Radioactive iodine treatment
radioactive iodine therapy · RAI · radioiodine · iodine-131 capsule
You swallow a capsule or drink a liquid with radioactive iodine. It collects in the thyroid gland and gradually shrinks or destroys its tissue.
For an overactive thyroid and after surgery for thyroid cancer.
⏱ Duration: taking the capsule takes a few minutes; you usually stay in the ward for a few days, depending on clinic rules

Be sure to tell your doctor
How to prepare
- Diet. Usually for 1 to 2 weeks before treatment you follow a low-iodine diet: no seafood, seaweed or iodized salt. The clinic will give the exact list.
- Hormones. Do not stop on your own. If thyroid hormones must be paused, the doctor will say when and how.
- Test. Women usually have a pregnancy test before treatment.
- Belongings. Bring as little as possible. Some of it is best washed separately afterward.
What to bring
- Your referral and reports
- Your ID
- A list of your medicines
- A change of clothes and simple things for a few days
How it goes
- You are placed in a separate room
- The doctor explains the rules once more
- You swallow the capsule or drink the liquid with water
- For the first hours you usually cannot eat
- You drink a lot and go to the toilet often, so the extra iodine leaves faster
- A specialist measures the radiation, and when it drops enough you are discharged
What you'll feel
- You do not feel the dose itself
- Sometimes a dry mouth, a change in taste, mild nausea
- Swelling and tenderness in the neck can occur in the first days
- Isolation is boring, so bring a book or headphones
Afterwards
- For several days after discharge keep your distance from people, especially children and pregnant women. The doctor will give the time
- Sleep alone and use your own dishes and towel
- Flush the toilet often and wash your hands well
- Pregnancy is usually postponed for the time the doctor advises
- Follow-up hormone tests in a few weeks
Contact a doctor straight away if
- Severe swelling of the neck, trouble breathing or swallowing: call your local emergency number
- Heavy vomiting so you cannot drink
Common questions
Will I be dangerous to my family?
For a short time after treatment, yes, which is why distance rules are needed. The doctor will tell you how many days to follow them.
Can I drink a lot of water?
Yes, you even should. Water helps the extra iodine leave the body faster.