Treatment FAQ

radioactive iodine therapy what if i don't take thyroid medication after treatment

by Lisa Klocko Published 3 years ago Updated 2 years ago

People getting RAI therapy should stop taking thyroid replacement medicine for a while. During this time, symptoms of underactive thyroid (hypothyroidism) can develop. Signs and symptoms of hypothyroidism include

Full Answer

What are the long term side effects of radioactive iodine?

Radioiodine (Radioactive Iodine) Therapy. Radioactive iodine (RAI) is treatment for overactive thyroid (hyperthyroidism) and certain types of thyroid cancer. 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.

What to expect after radioactive iodine treatment?

Dec 03, 2021 · Any time you’re treated with radioactive material, there’s a certain amount of risk involved. In this case, the iodine targets the thyroid gland, but other glands, such as salivary glands, may also take up some radioiodine. So, patients may develop dry …

What are the precautions for radioactive iodine?

Oct 30, 2018 · Most people who get radioactive iodine treatment do so because they are considered to be hyperthyroid (sometimes people get RAI for thyroid cancer (5) but most people get it for hyperthyroidism). Hyperthyroidism is the condition where your body produces too much thyroid hormone so the treatment is to destroy your thyroid gland and stop that production.

What is the procedure for radioactive iodine?

Oct 14, 2009 · If your symptoms persist 6 months after treatment, you may need a second dose. In the rarest of cases, some patients will not benefit from a second dose and may instead require surgery. Side Effects of Radioactive Iodine The most common side effect of radioactive iodine may seem ironic, yet it makes perfect sense— hypothyroidism.

When should clients discontinue the antithyroid medication after having the RAI therapy?

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. However, you should avoid prolonged, close contact with other people for several days, particularly pregnant women and small children.

Can thyroid still function after radioactive iodine treatment?

Some patients will still require treatment with antithyroid medication for some weeks or months until the radioactive iodine has been effective and the overactivity has settled. Over two-thirds of those who have radioactive iodine treatment will develop hypothyroidism (an underactive thyroid).Sep 11, 2019

Can you get thyroid cancer after radioactive iodine treatment?

Previous studies have consistently linked radioactive iodine therapy for thyroid cancer with an increased risk of leukemia about 2 years after exposure,” Pasqual told Healio.Oct 22, 2021

When should I take thyroxine after radioactive iodine?

In the intervention arm patients will start levothyroxine therapy at 4 weeks after RAI therapy. The initial dose of levothyroxine will be 25 mcg/day. It will be increased to 50 mcg/day 2 weeks later and then adjusted at 8 weeks post RAI based on a full face-to-face clinical and biochemical evaluation.

Do you still need iodine without a thyroid?

Iodine is an element that is needed for the production of thyroid hormone. The body does not make iodine, so it is an essential part of your diet. Iodine is found in various foods (see Table 1). If you do not have enough iodine in your body, you cannot make enough thyroid hormone.

Is radioactive iodine necessary after thyroidectomy?

Radioactive iodine (RAI) treatment is sometimes used after thyroidectomy for early stage cancers (T1 or T2), but the cure rate with surgery alone is excellent. If the cancer does come back, radioiodine treatment can still be given.Sep 20, 2021

Can you refuse radioactive iodine treatment?

When patients refuse RAI therapy, the harm associated with no treatment (as in thyroid cancer) also must be weighed and communicated to the patients. In many cases of GD, for example, the use of antithyroid medications or surgical subtotal thyroidectomy may provide appropriate therapy without the use of RAI.

What are the chances of getting cancer from radioactive iodine?

The relationship was statistically significant for female breast cancer, for which every 100 milligray (mGy) of dose led to a 12% increased relative risk of breast cancer mortality, and for all other solid tumors considered together, for which relative risk of mortality was increased by 5% per every 100 mGy.Jul 1, 2019

Can radiation treatment cause thyroid problems?

Having radiation therapy to or near the thyroid or pituitary gland can increase the risk for thyroid problems. The risk is greater for people treated with higher doses of radiation and at a younger age.

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.
May 24, 2021

What are the side effects of radioactive iodine?

What are the side effects of radioactive iodine?
  • 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.
Sep 8, 2020

Do you gain weight after radioactive iodine treatment?

Treatment of hyperthyroidism with RAI or anti-thyroid medications is associated with an increased risk of gaining weight and even developing obesity. This risk is slightly higher with RAI therapy compared to medications.

Can you gain weight after radioactive iodine treatment?

You may gain weight. This is probably not what you want to hear, especially if this is a procedure that is necessary for your health, but it's still important to know about it. You may gain weight after you undergo radioactive iodine treatment.

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'.

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 beta cells take up iodine?

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

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 gain weight after a rai?

But this goes beyond anecdotal stories. Many clinical studies have also confirmed that weight gain after RAI is a real risk. The good news is that not every single person who gets RAI will necessarily gain weight.

Does RAI cause weight gain?

Many clinical studies have also confirmed that weight gain after RAI is a real risk. The good news is that not every single person who gets RAI will necessarily gain weight. But it does increase your risk of weight gain if you have the procedure by about 2 to 3 times.

Can radioactive iodine be used to destroy thyroid glands?

Radioiodine Ablation. Radioactive iodine therapy can destroy all or part of the thyroid gland, depending on need. While there may be instances when you won't need to have the entire thyroid gland rendered nonfunctional to alleviate your hyperthyroid symptoms, total destruction of the thyroid is most often necessary.

Does radioactive iodine destroy thyroid?

Radioactive iodine therapy can destroy all or part of the thyroid gland, depending on need. While there may be instances when you won't need to have the entire thyroid gland rendered nonfunctional to alleviate your hyperthyroid symptoms, total destruction of the thyroid is most often necessary.

What are the side effects of iodine?

Other side effects of radioactive iodine include: 1 Metallic taste in the mouth: This can last for a few weeks. 2 Nausea: This usually subsides one to two days after treatment. 3 Swollen salivary glands: This can last for a few weeks. It is caused by iodine absorbed by the salivary glands, though stimulating saliva flow a day after treatment (by sucking a lemon drop, for instance) is an effective remedy.

Is rai the same as iodine?

Radioiodine, or RAI, is given as a pill, to treat hyperthyroidism by gradually shrinking your thyroid —ultimately destroying the gland. Yes, RAI is the same as radioactive iodine threapy, which was the formal medical term. It has been changed to lessen the scariness of sound ...

Is radioactive iodine safe?

This thyroid treatment is much safer than it sounds; in fact, it is the most commonly used hyperthyroid treatment in the US. Unlike antithyroid medications, radioactive iodine is a permanent and more reliable cure for hyperthyroidism. Radioiodine Ablation. Radioactive iodine therapy can destroy all or part of the thyroid gland, depending on need.

What is radioactive iodine ablation?

Your doctor may refer to it as radioactive iodine ablation (ablation is a term that refers to destruction or erosion). This article will focus on what you might expect when you are faced with the total elimination of your thyroid gland and its key functions. Graves disease, the most common form of hyperthyroidism, occurs most often in women, ...

Can iodine kill thyroid?

Your doctor will order a radioactive iodine uptake and scan to determine your dose, the cause of your hyperthyroidism, and information about your thyroid tissue. In this test, you will ingest a very small dose of radioactive iodine.

How long after radioactive iodine treatment can you take thyroid medicine?

Your nurse will tell you when you should start to take them again. Usually, this is 2 to 3 days after your treatment.

Can you have more than one radioactive iodine treatment?

Further radioactive iodine treatments. Some people might need more than one radioactive iodine treatment . This is to make sure the treatment destroys all the remaining thyroid tissue and cancer cells. Find out about your follow up appointments.

How long after iodine treatment can you go home?

After radioactive iodine treatment for thyroid cancer. Having radioactive iodine treatment means you will be radioactive for several days afterwards. You will be able to go home from hospital when the radiation level in your body is at a safe level.

How long does it take for thyroxine to work?

Usually, this is 2 to 3 days after your treatment. You will need to take thyroxine tablets to replace the hormones that your thyroid gland normally makes. Your doctors will want to keep your thyroid hormones at a slightly higher level than you would normally need.

How long after iodine treatment should you follow safety precautions?

You will need to follow safety precautions for a few days after your radioactive iodine treatment. This is to protect others from the radiation. The advice about precautions varies for different people and for different hospitals. Talk to your doctor or specialist nurse.

How to avoid radiation?

If you live or work with other people, you will need to keep a distance from them. Avoid standing or sitting close to them. This stops them from getting radiation from you.

How to stop radiation from babies?

Avoid standing or sitting close to them. This stops them from getting radiation from you. Your doctor will tell you not to have close, lengthy contact with others for a couple of weeks. This includes babies, young children, pets and pregnant women. Avoid hugging and kissing other people.

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.

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, ...

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.

How to treat hypothyroidism after radioactive iodine?

Hypothyroidism is most often treated through hormone replacement therapy —a safe and effective treatment option that involves taking hormone medications to restore healthy hormone levels. Most people who develop hypothyroidism after radioactive iodine treatment can expect to take some form of hormone medication every day for the rest of their lives. This may sound extreme at first, but this vital medication is essentially doing the job of a healthy thyroid gland; it’s absolutely critical to bodily health. And while you may not feel any side effects of the medication when it’s working, whether good or bad, most patients say they notice an immediate difference when they stop taking their medication. To feel well every day and avoid all the symptoms of hypothyroidism, this simple step usually feels like a no-brainer.

Is radioactive iodine a life changing treatment?

by Charlotte. For those who struggle with hyperthyroidism or thyroid cancer, radioactive iodine treatment (RAI) can be a life-changing treatment option. But despite the promise of RAI, there is often a downside: you are likely to develop transient or permanent hypothyroidism after completing treatment.

Can I-131 cause hypothyroidism?

Not everyone who has RAI, also known as I-131, will experience hypothyroidism. Your individual risk is largely determined by the dose of radioactive iodine your doctor prescribes and how much of your thyroid is affected. Research suggests that factors such as age, BMI, and prior medication history may also play a role.

Can you have hypothyroidism after RAI?

However, most patients do experience hypothyroidism following RAI and all patients should regard it as an expected consequence of this treatment. Hypothyroidism occurs when your thyroid gland no longer produces enough hormones for the body to function at an optimal level.

How long after RAI can you start thyroid hormone?

They may even preemptively schedule you to start thyroid hormone treatment within a few weeks of the RAI procedure, just to be safe.

Can you take thyroid medication after RAI?

However, it can take a little while for you and your doctor to find the appropriate dose for your thyroid medication. Too little, and your hypothyroidism symptoms, such as deep fatigue and hair loss, may compromise your quality of life. Too much, and you might experience the familiar racing heart and nervous energy that you needed RAI to resolve. It’s also possible for hypothyroidism to worsen over time, which is why ongoing monitoring is critical to ensuring the best outcomes. After years of taking one dose of hormones, you might need to increase to a higher dose.

How does the body convert T4 to T3?

The human body naturally converts T4 hormones into T3 through the process of monodeiodination. But some people struggle to process this conversion and may require T3 supplementation in order to feel their best. T3 medications are a possible treatment option for you if your body hasn’t responded to T4 treatment alone.

How long after thyroidectomy can you give radioactive iodine?

Giving radioactive iodine within 3 months after thyroidectomy results in better responses than delaying therapy beyond 3 months after surgery. BACKGROUND. Patients diagnosed with thyroid cancer usually have an excellent prognosis. This is due to effective therapies, including surgery and, when needed, radioactive iodine therapy.

Does radioactive iodine kill thyroid cancer?

This is due to effective therapies, including surgery and, when needed, radioactive iodine therapy. Radioactive iodine works like a “magic bullet”, as it is taken up and destroys only thyroid cells, both normal and cancerous. The process of destroying residual thyroid ...

What is radioactive iodine ablation?

The process of destroying residual thyroid tissue is called radioactive iodine ablation. In patients who have an indication to undergo radioactive iodine ablation, there is currently no agreement regarding the best timing of administration.

What is a total thyroidectomy?

When the entire thyroid is removed it is termed a total thyroidectomy. When less is removed, such as in removal of a lobe, it is termed a partial thyroidectomy. Excellent response: undetectable thyroglobulin (tumor marker) with negative imaging in thyroid cancer patients following treatment.

What is differentiated thyroid cancer?

Differentiated thyroid cancers: Most thyroid cancers are differentiated cancers. The cells in these cancers look a lot like normal thyroid tissue when seen with a microscope. These cancers develop from thyroid follicular cells and include papillary and follicular thyroid cancers .

What is radioactive iodine used for?

Radioactive iodine: this plays a valuable role in diagnosing and treating thyroid problems since it is taken up only by the thyroid gland. I-131 is the destructive form used to destroy thyroid tissue in the treatment of thyroid cancer and with an overactive thyroid.

What is the treatment for hyperthyroidism?

Hyperthyroidism may be treated with antithyroid meds (Methimazole, Propylthiouracil), radioactive iodine or surgery. Graves’ disease: the most common cause of hyperthyroidism in the United States. It is caused by antibodies that attack the thyroid and turn it on. Radioactive iodine: this plays a valuable role in diagnosing ...

What is the most common cause of hyperthyroidism?

Hyperthyroidism may be treated with antithyroid meds (Methimazole, Propylthiouracil), radioactive iodine or surgery. Graves’ disease : the most common cause of hyperthyroidism in the United States. It is caused by antibodies that attack the ...

Is Graves disease a thyroid disease?

Graves’ disease is a common cause of an overactive thyroid gland (hyperthyroidism). Studies have shown that having Graves’ disease may have negative impact on patient’s quality of life. Graves’ disease is usually treated with antithyroid drugs, radioactive iodine therapy, or surgery. Previous studies have reported that general-health quality ...

Is it important to take a thyroid supplement after a thyroidectomy?

Official Answer. It is extremely important to take supplementary thyroid medicines when your thyroid is removed. Thyroid hormones regulate multiple metabolic processes and play an essential role in normal growth and development , and normal maturation of the central ner vous system and bone.

Why is it important to take a thyroid supplement?

It is extremely important to take supplementary thyroid medicines when your thyroid is removed. Thyroid hormones regulate multiple metabolic processes and play an essential role in normal growth and development, and normal maturation of the central nervous system and bone.

What are the metabolic effects of thyroid hormones?

The metabolic actions of thyroid hormones include augmentation of cellular respiration and thermogenesis, as well as metabolism of proteins, carbohydrates and lipids. The protein anabolic effects of thyroid hormones are essential to normal growth and development.

How does levothyroxine work?

Levothyroxine is a thyroid hormone. It works by replacing thyroid hormone when your body does not make enough on its own (or make any when your thyroid is removed). For more information see the links below: https://www.drugs.com/levothyroxine.html. https://www.drugs.com/pro/levothyroxine.html.

What are the functions of thyroid hormones?

Thyroid hormones regulate multiple metabolic processes and play an essential role in normal growth and development, and normal maturation of the central nervous system and bone. The metabolic actions of thyroid hormones include augmentation of cellular respiration and thermogenesis, as well as metabolism of proteins, carbohydrates and lipids. ...

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