Interaction databaseSupplement × PrescriptionReviewed May 2026

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.

Sources (2)
  1. Jabrocka-Hybel A, Bednarczuk T, Bartalena L, et al. Amiodarone and the thyroid. Endokrynol Pol. 2015;66(2):176-186. PMID 25931048
  2. Leung AM, Braverman LE. Iodine-induced thyroid dysfunction. Curr Opin Endocrinol Diabetes Obes. 2012;19(5):414-419. PMID 22820214

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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