Iodine in biology
The U.S. Institute of Medicine (IOM) updated Estimated Average Requirements (EARs) and Recommended Dietary Allowances (RDAs) for iodine in 2000. For people age 14 and up, the iodine RDA is 150 μg/day; the RDA for pregnant women is 220 μg/day and the RDA during lactation is 290 μg/day. For children 1–8 years, the RDA is 90 μg/day; for children 8–13 years, 130 μg/day. As a safety consideration, the IOM sets tolerable upper intake levels (ULs) for vitamins and minerals when evidence is sufficient. The UL for iodine for adults is 1,100 μg/day. This UL was assessed by analyzing the effect of supplementation on thyroid-stimulating hormone. Collectively, the EARs, RDAs, AIs and ULs are referred to as Dietary Reference Intakes (DRIs).
Iodine (medical use)
Iodine is used to treat and prevent iodine deficiency and as an antiseptic. For iodine deficiency it can be given by mouth or injection into a muscle. As an antiseptic it may be used on wounds that are wet or to disinfect the skin before surgery.
Common side effects when applied to the skin include irritation and discoloration. When taken by mouth or injection side effects may include allergic reactions, goitre, and thyroid dysfunction. Use during pregnancy is recommended in regions where deficiency is common, otherwise it is not recommended. Iodine is an essential trace element.
In 1811, Bernard Courtois isolated iodine from seaweed while in 1820 Jean-Francois Coindet linked iodine intake to goiter size. It initially came into use as a disinfectant and for goiter. It is on the World Health Organization's List of Essential Medicines, the most effective and safe medicines needed in a health system. Table salt with iodine, known as iodized salt, is available in more than 110 countries. In areas with low dietary iodine one dose of iodine a year at 0.32 USD per dose may be recommended.