Treatment FAQ

radioactive iodine treatment when you do not drive

by Carolina Runte Published 2 years ago Updated 2 years ago
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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.

What conditions can be treated with radioactive iodine therapy?

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 There are certain restrictions when you are on a low-iodine diet.

Is a low-iodine diet necessary before radioactive iodine treatment?

However, for many thyroid patients who require radioactive iodine treatment, a low-iodine diet prior to treatment is necessary. The low-iodine diet increases the effectiveness of the therapy because iodine in your diet can prevent your thyroid gland from taking up the radioactive iodine.

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.

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Can someone drive me home after radioactive iodine treatment?

Wash your hands and rinse the sink. Maintain a distance of at least 3 feet from all people. If possible, you should drive home alone. If it is not possible to drive alone, you should choose the seat that keeps as much distance as possible between you and the other passengers.

Do you have to isolate after taking 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 long is isolation after radioactive iodine?

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.

Do I have to stay in hospital for radioactive iodine?

Having radioactive iodine treatment for thyroid cancer. Radioactive iodine treatment takes place in the hospital. You usually stay there for a few days until your radiation levels have fallen to a safe level. You will be looked after in a single room, where you stay alone.

Can you be around someone after radiation treatment?

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 you go home after radiation treatment?

You may be able to go home shortly after the procedure. Depending on the area treated, you may receive several treatments over a number of days or weeks. Most patients feel little discomfort during brachytherapy. If the radioactive source is held in place with an applicator, you may feel discomfort from the applicator.

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.

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 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.

When can I eat regular food after radioactive iodine?

Drink only water. For 3 days after you swallow the capsule: Follow your low-iodine diet. You may resume your normal diet after 3 days. For 1 or 2 days after your dose: Avoid fatty or rich foods to help ease any nausea.

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 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 hormones are needed for nervousness?

The thyroid gland needs iodine to make these hormones. The thyroid is the most efficient organ at concentrating iodine.

What is a tracer used for?

A “tracer” dose of radioactive iodine can also be used to track remaining thyroid tissue and/or cancer that could have spread to other parts of the body. These tests show if iodine concentrates in areas that contain thyroid cancer, and whether large amounts of RAI are needed to destroy the tumor implants.

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 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.

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 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.

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.

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).

How long before breast cancer treatment can you pump milk?

To prevent having radioactive iodine collect in your breast after your treatment, you’ll need to stop breastfeeding or pumping breast milk at least 6 to 12 weeks before your treatment.

How long does it take for thyroid pain to go away?

This is temporary and usually goes away within 8 weeks after your treatment. Try foods with different flavors to make sure you get the nutrition you need. Discomfort in your neck. This can happen during the first 2 to 3 weeks after your treatment, but it depends on the amount of thyroid tissue still in your neck.

What is the I-123 isotope used for?

I-123 is the usual isotope used to take pictures and determine the activity of the intact thyroid gland ( Thyroid Scan and Radioactive Iodine Uptake, RAIU ), since it is harmless to thyroid cells. No special radiation precautions are necessary after a thyroid scan or RAIU using I-123. I-131 can also be used to take pictures of the thyroid gland, ...

Why is iodine important for the thyroid gland?

Iodine is essential for proper function of the thyroid gland, which use s it to make the thyroid hormones. The thyroid is equipped with an active system or “pump” for moving iodine into its cells, where it is concentrated as iodide. The thyroid gland is the only tissue in the body that takes up and holds onto iodine.

What is iodine used for?

Iodine, in the form of iodide, is made into two radioactive forms of iodine that are commonly used in patients with thyroid diseases: I-123 ( harmless to thyroid cells) and I-131 ( destroys thyroid cells ). The radiation emitted by each of these forms of iodine can be detected from outside the patient to gain information about thyroid function ...

What is the purpose of I-131?

THYROID CANCER – Large doses of I-131 are used to destroy thyroid cancer cells (see Thyroid Cancer brochure ). This is performed after the remaining thyroid cells ( including any cancer cells) are stimulated by raising TSH levels by either withdrawing the thyroid hormone pills or by treating with recombinant human TSH.

Can RAI cause thyroid cancer?

Hypothyroidism is a common side effect of RAI for hyperthyroidism and always seen after RAI for thyroid cancer. This is usually easily treated with thyroid hormone replacement (see Hypothyroidism brochure ). Some studies suggest a slight increase in thyroid cancers may be seen after RAI treatment for hyperthyroidism.

Is rai safe for X-rays?

RAI is safe to use in individuals who have had allergic reactions to seafood or X-ray contrast agents, since the reaction is to the compound containing io dine, not the iodine itself. RAI is given by mouth in pill or liquid form.

When can you stop breast feeding after I-131?

This protects the baby who would otherwise receive radioactive milk and the mother’s breasts which concentrate RAI. Breastfeeding must be stopped at least 6 weeks before administration of I-131 treatment and should not be restarted after administration of RAI, but can be safely done after future pregnancies.

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.

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.

What is radioiodine used for?

What is radioiodine? Radioiodine (sodium I-131) is a form of radiation therapy that has been used for many years to treat thyroid conditions. It is safe and effective but requires you to observe certain precautions to decrease the small amount of radiation that other people may receive from your body and bodily fluids.

How long does radioiodine stay in your system?

Radioiodine stays in your body for only a short time. Most of the radioiodine that does not go to thyroid tissue will be eliminated from your body during the first few days after treatment. Radioiodine leaves your body primarily through your urine, but very small amounts can be found in your saliva, sweat and bowel movements.

How to get rid of a swollen bladder?

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. Wash your hands and rinse the sink.

How long should you wait to breastfeed after radioiodine?

You must stop breastfeeding before you can be treated with radioiodine. If possible, you should stop breastfeeding for 6 weeks prior to treatment. You should not resume breastfeeding after treatment for your current child, but you may safely breastfeed babies you may have in the future.

How can radiation exposure be reduced?

Radiation exposure to other people can be reduced by keeping a reasonable distance between yourself and others and keeping the time you are close to others to a minimum. Your doctor should review the following instructions with you and answer all of your questions.

How far should you drive from all people?

Maintain a distance of at least 3 feet from all people. If possible, you should drive home alone. If it is not possible to drive alone, you should choose the seat that keeps as much distance as possible between you and the other passengers. You should not use public transportation.

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 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 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 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.

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.

Focus on the Positive

Mindset is at least half the battle with isolation. There are plenty of negatives in your life going into isolation. I’ve listed just a few above.

Be a Little Selfish

Other than being careful not to expose others to radiation, you do not need to put others first during this time. What to do I mean?

Indulge

It can be hard to indulge on the low iodine diet, but you can do it. I got a giant bag of gummy bears and ate the whole thing. I binge watched Jane Austen movies.

Set a Fun Goal

Focus on something you want to do but never have time to do. Be creative!

Reach Out

Radioactive iodine treatment isolation is…well…isolating. Even introverts get lonely after awhile. Your friends and family are likely looking for ways they can help but don’t know what to do. Reach out. Connection will help the time go by and help you feel less alone.

Hygiene

You are strongly encouraged to have good hygiene post radioactive iodine. The iodine comes out in your bodily secretions – saliva, sweat, urine. Showering daily and frequent tooth brushing are included in thyca.org’ s list of recommendations.

Get Out

Just because you have to be in isolation, does not mean you have to stay inside 4 walls. Go for a walk. Get some sunshine. Breathe fresh air. Be cautious in staying away from people, obviously. But going outdoors can be a real boost.

What to do if your feet are radioactive?

Do's. DO - Wear Slippers (cheap and disposable) or thick socks at all times. Your feet perspire and will leave radioactive “footprints”. DO - Place a plastic drop cloth under your bed sheets and above your mattress pad. Wrap your pillow (under the pillow case) with plastic cooking wrap.

Can bleach cause radioactive iodine?

Dont's. DON'T - USE BLEACH or bleach containing cleaners. Bleach will cause radioactive iodine to become gaseous and may spread far and wide. DON'T - Forget to remove any drop-in toilet tank cleaners that have bleach in them. DON'T - Eat any foods with cores or bones (such as apples, fried chicken, etc.) or chew gum.

Can you sleep on the other side of a wall?

DON'T - Sleep on the other side of a wall from someone. The wall provides almost no shielding. and you are basically sleeping head to head with the other person and exposing them for 8 hours continuously. Hospitals don’t use bleach, household cleaners or disinfectants to clean up radioactive spills. Neither should you.

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.

What are baked goods made of?

Baked goods are often made with iodized salt, salted butter, egg yolks, and/or dairy products. Seek out specialty grocery stores and bakeries that sell items prepared with low iodine. Preparing these items yourself, however, may be easier. Eating Well on a Low-Iodine Diet.

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.

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.

Who is Mary Shomon?

linkedin. Mary Shomon is a writer and hormonal health and thyroid advocate. She is the author of "The Thyroid Diet Revolution.". Learn about our editorial process. Mary Shomon. Medically reviewed by. Medically reviewed by Ana Maria Kausel, MD on July 20, 2020. facebook. twitter.

Can you use red dye on food?

Foods and medications may be processed with iodine-containing Red Dye #3 (erythrosine). Your doctor or pharmacist can tell you if any of your regular medications contain iodine, in which case you may need to change to a different prescription before and throughout your radioactive iodine treatment.

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.

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