - treatment of diffuse euthyroid goiter caused by iodine deficiency in children, adolescents and adults under the age of 40 years.
Directions for use and doses
Prevention of endemic goiter Newborns and children under 12 years of age 1/2-1 tab. drug Yodomarin® 100 or 1/2 tablet. the drug Yodomarin® 200 per day (which corresponds to 50-100 mcg of iodine). Children over 12 years old and adults 1-2 tablets. drug Yodomarin® 100 or 1/2-1 tablet. the drug Yodomarin® 200 per day (which corresponds to 100-200 mcg of iodine). During pregnancy and lactation 2 tablets. Iodomarin® 100 or 1 tablet. the drug Yodomarin® 200 per day (which corresponds to 200 mcg of iodine). Prevention of goiter relapse 1-2 tablets. drug Yodomarin® 100 or 1/2-1 tablet. the drug Yodomarin® 200 per day (which corresponds to 100-200 mcg of iodine). Treatment of euthyroid goiter Newborns and children aged 1 to 18 years 1-2 tablets. drug Yodomarin® 100 or 1/2-1 tablet. the drug Yodomarin® 200 per day (which corresponds to 100-200 mcg of iodine). Adults up to 40 years old 3-5 tablets. Iodomarin® 100 per day or 11/2-21/2 tablets. the drug Yodomarin® 200 per day (which corresponds to 300-500 mcg of iodine). The drug is taken after meals with a sufficient amount of liquid. When used in children, it is recommended to first dissolve the drug in milk or juice. Prophylactic administration is carried out for several years, if indicated - for life. For the treatment of goiter in newborns, on average, 2-4 weeks are enough; in children, adolescents and adults it usually takes 6-12 months, long-term use is possible. The duration of treatment is determined by the attending physician.
Use during pregnancy and lactation
During pregnancy and lactation, the need for iodine increases, so it is especially important to use the drug Yodomarin® in sufficient doses (200 mcg/day) to ensure adequate intake of iodine into the body. The use of the drug Yodomarin® during pregnancy and lactation (breastfeeding) is possible only in recommended doses, because the active substance penetrates the placenta and is excreted in breast milk.
Precautionary measures
Can be used in children according to indications.
Interaction with other drugs
Iodine deficiency increases, and iodine excess decreases, the effectiveness of hyperthyroidism treatment with thyreostatic drugs (before or during the treatment of hyperthyroidism, it is recommended, if possible, to avoid any use of iodine). On the other hand, thyreostatic agents inhibit the conversion of iodine into an organic compound in the thyroid gland and thus can cause goiter formation. Simultaneous treatment with high doses of iodine and lithium salts can contribute to the occurrence of goiter and hypothyroidism. High doses of the drug in combination with potassium-sparing diuretics can lead to hyperkalemia.
Contraindications
- hyperthyroidism; — toxic adenoma of the thyroid gland, nodular goiter when used in doses of more than 300 mcg/day (except for the period of preoperative iodine therapy to block thyroid function); - Dühring's herpetiform (senile) dermatitis; - hypersensitivity to iodine. The drug should not be used for hypothyroidism, except in cases where the development of the latter is caused by severe iodine deficiency. Prescription of the drug should be avoided during therapy with radioactive iodine, the presence or suspicion of thyroid cancer.
Compound
Potassium iodide 131 mcg, which corresponds to the iodine content of 100 mcg Excipients: lactose monohydrate - 75.119 mg, basic magnesium carbonate - 28.25 mg, gelatin - 4 mg, sodium carboxymethyl starch (type A) - 4.75 mg, colloidal silicon dioxide - 1.75 mg, magnesium stearate - 1 mg.
Overdose
Symptoms: brown staining of the mucous membranes, reflex vomiting (if starch-containing components are present in food, the vomit becomes blue), abdominal pain and diarrhea (possibly melena). In severe cases, dehydration and shock may develop. In rare cases, esophageal stenosis and the phenomenon of “iodism” were observed. Treatment: in case of acute intoxication - discontinuation of the drug, gastric lavage with a solution of starch, protein or 5% sodium thiosulfate solution until all traces of iodine are removed; in case of chronic intoxication - discontinuation of the drug. Symptomatic therapy for water and electrolyte imbalances, anti-shock therapy. When treating iodine-induced hypothyroidism - discontinuation of the drug, normalization of metabolism with the help of thyroid hormones. When treating iodine-induced thyrotoxicosis, no treatment is required for mild forms; for severe forms, thyreostatic therapy is required (the effect of which is always delayed). In severe cases (thyrotoxic crisis), intensive therapy, plasmapheresis or thyroidectomy are necessary.
Side effect
With the prophylactic use of the drug Iodomarin® in patients of any age, side effects are usually not observed. From the endocrine system: when using the drug in a dose of more than 150 mcg of iodine/day, latent hyperthyroidism can become manifest; when using the drug in a dose exceeding 300 mcg of iodine/day, the development of iodine-induced thyrotoxicosis is possible (especially in elderly patients suffering from goiter for a long time, in the presence of nodular goiter or diffuse toxic goiter). Allergic reactions: rarely - iodism, manifested by a metallic taste in the mouth, swelling and inflammation of the mucous membranes (“iodine” rhinitis, conjunctivitis, bronchitis), “iodine” fever, “iodine” acne; in some cases - Quincke's edema, exfoliative dermatitis.
Storage conditions
The drug should be stored out of the reach of children, in a dry, dark place at a temperature not exceeding 25°C.
Overdose
Symptoms of an overdose of Iodomarin are:
- reflex vomiting (in this case, the vomit is blue in color, which is due to the presence of starch-containing components in food);
- brown staining of mucous membranes;
- diarrhea (possibly melena, i.e. black, tarry stool);
- stomach ache.
In particularly severe cases, dehydration and shock may occur. of esophageal stenosis and the occurrence of the phenomenon of “iodism” have also been recorded
In case of acute intoxication, the patient is indicated for gastric lavage with a starch solution, a solution of five percent Sodium thiosulfate or protein (up to the removal of all traces of iodine), anti-shock therapy, and the prescription of symptomatic treatment to correct the disturbed water-electrolyte balance.
In case of chronic intoxication, you should stop taking the drug.
In case of iodine-induced hypothyroidism, you should stop taking Iodomarin. Treatment in this case is aimed at normalizing metabolism by prescribing thyroid hormones .
mild iodine-induced thyrotoxicosis develops while using the drug thyreostatic therapy is necessary (it should be remembered that its effect is always delayed).
In case of thyrotoxic crisis, intensive therapy, plasmacytopheresis procedures or removal of the thyroid gland .
Interaction
Excessive iodine content reduces, and insufficient iodine increases the effectiveness of treatment of hyperthyroidism with thyreostatic drugs . In connection with this, before taking these medications, as well as during the treatment of hyperthyroidism , you should, if possible, avoid taking iodine in any form.
On the other hand, thyreostatic drugs inhibit the transformation of iodine into an organic compound in the thyroid gland and, therefore, can cause the development of goiter .
Combination therapy using high doses of iodine and drugs containing lithium salts can provoke hypothyroidism and the development of goiter .
Iodomarin in high doses in combination with potassium-sparing diuretics can cause hyperkalemia .
Analogues of Iodomarin
Level 4 ATC code matches:
Blue Yod
Potassium iodide
Synonyms of Iodomarin 100 are: Antisturmin , children's Iodine Vitrum , Iodide 100 , Iodine Vitrum 100 mcg , Iodandin 100 mcg , Iodbalance 100 mcg , Microiodide 100 , Potassium iodide Renewal 100 mcg .
Structural analogues of Iodomarin 200: 9 months Potassium iodide , Iodine Vitrum 100 mcg , Iodine Vitrum 200 mcg , Iodantine 200 mcg , Iodine balance 200 mcg , Microiodide 200 , Potassium iodide Renewal 200 mcg .
Iodine balance or Iodomarin - which is better?
Iodbalance and Iodomarin are generic drugs. Having analyzed why they are prescribed, how to take both drugs, the range of contraindications, as well as possible drug interactions, we can conclude that the only difference between the drugs is a slight difference in price ( Iodine balance is slightly cheaper than its analogue).
Composition per 1 tablet:
Active substance:
potassium iodide - 0.131 mg (corresponding to 0.1 mg of iodine);
Excipients:
lactose monohydrate, magnesium hydroxycarbonate, gelatin, sodium carboxymethyl starch, colloidal silicon dioxide, magnesium stearate.
Description: round flat-cylindrical tablets of white or almost white color, with a chamfer and a score on one side.
Pharmacotherapeutic group: thyroxine synthesis regulator - iodine drug ATC code: H03SA
Iodomarin during pregnancy and breastfeeding
Pregnant women and lactation have an increased need for iodine .
In the 1st trimester, when the formation and formation of the child’s main organs and systems occurs, insufficient supply of this microelement can cause changes in the mother’s hormonal levels and, consequently, disturbances in the formation of the fetus (primarily the child’s brain ).
In children who did not receive enough iodine during prenatal development, pathologies of the development of the nervous system , problems with the thyroid gland (up to the appearance of neoplasms), mental defects and mental retardation .
In the early stages of pregnancy, the fetus does not have thyroid gland hormones . Therefore, in order to avoid problems after conception, doctors recommend starting to take iodine supplements when planning a pregnancy (optimally within six months, so that the body is well prepared for bearing a child).
Also, iodine can trigger the launch of a protective mechanism: perceiving pregnancy as an additional burden, the mother’s body will do its best to get rid of it. In particularly severe cases, miscarriage often occurs.
When using Iodomarin for pregnant and lactating women, it should be remembered that potassium iodide has the ability to penetrate the placenta and into breast milk. Therefore, the drug should be taken strictly in recommended doses.
The dosage during pregnancy is usually the following - 200 mcg/day: Iodomarin 200 during pregnancy is prescribed to take 1 tablet per day, Iodomarin 100 - 2 tablets per day.
Pharmacokinetics
Suction
When taken orally, potassium iodide is almost completely absorbed in the small intestine.
Distribution
The average volume of distribution for healthy individuals is approximately 23 L (38% of body weight). The normal plasma iodine concentration ranges from 0.1 to 0.5 μg/dL. Accumulates in the thyroid gland, salivary glands, mammary glands and stomach tissues. The concentration in saliva, gastric juice and breast milk is approximately 30 times higher than in blood plasma.
Removal
Excreted by the kidneys, the concentration of iodine in urine relative to creatinine (mcg/g) is an indicator of its intake into the body.
Reviews about Yodomarin
Reviews for Iodomarin 100, like reviews for Iodomarin 200, are mostly positive. Using the drug for medicinal purposes can reduce the symptoms of the disease; when taking the tablets for preventive purposes, many people note a decrease in irritability, an improvement in general well-being and memory, and an increase in concentration.
There are no less good reviews for Iodomarin during pregnancy. In women, the use of this remedy helps prevent the development of iodine deficiency conditions and associated diseases, normalize the metabolism of proteins , lipids and carbohydrates , and ensure normal activity of the brain and cardiovascular system .
iodine intake is the key to normal physical and mental development.
In some reviews, people write that taking Iodomarin helped them bring their weight to normal levels. So, can the drug be used for weight loss? Endocrinologists answer that it is possible, but only according to the doctor’s indications.
In a number of situations, excess weight is a consequence of decreased thyroid function , and then it is impossible to lose it either with the help of diets or with the help of physical activity.
The manufacturer does not recommend taking Iodomarin for hypothyroidism , excluding, however, those cases where the disease is associated with obvious iodine .
It should be remembered that is responsible of the secretion of thyroid hormones , but the hypothalamic hormones, which, in turn, are controlled by the cerebral cortex, are responsible for regulating the influence of the pituitary gland on the thyroid gland .
Thyroid hormones also influence the pituitary gland , hypothalamus , a number of endocrine glands , the course of metabolic processes, and the condition of internal organs and their systems.
Thus, uncontrolled use of Iodomarin for the purpose of losing weight can provoke serious disturbances in the usual rhythm of thyroid activity and, as a consequence, the entire endocrine system of the body with all the ensuing consequences.
To gently stimulate thyroid function and activate metabolic processes, it is recommended to first review your diet, supplementing it with foods high in iodine (seafood, onions, garlic, eggplants, beets, radishes, persimmons, grapefruits, etc.), or at least replacing regular iodized salt.
Iodomarin is used as a dietary supplement. You can take it for weight loss only after consulting a doctor and not exceeding the recommended dose.
Note!
Description of the drug Iodomarin table. 100mcg No. 100 on this page is a simplified author’s version of the apteka911 website, created on the basis of the instructions for use.
Before purchasing or using the drug, you should consult your doctor and read the manufacturer's original instructions (attached to each package of the drug). Information about the drug is provided for informational purposes only and should not be used as a guide to self-medication. Only a doctor can decide to prescribe the drug, as well as determine the dose and methods of its use.
Iodomarin price, where to buy
The price of Iodomarin 100 in Russian pharmacies is about 145 rubles for package No. 100, the price of Iodomarin 200 is about 215 rubles for package No. 100 and about 135 rubles for package No. 50.
How much does Yodomarin cost in Ukraine?
You can buy Iodomarin 100 No. 100 for an average of 70-77 UAH, the cost of Iodomarin 200 is from 58 UAH (for package No. 50)
- Online pharmacies in RussiaRussia
- Online pharmacies in UkraineUkraine
- Online pharmacies in KazakhstanKazakhstan
ZdravCity
- Iodomarin 100 tablets 0.1 mg 100 pcs. Menarini-Von Heyden/Berlin Chemie
134 rub. order - Iodomarin for the expectant mother tablets 140 mg 30 pcsToll Manufacturind Services SL
RUR 366 order
- Iodomarin 200 tablets 0.2 mg 50 pcs. Berlin-Chemie AG/Menarini von Heyden GmbH
RUB 131 order
Pharmacy Dialogue
- Iodomarin (tab. 100 µg No. 100) Berlin-Chemie AG/Menarini
127 RUR order
- Iodomarin (tab. 200 µg No. 50) Berlin-Chemie AG/Menarini
RUB 143 order
- Iodomarin (tab. 200 µg No. 100) Berlin-Chemie AG/Menarini
RUB 204 order
- Iodomarin for the expectant mother tablets 140 mg No. 30Toll Manufacturing
403 rub. order
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Pharmacy24
- Iodomarin 100 mg No. 100 tablets Menarine von Heyden GmbH/ Berlin Chemi AG (Menarine Group), Nimechchina/Nimechchina
107 UAH.order - Iodomarin 200 mg No. 50 tablets Menarini von Heyden GmbH/ Berlin Chemi AG (Menarini Group), Nimecchina/Nimecchina
107 UAH order
PaniPharmacy
- Iodomarin tablets Iodomarin tablets 100 µg No. 100 Germany, Berlin-Chemie
108 UAH order
- Iodomarin tablets Iodomarin tablets 200 µg No. 50 Germany, Berlin-Chemie
111 UAH order
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