Povidone-iodine is also efficient against fungi and viruses (including HIV and "Herpes simplex"). It is used in pleurodesis (fusion of the pleura because of incessant pleural effusions). For this purpose, povidone-iodine is equally effective and safe as talc, and may be preferred because of easy availability and low cost. There is tentative evidence that chlorhexidine and denatured alcohol used to clean skin prior to surgery is better than povidone-iodine with alcohol; however, the evidence is not strong enough as of 2015 to determine routine practice. PVP-I is contraindicated in patients with hyperthyroidism (overactive thyroid gland) and other diseases of the thyroid,
Tincture of iodine Lugol's iodine, by contrast, has no alcohol, and has twice the mass of potassium iodide as of elemental iodine. Alcohol content in the tincture of iodine can be determined by the methods of Alcock, Roscoe - Schorlemmer and Thurston - Thurston. As both USP solutions contain elemental iodine, which is moderately toxic when ingested in amounts larger than those required to disinfect water, tincture of iodine is sold labelled “for external use only,” and used primarily as a disinfectant. Tincture of iodine is often found in emergency survival kits, used both to disinfect wounds and to sanitize surface water for