Treatment FAQ

how long before radioiodine treatment works in cats

by Percy Bechtelar Published 2 years ago Updated 1 year ago

Most cats respond to treatment within weeks, although some take up to 6 months to gain the full benefit. However, that may not be the case in a very small number of cats. Under 1% of cats treated with radio-iodine will still be hyperthyroid 6 months later.

Full Answer

How long do cats stay in the hospital after iodine 131?

The dose of I-131 used to treat hyperthyroid cats is very small and people and other animals are at very low risk from the radiation. Treated cats are hospitalized until they reach an acceptable low level of radioactivity. However, they will be radioactive to some degree for 82 days following treatment.

What is radioiodine used to treat in cats?

Radioactive iodine (radioiodine or I-131) is used in the treatment of hyperthyroidism which is the most common endocrine (hormonal) disorder to affect cats. It is estimated that 10% of cats over ten of cats over the age of ten will develop the disease.

How deep does radioactive iodine go in a cat?

I-131 is a radioactive form of iodine, which the diseased thyroid takes up. Penetration is only 1-2 mm deep, which spares the underlying healthy thyroid cells. Your veterinarian will refer your cat to a specialist veterinary centre for treatment. Are all cats good candidates for radioactive iodine treatment?

Can radioiodine cause diarrhea in cats with hyperthyroidism?

Cats may also continue to show signs of hyperthyroidism, including vomiting and diarrhea, for 3-4 weeks after the radioiodine therapy as the disease continues to resolve. The risk to these cats is the simple fact that many cats in the age range when cats develop hyperthyroidism (8+ years) also develop other diseases.

How quickly does radioactive iodine work on cats?

How long does it take to work? Radio-iodine kills thyroid tumours over time; most cats go back to normal thyroid hormone levels within a couple of weeks, but it can take up to 6 months.

What happens after radioactive iodine treatment for cats?

Your cat will not experience nausea, hair loss, lethargy, or decreased appetite due to his procedure. However, following treatment, some cats may experience a short period of readjustment as the thyroid levels return to normal. This may include slight fluctuations in appetite and energy levels.

How long does it take for thyroid meds to work in cats?

The cat's natural thyroid hormone levels will be reduced in one to three weeks. After your cat is stabilized on methimazole, blood tests for thyroid hormone levels usually are performed every three to six months.

What is the success rate of radioactive iodine treatment?

Conclusion: Radioactive iodine treatment is an effective modality for definitive treatment of hyperthyroidism with long-term cure approaching 80%. Response rate was not related to gender, etiology or RAI dosage. Pre-treatment with anti-thyroid medication reduces the response rate.

Can hyperthyroidism come back after radioactive iodine in cats?

Most hyperthyroid cats respond fully to a single injection with radio-iodine. Their hyperthyroidism won't come back, and they don't need ongoing medication. Most cats respond to treatment within weeks, although some take up to 6 months to gain the full benefit.

Can I be around my cat after radioactive iodine?

Your cat may be slightly woozy when you pick them up. For the first two weeks after I-131: Keep your cat indoors or supervised when outside to prevent contact with other people. Limit close contact (closer than 1 foot) to one hour per day.

How long does it take for thyroid levels to stabilize?

If your healthcare provider treats your condition with antithyroid medications (methimazole or propylthiouracil) your hormone levels should drop to a healthy level in about six to 12 weeks.

What are the final stages of hyperthyroidism in cats?

Over time, this progresses to increased blood pressure, severe weight loss, heart disease, blindness, and kidney damage. The slow onset of signs means that cat owners will often miss these changes until the late stages of disease.

Can I be around my pets after radioactive iodine treatment?

It is safe to be around your cats after you are treated with radioiodine therapy because even if they are in your lap, the exposure is low. People do sweat out the radioiodine, but if you wash your hands regularly, that is very effective in washing away the small amount of contamination on your hands.

How expensive is radioactive iodine treatment for cats?

$1650-1750The cost for radio iodine therapy is generally a total fee of $1650-1750 , depending on the I131 dosage required for your cat's treatment. This includes the radio iodine itself, the cost of hospitalization, food, litter, and monitoring. This is comparable to the cost of surgical removal.

What are the long term side effects of radioactive iodine?

Possible long term side effects include:Ability to have children (fertility) Some women may have irregular periods after radioactive iodine treatment. ... Inflammation of the salivary glands (where spit is made) ... Tiredness. ... Dry or watery eyes. ... Lower levels of blood cells. ... Lung problems. ... Second cancers.

How long does radioactive iodine last?

Most of the radioiodine not collected by your thyroid gland will be eliminated during the first two days after your treatment. It leaves the body primarily through your urine, but very small amounts may leave in your saliva, sweat and during a bowel movement.

What is radio iodine for cats?

What is radio-iodine? Radio-iodine is the gold-standard treatment for feline hyperthyroidism, almost always curing the condition – and at no risk to your cat. Radio-iodine is the radioactive isotope Iodine-131. It destroys thyroid tumours, thereby curing hyperthyroidism.

Can thyroid cancer be treated with radioiodine?

Since any thyroid tumour acts as a ‘magnet’ for radio-iodine, the treatment will also tackle any tumours in the chest (which are notoriously more difficult to identify and treat) as well as the more common tumours in the throat.

Does radio iodine kill thyroid cancer?

Radio-iodine is absorbed very quickly into the bloodstream and then gets taken up by thyroid tumour tissue – and no other kind of tissue, including healthy thyroid tissue. It becomes concentrated in the tumour, and the beta-radiation it emits kills the tumour.

How long does it take for a cat to be fed after a radio iodine treatment?

After the consultation, the treating veterinarian will perform a physical examination and your cat will then be given their radio iodine dose and admitted to the hospital for monitoring for four days.

How is radio iodine given to cats?

The radio iodine is given as a single dose on the day your cat is admitted to our treatment facilities for care. The radio iodine dose is compounded into an oral pill and administered by a nuclear-trained licensed veterinary technician.

What to do before radio iodine treatment?

Before pursuing radio iodine treatment, your veterinarian will perform a full physical examination and run blood work. It is also required that your cat has a urinalysis performed as well as two radiograph views of the chest.

What is radioactive iodine?

Radio iodine is a form of iodine that has been made radioactive. In its radioactive state, it undergoes a natural process (decay) in which it gives off radiation.

How long does it take for hyperthyroidism to go away in cats?

If hyperthyroidism persists for longer than three to six months after treatment, re-treatment with radio iodine is generally recommended to cure the disorder. Virtually all cats that remain hyperthyroid after the first treatment are cured after the second treatment.

How long does radio iodine last?

The radiation given off consists of three types: alpha, beta, and gamma. The half-life of I-131 is eight days. In other words, one half of the radio iodine goes through this process every eight days. When taken into the body, a large percentage of radio iodine accumulates in the thyroid gland.

Where is I-131 excreted?

The remainder of the I-131 is excreted in the urine and feces. Once the radio iodine is taken up by the thyroid gland (or thyroid tumor in a hyperthyroid cat), the gamma rays and beta particles are releases. The beta particles are particularly lethal to the thyroid tumor cells.

How does radioiodine work?

How Radiodine Treatment Works. Our treatment objectives are to eliminate all hyperactive thyroid tissue and to avoid lifelong methimazole. Radioiodine-131 selectively destroys hyperactive thyroid tissue and little of the normal tissue surrounding it . Once the abnormal tissue is destroyed, suppression of thyroid hormone production ...

How often should I have a thyroid test for cats?

A thyroid test should be included in any senior blood screens from this point on, generally every 6-12 months. References. After successful cure of hyperthyroidism with I-131, most cats do not relapse, i.e., grow a new thyroid tumor in the future.

How long does it take for thyroid to be normal?

Within 1 week to 3 months. At 1 and 3 months after the treatment, an exam and a blood test for thyroid and kidney function should be done by your veterinarian. The 1 month level thyroid may be slightly high, low or normal.

Does thyroid tissue absorb radioiodine?

Suppressed tissue does not absorb much, if any, iodine or radioiodine, and is thereby spared. More often than not, the residual thyroid cells reactivate and regenerate after the thyroid hormone drops to normal or below after I-131.

Do cats feel sick after I-131?

Other types of cells in the body absorb little to no iodine or radioiodine, which is why cats do not feel sick after they receive their treatment. The vast majority ( 94-97% ) of cats will be cured after one injection of I-131.

Does FHTC give cats thyroid medication?

At FHTC, each cat receives the lowest dose of I-131 that should cure its own level of thyroid disease. This helps assure that as little normal tissue as possible is affected, and that most will not need thyroid hormone supplementation (cats are not easy to give oral medications to.)

What are the complications of radioiodine therapy?

These complications include cerebrovascular events (i.e., strokes) and the premature exacerbation of pre-existing kidney disease. Luckily these risks will diminish in time following successful radioiodine therapy and a return to a persistently normal thyroid level.

How long does it take for a cat to show signs of hyperthyroidism?

Cats may also continue to show signs of hyperthyroidism, including vomiting and diarrhea, for 3-4 weeks after the radioiodine therapy as the disease continues to resolve. The risk to these cats is the simple fact that many cats in the age range when cats develop hyperthyroidism (8+ years) also develop other diseases.

What is the risk of radioiodine?

1.) Risk to the patient: The radioiodine (I -131) used to treat thyroid disease in people and animals emits both gamma rays and beta particles. The beta particles, which are much more potent forms of radiation, travel an average distance of less than 1 mm. Because of the short distances they travel they never exit the patient ...

Why do cats never exit the patient?

Because of the short distances they travel they never exit the patient and as a result no one other than the patient is at risk from exposure to the beta particles unless they internalized the radioiodine excreted by the patient. In cats > 95% of the radioiodine is excreted in the urine.

Can you put radioactive iodine in your cat's urine?

The good news is that virtually every client will already take steps to avoid this, even when radioactive iodine in their cat's urine is not the motivation.

What happens when X-rays pass through the body?

When x-rays, or any ionizing radiation, pass through the body they cause electrons to be ejected from atoms, leaving behind positive ions. These positive ions, or free radicals, can cause damage to DNA. DNA can also be damaged directly by radiation. If DNA is damaged, there are three possible outcomes:

Does iodine help cats with thyroid disease?

When it comes to survival, the studies that have been done show that cats cured of their thyroid disease by radioactive iodine live much longer (up to twice as long) when compared to hyperthy roid cats treated by methimazole. So in this case the targeted radiation exposure is actually increasing survival for these patients.

How long does radioactive iodine last?

Radioactive iodine has a half life of about eight days. This means, after eight days, half of it will have decayed into other elements. After 16 days only one quarter remains, etc., etc. What the doctor is trying to do is to let the radioiodine decay to a safe level.

Why do animals get healthier from radiation?

So instead of forming cancers and mutations the animals get healthier because of there immune systems eliminating damaged cells.

What happens if a cat doesn't take up thyroid?

What is not taken up by the thyroid will be present in the cat's bodily fluids and will primarily be voided in the cat's urine (in those first four days at the vet hospital). What is taken up by the thyroid will be released slowly over the next days/weeks to the other bodily fluids which is why they have the precautions that you describe.

Why is my cat being separated for 4 days?

One of the reasons the cat was held for four days was to allow for much of the radioactive 131 I to be excreted in urine so that the amount of external radiation exposure is significantly reduced.

How to control radiation exposure?

The three ways that we control exposures to external sources of radiation are time, distance, and shielding. Reduce the time near a source, increase the distance from the source, or use some sort of radiation absorbing shielding between you and the source of radiation and you will reduce your radiation dose .

Does a cat have radioactive iodine?

Now let's deal with the issue of radioactive iodine released by the cat, which I believe is actually the bigger concern. All bodily fluids in the cat will have trace amounts of radioactive material within them, but it will be most prevalent within the urine.

Does iodine make cats drool?

I have a cat also and I know when she is happy and purring while sitting on my lap getting strokes, she drools. In a cat treated with radioactive iodine, the drool will contain radioactive materials. Cats also sweat through their paws and the sweat will have trace amounts of radioactive iodine.

Is cat litter radioactive?

Further, the litter will be radioactive as most of the radioactive iodine will be excreted via this route. I am certain that your veterinarian probably told you to take care when handling the litter and to wash your hands thoroughly after handling litter, the cat, and items that the cat came into contact with.

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