Treatment FAQ

what do i need to know about radioactive iodine treatment

by Dr. Vladimir Mayer III Published 2 years ago Updated 2 years ago
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Radioactive Iodine Treatment for Graves’ Disease

  • Using Radioactive Iodine for Graves’ Disease. Now, how to rectify the thyroid gland function so that it produces hormones in normal amounts? ...
  • Dosage. The oral I-131 iodine capsule is just given once in the prescribed dosage and should not be taken on a daily basis.
  • Side Effects. ...

Radioactive iodine (RAI) is treatment for overactive thyroid
overactive thyroid
Normal test range for an adult: 0.40 - 4.50 mIU/mL (milli-international units per liter of blood). T4: thyroxine tests for hypothyroidism and hyperthyroidism, and used to monitor treatment of thyroid disorders. Low T4 is seen with hypothyroidism, whereas high T4 levels may indicate hyperthyroidism.
https://my.clevelandclinic.org › 17556-thyroid-blood-tests
(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.
Sep 8, 2020

Full Answer

What are the side effects of radioactive iodine therapy?

Dec 03, 2021 · Currently, radioactive iodine therapy is only used to treat hyperthyroidism (overactive thyroid gland) and certain types of thyroid cancer. It’s also used to help determine the root causes of hyperthyroidism and to see if certain …

What are the risks of radioactive iodine therapy?

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 are the long term side effects of radioactive iodine?

The point of the radio-iodine treatment is to destroy the thyroid tissue which is causing the over-production of thyroid hormones. This is especially important for patients with certain types of thyroid cancer who need to have all thyroid cells within their body destroyed in order to cure the cancer and to stop it from spreading.

How much does radioactive iodine treatment cost?

Radioactive Iodine (Radioiodine) Therapy for Thyroid Cancer. Your thyroid gland absorbs nearly all of the iodine in your body. Because of this, radioactive iodine (RAI, also called I-131) can be used to treat thyroid cancer. The RAI collects mainly in thyroid cells, where the radiation can destroy the thyroid gland and any other thyroid cells (including cancer cells) that take up iodine, …

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What can you not do after radioactive iodine treatment?

Do not share cups, glasses, plates or eating utensils. Wash items promptly after using. Other people may use items after they are washed. Do not share towels or washcloths.

What should I do before radioactive iodine treatment?

You'll need to follow a low-iodine diet for at least 1 week before you start treatment. A low-iodine diet will make your radioactive iodine therapy more effective. If you have too much iodine in your diet, it can stop the thyroid cells from taking up the radioactive iodine.Aug 19, 2020

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.
Feb 12, 2022

How long do you have to be 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.

What can you eat after radioactive iodine treatment?

You can eat the following foods because they contain very low levels of iodine:
  • fruits and vegetables including potatoes.
  • cooked green vegetables.
  • meat.
  • ordinary table salt and sea salt.
  • fresh bread.
  • rice and dries pasta.
  • non dairy spreads such as Vitalite, Pure and non dairy Flora.
  • olive oil, vegetable oils and nut oils.

Will I 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.

What are the long-term side effects of radioactive iodine?

NCI study finds long-term increased risk of cancer death following common treatment for hyperthyroidism. New study findings show an association between the dose of a common treatment for hyperthyroidism and risk of death from solid cancers.Jul 1, 2019

How successful is radioactive iodine treatment?

Conclusion: Radioactive iodine treatment is an effective modality for definitive treatment of hyperthyroidism with long-term cure approaching 80%.

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.Aug 26, 2019

How do you feel after taking radioactive iodine?

Some people may have a feeling of tightness or swelling in their neck for a few days after treatment. This is more common if you still had a large part of your thyroid gland when you have radioactive iodine treatment. Some people also feel flushed. Rarely, people can feel pain in their neck.May 24, 2021

Can I prepare food after radioactive iodine treatment?

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 do you clean your house after radioactive iodine?

The iodine-131 will wash out in the laundry. Vacuuming will pick up hair that is shed, which will have small amounts of radioactivity in it since our heads also sweat. The conservative approach would be to cover the chair with a sheet.Apr 30, 2009

Does iodine help with thyroid cancer?

How does radioactive iodine treat 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.)

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.

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.

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.

When should breast feeding be stopped?

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 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.

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.

Does radiation affect DNA?

This is because the radiation that is used could potentially affect the DNA in human cells. The chance is extremely low, at around a 1 in 10000 chance of causing cancer, but childrens DNA is more susceptible to change as it is replicating far faster as they are growing.

How many people will get cancer from radiation?

There is a tiny chance that the exposure to radiation can cause cancer approximately a 1 in 10000 chance. However, when put into context 1 in 3 people will naturally develop cancer at some point in their life. Doctors will always weigh up the pros and cons of treatment and this should all be explained to the patient.

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.

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.

How does half life work?

On top of that is something called biological half-life which is the time it takes for half of the dose to be excreted from the body , which further reduces the time that the radioactive substance is in the body. This happens mainly via the urine.

How long does I131 last?

The half-life of I131, used in radio-iodine treatment, is 8 days. So after 8 days half of the radiation contained in the original dose will have decayed away (been released), and after another 8 days the residual will be half again.

Does radioactive iodine help with thyroid cancer?

Radioactive iodine therapy helps people live longer if they have papillary or follicular thyroid cancer (differentiated thyroid cancer) that has spread to the neck or other body parts, and it is now standard practice in such cases. But the benefits of RAI therapy are less clear for people with small cancers of the thyroid gland ...

How to treat RAI?

For RAI therapy to be most effective, you must have a high level of thyroid-stimulating hormone (TSH or thyrotropin) in the blood. This hormone is what makes thyroid tissue (and cancer cells) take up radioactive iodine. If your thyroid has been removed, there are a couple of ways to raise TSH levels before being treated with RAI: 1 One way is to stop taking thyroid hormone pills for several weeks. This causes very low thyroid hormone levels (hypothyroidism), which makes the pituitary gland to release more TSH. This intentional hypothyroidism is temporary, but it often causes symptoms like tiredness, depression, weight gain, constipation, muscle aches, and reduced concentration. 2 Another way is to get an injection (shot) of thyrotropin (Thyrogen), which can make withholding thyroid hormone for a long period of time unnecessary. This drug is given daily for 2 days, followed by RAI on the 3 rd day.

Can hypothyroidism cause constipation?

This intentional hypothyroidism is temporar y, but it often causes symptoms like tiredness, depression, weight gain, constipation, muscle aches, and reduced concentration. Another way is to get an injection (shot) of thyrotropin (Thyrogen), which can make withholding thyroid hormone for a long period of time unnecessary.

Does radioactive iodine help with thyroid cancer?

About Radioactive Iodine Treatment. Treatment with radioactive iodine lowers your risk of your thyroid cancer coming back. It’s also used to treat thyroid cancer that spreads to other parts of your body. Radioactive iodine is usually given in pill form, but it can also be given in liquid form if needed.

How long after iodine treatment can you get a scan?

Less than 1 week after your treatment, you’ll have a follow-up appointment with Nuclear Medicine. There, you’ll have a scan to see where the radioactive iodine was taken up in your body. You’ll get an appointment card before you go home.

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 after breast cancer treatment can you breastfeed?

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. You won’t be able to continue breastfeeding after your treatment because your breast milk can expose your baby to radiation.

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.

Do you have to wear a mask at MSK?

Masks Are Still Required at MSK. Patients and visitors must continue to wear masks while at MSK, including people who are fully vaccinated. MSK is offering COVID-19 vaccines to all patients age 12 and over. To schedule or learn more, read this.

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.

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.

Can you have radioactive iodine while pregnant?

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 iodine. Go to information about having radioactive iodine treatment.

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.

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 ...

Can papillary thyroid cancer be treated?

papillary thyroid cancer. 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 the iodine so you may have a test dose to see if they do .

What is the hormone that helps cancer cells take up 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.

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.

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.

Is radioiodine safe for thyroid?

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 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 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 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.

What is Radioactive Iodine Treatment?

Radioactive iodine is a procedure that is often used to treat hyperthyroidism.

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I've found that these 10 foods cause the most problems for thyroid patients. Learn which foods you should absolutely be avoiding if you have thyroid disease of any type.

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 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, ...

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.

Is radioiodine therapy safe?

There is a lot of misunderstanding about radioiodine therapy and this is a wonderful opportunity to clear up some of them. Radioiodine treatment on an outpatient basis is safe for others, as long as you follow the instructions your health care provider will provide to you. In order to understand the release instructions, ...

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.

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 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.

How to keep your toothbrush clean?

Keep your toothbrush separate from the rest of the family's in the toothbrush rack. Rinse the sink, toilet, and shower down after use with standard cleansers or detergents. Do not use hydrogen peroxide, bleach, or agents that use them as a component (this may cause radioiodine to become airborne).

Can you use hydrogen peroxide in the shower?

Rinse the sink, toilet, and shower down after use with standard cleansers or detergents. Do not use hydrogen peroxide, bleach, or agents that use them as a component (this may cause radioiodine to become airborne).

When was radioiodine first used?

Radioiodine therapy has been remarkably effective for patients and was first used for medical treatment in 1941. In the 75-plus years since its first use, hundreds of thousands, if not millions of people have benefited from radioiodine therapy.

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