Treatment FAQ

how to prepare an out patient treatment for radioactive iodine treatment

by Jamaal Moen DVM Published 2 years ago Updated 2 years ago

  • Discuss your treatment plan. Your doctor will discuss your treatment plan with you. On the first day, you’ll have blood tests. ...
  • Follow a low-iodine diet. You’ll need to follow a low-iodine diet for at least 1 week before you start treatment. ...
  • Pregnancy and radioactive iodine therapy. Don’t get pregnant or get your partner pregnant for at least 6 months after getting radioactive iodine therapy, or as long as your doctor tells ...
  • Breastfeeding and radioactive iodine therapy. Radioactive iodine can collect in breast tissue with milk in it. ...
  • Contact your insurance company. Once your doctor has gone over your treatment plan, call your insurance company to find out if you need preauthorization (a decision that’s made by your ...
  • Plan for transportation after treatment. Radioactive iodine gives off radiation. This means that after your treatment, you won’t be able to go home using public transportation such as buses, the ...

You might need to have a low iodine diet for a few weeks before you have your treatment. This prepares the thyroid cells so that they can absorb the radioactive iodine. All food and drink contains some iodine. A low iodine diet means that you should avoid foods that have a high level of iodine in them.

Full Answer

How do you clean after radioactive iodine treatment?

  • Avoiding physical contact with other members of the household, including sleeping alone
  • Flushing your toilet twice after every use
  • Washing your hands frequently with decontamination soap
  • Avoiding cooking for others
  • Using plastic gloves to cook
  • Keeping all clothing and linens separate from the rest of the household

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What are the risks of radioactive iodine treatment?

  • Stay at least six feet away from other people, including members of the public, family members, and co-workers, for three to 11 days. ...
  • Sleep apart from adults by at least six feet (a separate bedroom is recommended) and avoid sexual activity.
  • Avoid sleeping in the same bed with a pregnant woman, infant, or child for a period of six to 23 days. ...

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What are the long term side effects of radioactive iodine?

Long term side effects of radioactive iodine treatment vary depending on:

  • your age
  • other medical conditions
  • your dose of radioactive iodine

What are the side effects of radioactive iodine therapy?

Temporary side effects of RAI may include:

  • Neck tenderness and swelling.
  • Nausea.
  • Swollen salivary glands.
  • Loss of taste or taste change.
  • Dry mouth/insufficient salivary production.
  • Dry eyes.
  • Excessive tearing from the eyes.

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What must be completed prior to radioactive iodine therapy for Graves disease?

If you have been taking anti-thyroid medications, you must stop at least three days before the therapy is given. Frequently, your doctor will recommend stopping anti-thyroid medication for five to seven days before therapy. You will be able to return home following radioactive iodine treatment.

What are the precautions for radioactive iodine?

What precautions should be taken with radioactive iodine therapy?Avoid prolonged, close physical contact with others, especially children and pregnant women.For the first few days stay a distance of at least 6 feet away from others. ... Sleep alone in a separate bed (at least 6 feet away from another adult).More items...•

What should I avoid before radioactive iodine treatment?

What Foods Should I Avoid Before Radioactive Iodine Treatment?Iodized salt.Dairy products like cheese, cream, yogurt, butter, and ice cream.Egg yolks, whole eggs, and foods containing whole eggs.Seafood like fish, shellfish, seaweed, and kelp.Foods that contain additives like carrageenan , agar-agar, and alginates.More items...•

Can I drink water before radioactive iodine treatment?

For 2 hours before and after your dose, do not eat any solid foods or drink anything but water. You may have breakfast before you come to the hospital, if it is more than 2 hours before your I131 dose. Water is OK to drink. We encourage you to drink plenty of water to help flush the radiation from your body.

How do I prepare for a thyroid uptake scan?

Do not eat or drink for four hours before or two hours after your thyroid test.Do not eat or drink for four hours before or two hours after your thyroid test. You may drink water.If you have any other test today where you are told not to eat or drink for a longer amount of time, please follow those instructions.

How long do you have to stay isolated after radioactive iodine?

You are also required to self isolate for 7 days after your radioiodine treatment in order to minimise the risk of contracting COVID-19 whilst there is still a large amount of radioactivity in your body. A small proportion of people with COVID-19 may become very unwell and require admission to hospital.

How much water should I drink after radioactive iodine?

Drink one glass of water each hour and use the bathroom as soon as possible when you need to empty your bladder. Men should sit on the toilet while urinating to decrease splashing. Use a tissue to wipe up any urine on the toilet bowl and flush twice.

Can I eat before RAI treatment?

Try to cut down on dairy produce such as eggs, cheese, milk and milk products, as they all contain some iodine. On the day of treatment you should avoid consuming a large meal 4 hours before radioiodine treatment (a light breakfast or sandwich is allowed).

Can you be around someone who has had radioactive iodine?

Keep Your Distance Here are some ways to minimize radiation risks to other people (and pets) after you have had RAI treatment: Stay at least six feet away from other people, including members of the public, family members, and co-workers, for three to 11 days.

When can I eat regular food after radioactive iodine?

Follow a low-iodine diet 2 weeks before to 2 days after receiving your RAI Treatment. Therefore, you may go back to eating as usual 2 days after you ingest the RAI Treatment capsule(s).

How much water should I drink for radiation?

The Symptoms The goal is to drink at least ten 8-ounce glasses of fluid every day. That amount should increase if you have diarrhea, vomiting, or a fever. Don't count on thirst to tell you when you need to drink.

Do you lose your hair with radioactive iodine treatment?

Radioiodine does not cause hair loss.

What hormone is used to treat radioactive iodine?

For your treatment to work, one of the hormone levels in your body needs to be high. This hormone is called thyroid stimulating hormone or TSH. A high level of TSH helps any thyroid cancer cells in the body to take up radioactive iodine.

Why is radioactive iodine used for thyroid cancer?

It is a useful treatment in thyroid cancer because the thyroid gland absorbs and stores most of the iodine in your body. The thyroid gland gets iodine from certain foods and uses this to make essential thyroid hormones. Radioactive iodine is a targeted treatment. The radioactive iodine circulates throughout your body in your bloodstream.

How long does it take to stop taking thyroid hormone?

have an injection of a man-made TSH called recombinant human TSH (rhTSH) once a day for 2 days. stop taking your thyroid hormone tablets a few weeks before treatment (thyroid withdrawal) Your healthcare team will explain what you need to do and what is going to happen.

What foods contain iodine?

raw green vegetables such as spinach and broccoli. cakes and biscuits made with eggs or butter. milk chocolate and white chocolate. take away foods, fast foods and restaurant food as their ingredients aren't known and might contain iodine.

Does iodine kill cancer cells?

Thyroid cancer cells in your body pick up the iodine. The radiation in the iodine then kills the cancer cells.

Can you stop breastfeeding while on radioactive iodine?

You should not have this treatment during pregnancy. Talk to your doctor if you are breastfeeding. You will need to stop breastfeeding before you have treatment with radioactive io dine.

Does iodine kill thyroid cancer?

The radiation in the iodine then kills the cancer cells. It is only suitable for some types of thyroid cancer. It is a treatment for: It can treat the cancer even if it has spread. But even if you have one of these types of thyroid cancer, this treatment may not be necessary or suitable for you. Not all of the cancer cells take up ...

How long does it take for iodine to flush out of the body?

Most patients need only one dose before their hyperthyroidism is resolved, which may take a few weeks to several months.

What is the treatment for thyroid cancer?

The most common types of thyroid cancer (papillary and follicular) can usually be treated with large doses of radioactive iodine. (The dosages of RAI are much higher than with hyperthyroidism treatment.) The therapy is usually given after removal of the thyroid gland to destroy any remaining thyroid tissue. A “tracer” dose of radioactive iodine can ...

How does RAI work?

The thyroid is the most efficient organ at concentrating iodine. RAI treats hyperthyroidism by damaging or destroying thyroid cells through radiation. RAI is taken in an oral capsule form. You don’t need to be hospitalized unless the dose is very high, which is rarely needed.

How long after RAI can I breastfeed?

Pregnancy should be delayed at least six to 12 months after RAI treatment for thyroid cancer. Breast feeding should be stopped at least six weeks before RAI and should not be resumed. In the days immediately following your RAI therapy, be aware of these general precautions to prevent radioactive exposure to others.

What are the side effects of RAI?

Temporary side effects of RAI may include: 1 Neck tenderness and swelling. 2 Nausea. 3 Swollen salivary glands. 4 Loss of taste or taste change. 5 Dry mouth/insufficient salivary production. 6 Dry eyes. 7 Excessive tearing from the eyes.

Is radioactive thyroid medicine safe?

The term “radioactive” may sound frightening, but it is a safe, generally well-tolerated, and reliable treatment that targets thyroid cells so there is little exposure to the rest of your body’s cells . Cleveland Clinic is a non-profit academic medical center.

Can RAI cause hypothyroidism?

Permanent hypothy roidism (or underactive thyroid, when the thyroid does not produce enough hormones) is an expected side effect of RAI treatment for hyperthyroidism. Fortunately, hypothyroidism is much easier to treat than hyperthyroidism using hormone replacement therapy.

How to avoid radiation?

Here are some ways to minimize radiation risks to other people (and pets) after you have had RAI treatment: 1 Stay at least six feet away from other people, including members of the public, family members, and co-workers, for three to 11 days. This means avoiding public transportation, hotels, carpools, and in some cases, your workplace. 2 Sleep apart from adults by at least six feet (a separate bedroom is recommended) and avoid sexual activity. 3 Avoid sleeping in the same bed with a pregnant woman, infant, or child for a period of six to 23 days. According to the Nuclear Regulatory Commission, infants and children should ideally stay outside the home for the recommended period. 1  4 To protect family pets, do not sleep with them for up to 21 days.

How to minimize radiation risks?

Keep Your Distance. Here are some ways to minimize radiation risks to other people (and pets) after you have had RAI treatment: Stay at least six feet away from other people, including members of the public, family members, and co-workers, for three to 11 days. This means avoiding public transportation, hotels, carpools, and in some cases, ...

Does iodine affect thyroid?

Because the radioactive iodine used (known as iodine 131) may expose those around you to the effects of radiation (and theoretically negatively affect their thyroid glands), you will be given guidelines on how to prevent such exposure. Laura Porter / Verywell.

Can you hospitalize after a RAI?

It is not common in the United States to hospitalize patients after RAI, but if you are receiving a particularly high dosage of iodine 131 and have no way to protect children or babies, it may be an option. A Low-Iodine Diet Can Make Radioactive Iodine Treatment More Effective.

When is the next radioactive iodine treatment?

Ana Maria Kausel, MD. on July 20, 2020. If you are going to have radioactive iodine treatment for your thyroid disease, you will have to prepare in advance by following a low-iodine diet.

What is radioactive iodine?

Radioactive iodine is taken as a pill to permanently reduce your thyroid gland activity. There are a few different thyroid conditions that may be treated with radioactive iodine therapy, including several types of thyroid cancer as well as some kinds of benign (noncancerous) hyperthyroidism. 2.

Can you eat salt on a low iodine diet?

Many lament about the need to cut out salt, but know that it's fine to use non-iodized salt if you desire. Foods you can eat while on a low-iodine diet include: Non-iodized salt.

Is molasses a good source of iodine?

Blackstrap molasses ( unsulfured molasses is fine) Salt is the most common source of iodine, but low iodine has nothing to do with sodium, which is also found in salt. While you are on your low-iodine diet, sodium is fine, as long as it's from other sources.

Is radioactive iodine good for thyroid?

Radioactive iodine treatment can be a very effective method of addressing thyroid disease. The process requires a good deal of planning and preparation on your part, between following a low-iodine diet, adjusting some of your medications ahead of time, and so on.

How long can you live after iodine treatment?

You can expect to live a fairly normal life after radioactive iodine treatment but your life will probably not be exactly as it was before your procedure. For most people, this means that you can expect to live at 80-90% of your 'normal'.

How long does radioactive iodine affect sperm count?

Important to men is the fact that radioactive iodine can cause short-term reductions in sperm count for up to 2 years after your procedure (8). This may or may not be important to you based on your age, your gender, and whether or not fertility is something you are interested in but, again, it's worth knowing about.

How to avoid weight gain after RAI?

Your best bet to AVOID weight gain after RAI is to go into your procedure with a normal weight and to maintain a healthy lifestyle both before and after. Just realize that you will always be in a 'sensitive' category and you will be more likely to gain weight compared to people with their thyroid intact. #3.

How long does it take for a RAI to fade?

The good news is that this radioactivity does fade over a short period of time (usually 5 to 7 days) but the bad news is that you need to stay under certain precautions during this time.

What happens if you destroy your thyroid gland?

And, if you destroy your thyroid gland, it turns out that that may have consequences on your metabolism. Anectodally, you've probably already heard stories about people gaining weight after their procedure.

Can you survive after RAI?

You can obviously survive after RAI (otherwise they wouldn't do the procedure) but I want to teach you how to thrive afterward. And to key to getting there is to understand what happens to your body after this procedure and how it influences your thyroid function.

Can you take a thyroid pill every day?

There's no way for doctors to give you a pill once a day and for that pill to perform the exact same function that your thyroid gland does every minute of every day. Because of this, people may experience symptoms which may lead them to want to restore whatever thyroid function they can.

How does radioiodine work?

In short, radioiodine is administered as a salt pill or solution. Instead of being normal salt, sodium chloride (NaCl), it is sodium iodide (NaI). Once you swallow the treatment dose, iodine-131 ( 131 I) is rapidly absorbed into the circulation.

How long should you sleep with radioiodine?

You should also make separate sleeping arrangements for the first 48 hours to maintain this distance. Since the radioiodine is administered as a salt, is can pass through the skin barrier with perspiration, so you shouldn't exercise or swim in pools during the first 48 hours.

How long does it take for iodine to be excreted?

Excretion is so rapid that as long as you have reasonable kidney function, 50% of the administered iodine is gone within eight hours. Another 50% of the remaining circulating iodine is excreted during the second eight hours and so on.

What percentage of iodine is fixed in thyroid?

The remaining 1.6% of the iodine at this point is primarily fixed in any residual thyroid tissues and no longer circulating. It's this residual fixed iodine that achieves the therapeutic effect of the treatment. You should first understand that you don't need to place yourself in an isolation room.

How long should you wash your clothes after a radioactive reaction?

Personal clothing, sheets, bedding, washcloths, and towels should be collected and washed separately for the first 48 hours. After washing, run the washing machine through an extra wash cycle to clear out any residual radioiodine before using it for others.

What tissue is 131 I?

Only one tissue in the body has a need to fix and hold onto the iodine, namely thyroid tissu e. The remaining tissues in the body treat the iodine as salt and the iodine is rapidly cleared from the body circulation, ...

How long after iodine is taken to go away?

After the first two days post-administration, 98% of the iodine will be gone and you can begin to ease up on these instructions. However, many providers will recommend that you try to keep it up for the first week post-administration, just to be overly cautious.

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