Today, January 27, 2023, the World Health Organization updated its policy on what medications needed to be stockpiled in case of radiological and nuclear emergencies.
The WHO advice is directed to nations, but it is also good to be self-reliant and not wait for the government’s handouts which will surely be rationed and arrive too late.
Many recommended products do not need a prescription so you can stock up too.
It’s quite a coincidence that I published 12 Antioxidants for Protection Against Ionizing Radiation three days ago.
Several news outlets reported this, like The Hill, Fortune, and The Daily Mail, but no one bothered to provide any valuable information to the readers by mentioning the medicines. Only fear-mongering, click-baiting, and propaganda.
Getting the OTC products early is preferable because these products will be gone once things get hot.
Repurposing drugs. What a fresh idea! Interestingly, the WHO said,
This report includes a brief review of selected emerging technologies and drug formulations, including potential repurposing of products previously approved for other indications.
How come the WHO did not recommend repurposing drugs during the COVID-19 pandemic? It could have saved hundreds of thousands of lives if they had allowed ivermectin and hydroxychloroquine. But I digress.
Let’s go to the list.
The full PDF of the National stockpiles for radiological and nuclear emergencies: policy advice is available at this LINK. The stockpile formulary starts on page 29 on the PDF file.
The document is instructive and contains more details and references that will be too long to duplicate here. All the information here is from the WHO policy advice. I included some of their citations.
The products colored orange will direct you to Amazon, and if you purchase them, this website earns a few cents.
Potassium iodide (KI)
KI blocks radioactive iodine and prevents thyroid cancer. It is taken by mouth at 130 mg KI (100 mg iodide) for people > 12 years (see Table 4 for pediatric dosage).
Specific dosing and duration of therapy: The recommended dose of KI depends on age (see Table 4). A single administration of KI is usually sufficient.
However, repeated administration of stable iodine may be necessary after prolonged (> 24 h) or repeated exposure, unavoidable ingestion of contaminated food and drinking water, and when evacuation is not feasible.
Recommended dosing of KI by age group
Amazon sells Potassium Iodide 130 mg. When the war in Ukraine started, the price of KI became ridiculously high, and it even became unavailable. Don’t wait.
Decorporating Agents
After a nuclear detonation, radioactive dust will fall to the ground. It takes about two weeks for most of the dust to come down.
Radioactive material can deposit on foods like vegetables and animal feed within that time. Over time, radionuclides may be transferred through the soil into crops or animals and build up within food.
Radionuclides can also be washed into rivers, lakes, and the sea, where fish and seafood could take them up. Eventually, the radioactive materials can enter the food chain.
Accidental inhalation or ingestion of specific radionuclides will lead to internal contamination, where various radionuclides will target multiple tissues and organs. Some of them may enter the bloodstream, be deposited in target organs, and cause systemic or local radiation effects.
In such cases, decorporation therapy reduces absorption from the gastrointestinal tract or uses isotopic dilution, diuretics, adsorbents, and chelating agents to remove the radionuclides from the body.
Prussian Blue
Prussian blue binds with ingested nuclear particles (cesium-137 or thallium. It is taken by mouth and available in 500 mg capsules or tablets. Dosing is usually 3 x 1 g/day for 30–90 days. It needs a prescription. Radiogardase® is the brand and is FDA approved.
There is Prussian Blue 25 gm and 100 gm available on Amazon. It is laboratory grade, but the seller warns that it is not for human or animal consumption.
CDC says the common side effects are stomach upset and constipation. You may have blue stools when you take Prussian blue.
The FDA has a Question and Answers page about Prussian Blue at this LINK.
Chelating agents
Aluminum-containing antacids and alginates
Dosing: 100 mL aluminum phosphate gel or 10 g sodium alginate.
Effect: Aluminium-containing antacids have been shown to increase the Strontium excretion rate if applied shortly before or within two h of oral uptake of radionuclides of Strontium in humans[1]
Aluminum hydroxide antacids and Sodium Alginate do not need a prescription.
Aluminum hydroxide can cause constipation.
Calcium trisodium (Ca-DTPA) and Pentetate zinc trisodium (Zn-DTPA)
The US FDA has determined that calcium trisodium (Ca-DTPA) and pentetate zinc trisodium (Zn-DTPA) are safe and effective. Both require a prescription.
Sodium Bicarbonate
Sodium Bicarbonate is given intravenously or orally. Don’t try intravenous bicarbonate at home. It burns the skin if the needle is out of the vein.
For oral administration, sodium bicarbonate is commonly provided as antacid tablets in doses ranging from 500 to 650 mg. Two tablets every four hours is considered safe.
Urinary pH is monitored hourly during treatment to maintain a range of 8–9 (51). The daily dose is adjusted to this therapeutic goal, and therapy is continued for three days. A blood pH that is too alkaline is not good for the heart and can cause deadly arrhythmias.
URS-14 Parameter Urine test strips
Acute Radiation Syndrome
Radiation injury to human cells, including blood cells, is from free radicals and oxidation. There are over-the-counter antioxidants that have been studied to prevent radiation injuries.
12 Antioxidants for Protection Against Ionizing Radiation
Agents for the management of hematopoietic (blood cell) injury
The medicines recommended here are only given in hospitals or by a cancer specialist. I include them for completeness’ sake.
- Granulocyte colony-stimulating factor (G-CSF) – Filgrastim
- Pegylated granulocyte colony-stimulating factor – Pegfilgrastim
- Granulocyte-macrophage colony-stimulating factor – Sargramostim
- Romiplostim
Agents for the management of gastrointestinal injuries
Context and indications: Ionizing radiation at doses ≥ 5 Gy induces the breakdown of the gastrointestinal lining and alters the structural integrity of the gastrointestinal tract.
This leads to intestinal enteric bacteria entering the circulation, vomiting, severe secretory diarrhea, dehydration, and electrolyte imbalance. All of which contribute to a high mortality rate.
Ondansetron
Commonly known by its brand name Zofran, it is an anti-nausea. It is given intravenously and by mouth, but it should go under the tongue. A prescription is required.
Over-the-counter anti-nausea products include Bismuth subsalicylate sold under the brand names Kaopectate and Pept-Bismol. They also help with diarrhea and upset stomachs and are antidiarrheals.
I prefer tablet forms because they are more portable. Bismuth has several other uses.
- Pepto-Bismol for COVID-19
- Colloidal bismuth and NAC inhibit SARS-CoV-2 replication
- 6 Potential Uses of the Bismuth + NAC combination
Some OTC antihistamines like dimenhydrinate and meclizine hydrochloride can also prevent nausea and vomiting.
Ginger is an effective anti-emetic. You can chew the root or buy ginger soft chews.
Loperamide
Loperamide is an anti-diarrheal commonly known as Imodium. Generics are also available.
Dosing: In adults, the initial oral dose is 4 mg, followed by 2 mg after each loose stool, with a maximum dose of 16 mg/day (manufacturer’s labeling).
The maintenance oral dose, the lowest required to control symptoms, is usually 4–8 mg/day as a single dose or in divided doses (e.g., 2 mg before meals).
If no clinical improvement is observed after ≥ 10 days of the maximally tolerated dosage, symptoms are unlikely to be controlled by giving more.
Children
For children aged 2–5 years weighing 13–20.9 kg, the initial dose is 1 mg after the first loose stool, followed by 1 mg/dose after each subsequent loose stool for a maximum daily dose of 3 mg/day.
For children aged 6–8 years weighing 21–27 kg, the initial dose is 2 mg after the first loose stool, followed by 1 mg/dose after each subsequent loose stool for a maximum daily dose of 4 mg/day.
For children aged 9–11 years and weighing 27.1–43 kg, the initial dose is 2 mg after the first loose stool, followed by 1 mg/dose after each subsequent loose stool
for a maximum daily dose of 6 mg/day.
For adolescents aged ≥ 12 years, the initial oral dose is 4 mg after the first loose stool, followed by 2 mg/dose after each subsequent loose stool for a maximum daily dose of 8 mg/day (72).
As with all medications, patients should be monitored routinely to determine the continued administration of loperamide. Use the lowest dose and shorted duration possible for children.
Antibiotics are recommended for infections arising from radiation injuries.
But it is beyond the scope of this article. A physician should individually treat any infections.
Once nuclear exchange starts, everyone will be irradiated whether you’re pro-Ukraine or pro-Russian.
Constipation
Medications included here, like Prussian blue, loperamide, and aluminum hydroxide can cause constipation.
Three things needed to prevent constipation are fiber in the food, adequate hydration, and physical activity. In case constipation happens the following are OTC.
- Bisacodyl
- Docusate
- Miralax
- Colace
- Dulcolax
- Milk of Magnesia
- Magnesium Oxide
- Cirucel
- Fibercon
- Psyllium
- Fleet’s enema
- Glycerin suppositories
- Mineral oil
Take Away Message
My article discusses why this will happen – Scott Ritter: Thermonuclear War in 2023. Pray that it does not occur but prepare as it will.
Don’t Get Radiation Sickness!
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References:
- NCRP Report No. 065 – Management of persons accidentally contaminated with radionuclides (1980). Bethesda (MD): National Council on Radiation Protection; 1980 (https://ncrponline. org/shop/reports/report no 065 management of persons accidentally contaminated with radionuclides1980/).
- Ohmachi Y, Imamura T, Ikeda M, Shishikura E, Kim E, Kurihara O, et al. Sodium bicarbonate protects uranium-induced acute nephrotoxicity through uranium-decorporation by urinary alkalinization in rats. J Toxicol Pathol. 2015;28(2):65–71 (doi:
10.1293/tox.2014-0041).
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