Amiodarone and Iodine, a caution.
Amiodarone contains a large iodine load and is strongly associated with thyroid dysfunction. Extra iodine from supplements can further increase iodine exposure and may precipitate hypothyroidism or thyrotoxicosis, especially in people with nodular thyroid disease or autoimmune thyroid disease. Thyroid shifts can destabilize heart rhythm and worsen heart failure symptoms.
One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
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At a glance
- Substances
- Amiodarone and Iodine
- Pair type
- Caution
- Evidence (highest tier)
- Moderate
- Source citations
- 2 sources
- Stack Score effect
- −5 to your Stack Score (per scored caution row).
- Scope
- Supplement × Prescription
- Last verified
- May 30, 2026
Caution · Moderate evidence
Caution
What is happening. Amiodarone contains a large iodine load and is strongly associated with thyroid dysfunction. Extra iodine from supplements can further increase iodine exposure and may precipitate hypothyroidism or thyrotoxicosis, especially in people with nodular thyroid disease or autoimmune thyroid disease. Thyroid shifts can destabilize heart rhythm and worsen heart failure symptoms.
Mechanism. Excess iodine can trigger Wolff-Chaikoff hypothyroidism or Jod-Basedow thyrotoxicosis in susceptible thyroid tissue. Amiodarone adds iodine exposure and also inhibits thyroid hormone deiodination and can cause direct thyroid cytotoxicity.
Recommendation. Avoid iodine supplements while taking amiodarone unless your prescriber specifically treats a documented deficiency. Follow the thyroid lab schedule your clinician recommends, and report new palpitations, heat or cold intolerance, weight change, tremor, or unusual fatigue.
Stack Score
How this pair moves the number.
Effect on the composite score
If both Amiodarone and Iodine are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).
The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.
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