Treatment FAQ

when should a cat get radioactive iodine treatment

by Reuben Upton Published 2 years ago Updated 2 years ago
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Radioiodine is an appropriate treatment for cats with hyperthyroidism

Hyperthyroidism

Over production of hormones by the thyroid gland located at the front of neck.

that are in a stable medical condition. Because these cats are emitting radiation during this treatment, only basic care (feeding, cage cleaning) is provided during the isolation period to prevent excessive exposure to personnel.

Radioactive Iodine (I-131) therapy for feline hyperthyroidism is very effective, has few side effects, is a one-time treatment in over 95% of cats with hyperthyroidism, and does not require administration of pills or anesthesia. One injection under your cat's skin is all that is needed!

Full Answer

How much does radioactive iodine cost for cats?

How much does radioactive iodine therapy for cats cost? The total fee for radioiodine therapy is generally $1520, but may be more if the hyperthyroidism is severe. This includes the radioiodine itself, the cost of hospitalization and monitoring, and for licensed technicians to care for the cat’s daily food, water, and litter needs.

Is radiocat ethical?

There are no harmful side effects. There is no tissue or organ damage – including the parathyroid glands. There is no damage to healthy thyroid tissue. There is no anesthesia required. There is no daily pilling. It destroys thyroid tumors wherever they are located. It returns thyroid function to normal usually within one month.

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

How much does radioactive iodine treatment cost?

Thyroid cancer treatment typically is covered by health insurance, although some plans may not cover certain drugs or treatments. For patients without health insurance, thyroid cancer treatment typically costs from about $20,000-$40,000 for surgery and up to $4,000 for radioactive iodine treatment, which is often recommended for thyroid cancer.

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Is my cat a candidate for radioactive iodine?

Cats should be relatively stable before being considered for radioiodine therapy. Cats that have clinically significant co-morbidities may not be good candidates for treatment, considering the length of boarding and minimal monitoring and treatment capabilities during the immediate post-treatment hospitalization.

How long can a cat live after radioactive iodine treatment?

“Studies have shown that cats treated with I-131 live longer than those treated with pills,” added Mosenco, citing a study where I-131-treated cats lived an average of four to five years following treatment, versus an average of only two years for cats on medication.

Is radioactive iodine treatment safe for older cats?

The radioactive iodine destroys the diseased thyroid tissue and results in a reduction in thyroid hormone levels. For most cats it is a very effective and safe treatment and offers the potential of a true cure.

When is it time to put a cat down with hyperthyroidism?

When to put a cat to sleep with hyperthyroidism is a heartbreaking decision. If your cat is in pain and has lost a lot of weight or declining health, then it may be time to consider euthanasia. If your cat, however, is still relatively healthy and comfortable, then you may want to wait a little longer.

How long can cat live with untreated hyperthyroidism?

What is the prognosis for cats diagnosed with Feline Hyperthyroidism? If effectively managed, cats with hyperthyroidism can live for many years with a very good quality of life. If untreated, this disease will cause uncontrolled weight loss, severe heart disease and eventually death.

How expensive is radioactive iodine treatment for cats?

$1500- $1550The cost for radio iodine therapy is generally a total fee of $1500- $1550, depending on the I131 dosage required for your cat's treatment. This includes the radio iodine itself, the cost of hospitalization, food, litter, and monitoring. This is comparable to the cost of surgical removal.

When should you put your cat down?

Signs that your cat is in pain and may no longer have a good quality of life can include:not eating or drinking.vomiting.difficulty breathing.avoiding physical contact.sitting or lying in an unusual position.excessive shaking.crying.disorientation or confusion.More items...•

What are the stages of hyperthyroidism in cats?

These include weight loss, increased activity, and “kitten like” behaviour. Over time, this progresses to increased blood pressure, severe weight loss, heart disease, blindness, and kidney damage. The slow onset of signs means that cat owners will often miss these changes until the late stages of disease.

Can cats recover from hyperthyroidism?

Fortunately, the vast majority of cats that develop hyperthyroidism can be treated very successfully and most cats will make a complete recovery.

What happens if you don't treat hyperthyroidism in cats?

If feline hyperthyroidism is left untreated These can include serious heart problems which can result in heart failure. High blood pressure can also be encountered in hyperthyroid cats and this can lead to damage of your cat's eyes, kidneys, heart and brain.

How long does it take for a cat to pass away from kidney failure?

Cats classified as stage three at diagnosis survived for an average of 1.86 years (679 days) but with some surviving up to 5.75 years. Cats in stage four kidney disease had a median survival of only 1.16 months (35 days). Overall median survival time was calculated as 2.1 years (771 days) from the time of diagnosis.

What is the best food to feed a cat with hyperthyroidism?

It is best to feed: Canned or raw diets, that contain little to no fruits, vegetables, or grains. Any canned cat food is better than any dry, which contains too much carbohydrate and plant-based protein.

What is the I-131 in cats?

General Information about Feline Hyperthyroidism and I-131 Therapy in Cats. Cat hyperthyroidism is a commonly diagnosed endocrine pathology in older cats. It is caused by a tumor that produces too much feline thyroid hormone. The disease is usually fatal if left untreated. Feline Hyperthyroidism may be treated with medicine, surgery, ...

Does thyro cat damage other tissue?

Does not damage other tissue or organs, including the parathyroid glands. Does not have harmful side effects. Returns thyroid function to normal usually within one month. Is cost effective. Thyro-Cat is an approved specialty facility with State Department of Health and Nuclear Regulatory Commission for use of I-131.

Can Iodine be used for hyperthyroidism in cats?

Surgery may not be effective in removing all of the affected thyroid tissue causing feline hyperthyroidism. Radioactive Iodine (I-131) therapy for feline hyperthyroidism is very effective, has few side effects, is a one-time treatment in over 95% of cats with hyperthyroidism, and does not require administration of pills or anesthesia.

Can cats take tapazole?

The disease is usually fatal if left untreated. Medical therapy for feline hyperthyroidism (methimazole - Tapazole®) is required daily, is a life-long treatment, and does not cure the cat's hyperthyroid condition. The difficulties associated with giving pills to cats often causes stress to both the animal and owner.

Can Iodine 131 be used on cats?

The I-131 hyperthyroid cat treatment is absorbed quickly into the cat's bloodstream and the diseased thyroid tissue. Once in the thyroid, it destroys the overactive portions of the thyroid gland. Radioactive Iodine I-131 feline hyperthyroidism treatment has the following advantages over medical and surgical treatments for feline hyperthyroidism:

Is I-131 safe for cats?

It is as easy as one injection just under the skin, much like a routine feline vaccine. I-131 is safe and effective.

Is radioactive iodine therapy expensive?

The cost of radioactive iodine therapy is similar to the other forms of therapy, and is often less expensive when compared to long term medical therapy or the higher probability of a required second surgery. Prior to making a final decision relative to initiating the I-131 hyperthyroidism therapy, all cats are screened closely for the presence ...

What is iodine 131 for cats?

Veterinary Specialty Center provides iodine-131 treatment (I-131) for cats suffering from hyperthyroidism and thyroid carcinomas as an alternative to thyroid gland surgery. Radioiodine therapy is the least invasive, safest and most effective way to treat hyperthyroidism in cats.

How long after I-131 can I treat my cat?

Cats that still have elevated thyroid levels after I-131 treatment can be safely treated a second time if the thyroid levels remain high at least six months after the first injection.

How long does it take for a cat to get a thyroid shot?

Normal thyroid levels are usually reached between one and three months (sometimes up to five months) post-treatment. More than 95% of cats will be cured by a single injection. The remaining small percentage of cats can be treated a second time safely if the thyroid levels remain high six months after the injection.

How long does it take for thyroid to reach normal levels?

The I-131 does not travel more than 3 mm in the tissue so adjacent structures are not affected. Normal thyroid levels are usually reached within 1-3 months post-treatment.

How long does an I-131 stay in a hospital?

Due to the radioactive nature of the I-131, the patient is obligated to remain within the state-approved shielded facility at all times during the established days of hospitalization (approximately five days). Safety regulations do not allow any visitors in the treatment/housing area.

Can cats be treated with I-131?

Cats with renal failure or other chronic illnesses may not be the best candidates for I-131. If I-131 treatment is absolutely necessary, these patients should be stabilized as much as possible prior to treatment. In this way, we hope to avoid complications during hospitalization following the I-131 treatment.

Why do cats become hyperthyroid?

In most cats, hyperthyroidism is caused when a portion of the thyroid gland becomes overly active, loses its normal regulation, and secretes excessive amounts of thyroid hormone. However, in a small percentage of cats, hyperthyroidism is caused by thyroid cancer.

How does Iodine 131 therapy treat hyperthyroidism?

Iodine is an element normally taken up in large amounts by the thyroid gland, even more so in cats that are hyperthyroid. When a radioactive form of iodine is given to hyperthyroid cats, the radiation destroys a portion of the thyroid gland.

Which cats can be treated with radioiodine (Iodine 131)?

Radioiodine is an appropriate treatment for cats with hyperthyroidism that are in a stable medical condition. Because these cats are emitting radiation during this treatment, only basic care (feeding, cage cleaning) is provided during the isolation period to prevent excessive exposure to personnel.

How long will my cat be in isolation?

The length of isolation depends on how quickly the levels of radiation emitted from your cat decline. For most cats treated at the University of Tennessee, this period lasts approximately 6 to 10 days, making the total stay in the hospital approximately 8 to 14 days.

What is involved in a pre-treatment evaluation?

Blood and urine tests and chest x-rays are made to evaluate the overall medical condition of your cat. Many of the tests previously performed by your veterinarian may be repeated in order to have the most up to date information at the time of treatment. A nuclear medicine thyroid scan will be performed to get an image of your cat’s thyroid gland.

Are there major side effects of radioiodine treatment?

All the noticeable effects of radioiodine treatment are good ones, with a few exceptions. Most cats return to normal thyroid function within days of treatment, many being normal by the time of release from the hospital.

Do I need to bring my cat back to UTCVM for follow-up testing?

No, the follow-up blood tests to check thyroid hormone levels can be done by your primary veterinarian.​​​​​​​

Where to administer radioactive iodine?

The protocol for administering radioactive iodine at the University of Minnesota Veterinary Medical Center is by the subcutaneous route (under the skin). The radioactive iodine is administered as a single injection under the skin in the region of the inner thigh. Because of the nature of the injection, we generally will administer a small amount ...

Why is radioiodine not concentrated in thyroid tissue?

Therefore, the radioiodine is concentrated by the hyperactive, abnormal thyroid tissue. Because the normal thyroid tissue becomes atrophied (decreased in size and ability to function) in the hyperthyroid patient , the normal thyroid tissue itself should not concentrate the radioiodine.

Why do cats stay in the hospital longer with kidney disease?

Due to the removal of iodine through the kidneys, cats with preexisting kidney disease may have to stay longer because the radioiodine may not be removed from the body as quickly. The patient will be monitored at regular intervals to determine when they are able to be released.

What is the most common hormonal disease in cats?

Hyperthyroidism may be the single most commonly diagnosed hormonal disease in cats next to diabetes. It is generally a disease of older cats with an average age around 9-10+ years, but can be seen in cats as young as 5 years of age. In most cases, the disease is caused by a growth of abnormal, non-cancerous cells which secrete thyroid hormones in ...

How do you know if your cat has hyperthyroidism?

If left untreated, a hyperthyroid cat can exhibit many, if not all, of the following signs: extreme weight loss, excessive appetite in most cases, but decreased appetite in some, muscle weakness, heart disease (in crease in the size of the heart, increased rate, changes in heart rhythm, cardiac arrest), intolerance to stress, and eventually death.

How long should you wash your hands after a pet?

It is important that you always wash your hands after any contact with your pet or your pet’s excreta during the two weeks. This will help to prevent the spread of radiation to other regions of the house as well as to decrease the exposure to you from any possible contamination.

How long do you have to keep your dog in the hospital after discharge?

You will need to limit contact with your pet during the two week period following discharge from the hospital. This will include having your pet sleep in an unoccupied room, restricting your pet from food preparation areas, and not letting your pet sit on your lap.

How long does it take for a cat to show signs of hyperthyroidism?

Cats may also continue to show signs of hyperthyroidism, including vomiting and diarrhea, for 3-4 weeks after the radioiodine therapy as the disease continues to resolve. The risk to these cats is the simple fact that many cats in the age range when cats develop hyperthyroidism (8+ years) also develop other diseases.

What are the complications of radioiodine therapy?

These complications include cerebrovascular events (i.e., strokes) and the premature exacerbation of pre-existing kidney disease. Luckily these risks will diminish in time following successful radioiodine therapy and a return to a persistently normal thyroid level.

What is the risk of radioiodine?

1.) Risk to the patient: The radioiodine (I -131) used to treat thyroid disease in people and animals emits both gamma rays and beta particles. The beta particles, which are much more potent forms of radiation, travel an average distance of less than 1 mm. Because of the short distances they travel they never exit the patient ...

Why do cats never exit the patient?

Because of the short distances they travel they never exit the patient and as a result no one other than the patient is at risk from exposure to the beta particles unless they internalized the radioiodine excreted by the patient. In cats > 95% of the radioiodine is excreted in the urine.

Can you put radioactive iodine in your cat's urine?

The good news is that virtually every client will already take steps to avoid this, even when radioactive iodine in their cat's urine is not the motivation.

Does iodine help cats with thyroid disease?

When it comes to survival, the studies that have been done show that cats cured of their thyroid disease by radioactive iodine live much longer (up to twice as long) when compared to hyperthy roid cats treated by methimazole. So in this case the targeted radiation exposure is actually increasing survival for these patients.

Does radioactive iodine cause thyroid cancer?

Hence for a transient period following radioiodine therapy, the patient's urine contains excreted radioiodine which will emit beta particles as it continues to decay. The risks associated with low level ingestion of radioactive iodine relate to an increased risk of developing thyroid cancer.

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Radioiodine Procedures Pre-Referral Data

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A thorough physical exam, complete bloodwork including complete blood count (CBC), chemistry, T4, 2-view thoracic radiographs and a urinalysis will be required within one month of admission. If any underlying cardiac abnormalities are detected, further workup of these patients by means of electrocardiography (ECG…
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Procedure

  • Our protocol includes an imaging study of the thyroid prior to the I-131 therapy. Not only will the scintigraphic study confirm the diagnosis of hyperthyroidism in cats that do not have a palpable thyroid nodule, but it will also identify a relapse of hyperthyroidism following a thyroidectomy. It will also evaluate for the possibility of ectopic thyroid tissue. The scintigraphic study is usually d…
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Post-Treatment Procedures

  • At the time of release, the radiologist will meet with the owner and explain the post-treatment procedures. For the first two weeks following treatment: 1. Limit close contact (holding close to your own neck, sleeping next to) with your cat to a maximum of 30 minutes per day per person. 2. Keep your cat indoors. Scoop urine and fecal clumps from the litter box twice daily. Use a flusha…
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Follow-Up with Referring Veterinarian

  • Normal thyroid levels are usually reached between one and three months (sometimes up to five months) post-treatment. More than 95% of cats will be cured by a single injection. The remaining small percentage of cats can be treated a second time safely if the thyroid levels remain high six months after the injection. Follow-up blood work and T4 level...
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