Treatment FAQ

is it safe to ride in a car with someone who had radioactive iodine treatment

by Adaline Breitenberg Published 2 years ago Updated 2 years ago

Can I Drive Myself home after radioactive iodine 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 subway, trains, or a plane. You can drive yourself home, have someone pick you up and take you home, or take a taxi or private car home.

Can radioactive iodine be given in pill form?

Radioactive iodine is usually given in pill form, but it can also be given in liquid form if needed. Some people have trouble swallowing pills. If you do, tell your doctor in Molecular Imaging and Therapy Service (MITS) before your treatment. This is sometimes called the Nuclear Medicine service.

What are the risks of radioactive iodine treatment?

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.

How can I safely remove radioactive iodine (I131)?

Follow all the safety procedures given to you by your health care provider, follow our tips (Sometimes the little things help) and use the Bind-It™ Patient Care Pack. Bind-it™ is specifically designed to safely and effectively remove radioactive iodine (I131) from most surfaces, including your hands and body.

Can someone drive me home after radioactive iodine treatment?

Avoid public transportation for the first day following treatment. Limit personal automobile travel with others to only a few hours per day for the first two days following treatment. Keep as much distance as possible between you and other passengers.

How long is radioactive iodine isolation?

Sleep alone for 7 days unless otherwise instructed by your doctor. Avoid kissing and physical contact with others, and maintain a distance of at least 3 feet from women who are pregnant and children under 18 years old.

Do you have to quarantine after taking radioactive iodine?

Depending on state regulations, patients may have to stay isolated in the hospital for about 24 hours to avoid exposing other people to radiation, especially if there are young children living in the same home.

How long does radioactive iodine last on surfaces?

With respect to your question on how does the radioactivity ever go away, all of the radioiodine (no matter where it is or how often it gets moved around) continuously decays at a rate such that half of it goes away every eight days.

Can you be around others after radiation?

The radiation travels a very short distance, so the effects are mostly to the tumor. However, you may have to limit contact with other people for up to one week after treatment. It is especially important to avoid close contact with children and women who are pregnant.

Can I touch things after radioactive iodine?

You should try to keep all family and friends during this period at least one meter (three feet) away and do not have direct physical contact, especially intimate contact, like kissing or hand holding where radioiodine could be passed onto others.

What happens if you are exposed to someone with radioactive iodine?

If too much radioactive iodine enters your body, the radioactive iodine will destroy your thyroid gland so that the gland will stop making hormones. Too much radioactive iodine in your body can also cause thyroid nodules or cancer.

Can I be around my cat after radioactive iodine treatment?

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 after radioactive iodine treatment Can I kiss?

Avoid kissing or sexual intercourse for three to four days after treatment. Do not sleep together for an entire night until a week after treatment. Avoid prolonged physical contact, particularly with children and pregnant women; limit to 15 minutes.

Can I be around my child after radioactive iodine treatment?

RAI therapy does use a radioactive drug, but if the patient follows instructions provided by the doctor, RAI is considered safe for the family of the patient and ultimately for members of the public.

How long do you have to quarantine after radioactive iodine treatment?

Avoid personal contact for about 3 to 7 days after treatment. In those first 3 days after therapy, you should stay a safe distance away from others (6 feet away, approximately). It's a good idea to avoid public places.

Can radiation Stay on clothes?

Take off your outer layer of clothing: Taking off your outer layer of clothing can remove up to 90% of radioactive material. Be very careful in removing your clothing to prevent radioactive dust from shaking loose.

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 ...

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 long does it take for thyroid to stop taking up radioactive iodine?

If you have too much iodine in your diet, it can stop the thyroid cells from taking up the radioactive iodine. Continue to follow this diet for 24 hours after your treatment is completed, or as instructed by your doctor. Read the resource for more information.

Where does radioactive iodine leave the body?

Most of the extra radioactive iodine will leave your body through your urine (pee), and smaller amounts will leave your body in your saliva (spit), sweat, and bowel movements (poop).

What is the name of the service that takes up thyroid cells?

If you do, tell your doctor in Molecular Imaging and Therapy Service (MITS) before your treatment. This is sometimes called the Nuclear Medicine service. Radioactive iodine enters your bloodstream and is taken up by any thyroid- like cells. The radioactivity destroys the cancer cells.

How long after radioactive iodine therapy can you get pregnant?

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 you to. Use birth control after treatment for at least 6 months after getting this treatment.

How to treat thyrotropin alfa?

Your treatment plan will follow these steps that will take place over a few days: 1. On the first day, you’ll have blood tests. After those tests, you’ll see your doctor and get a thyrotropin alfa (Thyrogen ®) injection (shot) to help you get ready for your treatment.

Why does my mouth dry out after iodine?

Dry mouth. This is also caused by irritation or damage to your salivary glands. Dry mouth may happen if you’re taking a higher dose of radioactive iodine. Dry mouth can happen right after treatment, or it may happen for several months to a year after treatment.

How long after taking a syringe can you eat?

Don’t eat for 1 to 2 hours after you’ve taken this medication, or as instructed by your doctor. A member of your healthcare team will take you to a private room in the outpatient treatment area. Your friends and family can stay in your room before the treatment, but they must leave before your treatment starts.

What is the purpose of radioactive iodine?

The aim of the treatment is to damage and kill the cells responsible for the hyperthyroidism. Radioactive iodine and some other radioisotopes used in Nuclear Medicine are produced during the production of nuclear energy. They are a by-product or, if you like, a useful waste product.

Why is radio iodine so effective?

One of the reasons that radio-iodine treatment is so effective is because the thyroid readily takes up iodine, which is used in thyroid hormone production. To ensure that the treatment is maximised you will be asked to avoid any foods and medicines ...

How long do you have to stay in hospital after ablative thyroid?

Patients who have what is called an ablative dose (usually for treatment of thyroid cancer) are asked to stay in hospital for three days following the treatment. This is to reduce the doses to other members of the public.

How long does it take to stop taking anti-thyroid medication?

This is usually prescribed in the beginning, for all patients, and approximately half of all patients are successfully treated with this method and can cease taking the medication after six months.

Why is lead used in medicine?

The lead captures the emitted radiation, preventing it from resulting in a dose to anybody. It also helps to reduce the amount of time staff spend in contact with radiation, making it possible for us to prepare injections and transport doses without exposing ourselves to an unnecessary dose of radiation.

Why can't you get pregnant after radiotherapy?

Patients are advised not to become pregnant for 6 months following radio-iodine treatment. This is because the radiation that is used could potentially affect the DNA in human cells.

What are the three types of radiation?

Nuclear Medicine concerns three types of radiation: Alpha particles, which are made up of two protons and two neutrons (the material that makes up the nucleus of any atom), Beta, which is either an electron or a positron (smaller particles that form part of an atom) and Gamma, which is basically an energy wave.

Where does the thyroid take iodine?

This uptake happens in the stomach, lungs, even on skin.

How long can you stay in isolation after taking I131?

In fact, the USA is one of the ONLY countries that lets RAI patients go home after they take the I131. Most other countries keep RAI patients for 3-5 days in a special lead lined isolation room.

How does I131 work?

When a patient takes Radioactive Iodine (I131) either in a pill or a liquid, it is quickly metabolized into the body. The thyroid absorbs as much as it can, but the remaining I131 is eliminated from the body over a few days. This “elimination” comes in the form of urine, feces, sweat, saliva, breath and body oils.

How long does I131 decay?

Interesting! I131 does has an 8 day half life (1), so for those of you who read our article on half life and decay know that every 8 days the amount of radiation becomes half. I recently read something that explained it in another way, the half life of an isotope “is really the lifetime of half of the isotope present in the system at any given time.” (2). If someone, even your doctor tells you that it (I131) will “evaporate” or “go away” in 16 days, he/she is dead wrong. Dangerous information like this scares me. Radiation can NEVER “just go away”, it will slowly decay until it becomes immeasurable! For the most part the rule of thumb is that once an isotope goes through 11 half lives, it is, for all practical purposes safe enough to be considered “not radioactive”. This, of course, depends on the starting activity level. All you will need to know is that any contamination that may be left in your home from the “discharge” of RAI treatment, will be safely decayed in 88 days.

How long does it take for I131 to be released?

I131 has an 8 day half life, so for those of you who read our article on half life and decay know that every 8 days the amount of radiation becomes 50%, and most of the I131 is released from your body within about 7 days. This makes the first 1-2 weeks of your isolation the most critical.

Is I131 a beta particle?

People with healthily thyroids who uptake I131 may have dangerous beta particles mutating or killing their healthy cells. According to an article in the Journal of Clinical Endocrinology and Metabolism Exposure to small amounts if I131 may be more dangerous than large amounts.

How many half lives does an isotope have?

For the most part the rule of thumb is that once an isotope goes through 11 half lives, it is, for all practical purposes safe enough to be considered “not radioactive”. This, of course, depends on the starting activity level.

What are the risks of radioactive iodine?

Risks to others, to include risks to young children and pregnant women. The risk to pregnant women is in the delivery of radioactive I-131 to the developing fetal thyroid. The risk to a lactating mother is the increased radiation dose to breast tissue and transferal of radioactive iodine to the nursing infant.

What is the radiation from I-131?

Radioactive I-131 emits both gamma and beta radiation. The gamma radiation allows it to be easily detected and located with radiation survey meters and imaged by nuclear medicine imaging techniques. The gamma radiation from I-131 in the patients is the major source of external radiation to others after an I-131 procedure.

What is the NRC radiation safety brochure?

The NRC staff developed a printable brochure to inform patients about radiation safety precautions that they need to follow before, during, and after treatment with radioactive drugs. The brochure is intended to foster a radiation-safety oriented dialogue between patients and their health care team. [NOTE: This tri-fold brochure is formatted to print double-sided].

What are the elements that make up iodine?

Each element, such as iodine, is composed of a set number of electrons, protons, and neutrons that give it its chemical and physical characteristics. The number of neutrons in the nucleus may vary and provide a number of different iodine atoms that chemically act the same but have different physical properties.

Is rai safe to use?

This radioactive iodine is used in the form of sodium iodide and because of the extremely small amounts used for imaging or destroying cells, RAI is safe to use in individuals who have had allergic reactions to seafood or X-ray contrast agents. RAI is given by mouth in pill or liquid form.

Is beta radiation a concern?

The beta radiation is the primary concern when there is an oral uptake of I-131 indirectly from contaminated surfaces or directly by transfer from the patient. For the radioactive iodine to be effective, the availability of stable iodine has to be reduced so more radioactive I-131 will be used by the cells.

Can I-131 be absorbed through the digestive tract?

Contamination of the area the patient is in can happen in a number of ways. Patients that vomit before the radioactive I-131 has been absorbed through the digestive track may lose a significant amount of the iodine they received in the vomited fluid.

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.

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.

Can beta cells take up iodine?

But you probably at least know a little bit about RAI or you wouldn't be here.

How long do cats live after radiation?

However, as humans usually live on average 75-80 years and cats will live on average 13-15 years.

Can radiation cause cancer?

The chances of developing a cancer because of radiation exposure is much smaller for an animal than for a human. The biggest concern for spread of radiation is if the animal comes in contact with secretions (urine, feces, sweat). Here is what I would advise.

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