Radioactive Iodine Treatment
Procedure
(Radioiodine Treatment)
Definition
This procedure uses radioactive iodine to destroy cells in the thyroid.
Copyright © 2002 Nucleus Communications, Inc. All rights reserved.

Reasons for Procedure
Radioactive iodine may be given to treat:
- Hyperthyroidism—the thyroid gland is overactive
- Some types of cancer, such as thyroid cancer
Possible Complications
Problems are rare, but all procedures have some risk. The doctor will go over some problems that could happen, such as:
- Painful cheeks or neck pain
- Metallic taste in the mouth, or a dry mouth
- Sore throat or tightness in the throat
- Nausea or vomiting
- Tiredness
- Flushing
- High or low thyroid hormone levels
The procedure may be harmful to a fetus. It is not advised for pregnant women. Nursing mothers should stop breastfeeding for at least a week after the procedure.
What to Expect
Problems to Look Out For
Call your doctor if you are not getting better or you have:
- Signs of infection, such as fever or chills
- Nausea or vomiting
- Excessive tiredness
- Swelling in the neck or pain that gets worse
- Problems passing urine (pee)
- Tightness in throat or trouble breathing
- Numbness in the face
- Fast heartbeats
If you think you have an emergency, call for medical help right away.
American Thyroid Association
Endocrine Society
CANADIAN RESOURCES:
Health Canada
Thyroid Foundation of Canada
American Thyroid Association
Endocrine Society
CANADIAN RESOURCES:
Health Canada
Thyroid Foundation of Canada
References
- Fact sheet: guidelines for patients receiving radioiodine I-131 treatment. Society of Nuclear Medicine & Molecular Imaging website. Available at: https://www.snmmi.org/AboutSNMMI/Content.aspx?ItemNumber=5609.
- Huang, J., Harris, E.J., et al. Treatment of aggressive thyroid cancer. Surgical Pathology Clinics, 2019; 12 (4): 943-950.
- Radioactive iodine. American Thyroid Association website. Available at: https://www.thyroid.org/radioactive-iodine.
- Radioactive iodine (radioiodine) therapy for thyroid cancer. American Cancer Society website. Available at: https://www.cancer.org/cancer/thyroid-cancer/treating/radioactive-iodine.html.
- Radioactive iodine for hyperthyroidism. Endocrine Society Hormone Health Network website. Available at: https://www.endocrine.org/patient-engagement.
- Radioiodine (I-131) therapy. Radiological Society of North America Radiology Info website. Available at: https://www.radiologyinfo.org/en/info/radioiodine.
- Thyroid cancer. EBSCO Nursing Reference Center Plus website. Available at: https://www.ebsco.com/health-care/products/nursing-reference-center-plus.
Contributors
- James Cornell, MD
(C) Copyright 2023 EBSCO Information Services
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
To send comments or feedback to our Editorial Team regarding the content please email us at healthlibrarysupport@ebsco.com.