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Hyperthyroidism (cont.)

Radioactive Iodine

  • Effect: damages the thyroid cells that make thyroid hormone. This is the most common treatment of hyperthyroidism in the USA.

  • Indications:
    • Grave's disease

    • Toxic multinodular goiter

  • Contraindications:
    • During pregnancy, radioactive iodine may destroy fetal thyroid tissue.

    • Breastfeeding women may pass radioactive iodine through breast milk.

    • A six month waiting period before pregnancy is suggested after therapy.


  • Risks:

    • Most treated patients become hypothyroid and require lifelong thyroid hormone replacement therapy

    • Elderly and cardiac patients have increased risk of 131I-(radioactive iodine)-induced thyroiditis



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Hyperthyroidism »

Thyrotoxicosis is the hypermetabolic condition associated with elevated levels of free thyroxine (FT4), free triiodothyronine (FT3), or both.

Read More on eMedicine »

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