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Radioactive iodine (I-131) therapy

Treating hyperthyroidism in cats with I-131

For most cats with hyperthyroidism, radioactive iodine is the gold standard treatment. It is available at Auckland Veterinary Hospital in Glen Eden, for cats from any of our clinics and by referral from other vets.

Senior cat receiving care for hyperthyroidism

About the condition

What is hyperthyroidism?

Hyperthyroidism is a common hormone disease in older cats, usually from around 9 to 10 years of age, although it can appear from 5 years. In most cases a non-cancerous growth of thyroid cells produces too much thyroid hormone.

Left untreated, it can cause major weight loss, a big appetite (or sometimes a poor one), muscle weakness, heart disease and intolerance to stress.

How it works

How does I-131 treat it?

The thyroid is the only tissue in the body that actively absorbs iodine. The overactive thyroid tissue takes up the radioactive iodine, which treats it, while normal thyroid tissue is largely left alone.

At Auckland Veterinary Hospital the dose is given as an injection under the skin, usually with light sedation to keep your cat and our team safe.

Cats that suit I-131 therapy

  • Otherwise healthy cats with hyperthyroidism
  • Cats with other conditions may be suitable, assessed case by case with your vet
  • Cats comfortable being away from home for 1 to 3 weeks

Cats that may not be suitable

  • Cats who become very anxious or aggressive in a clinic or cattery
  • Cats needing daily medication, or with unstable medical conditions
  • Cats with ongoing gut problems or inappropriate urination

What to expect

Your cat's stay and coming home

Please talk to your local clinic about I-131 for your cat. They can check suitability and arrange the referral.

How long will my cat stay in hospital?

It depends on the dose your cat needs. Most cats stay 7 days, and a longer stay can be arranged if required.

How will my cat be cared for?

A veterinary nurse sees your cat every day for feeding, water, litter and cleaning. Bring your cat's usual food to avoid tummy upsets. A familiar blanket helps them settle, but it can't be returned because of radiation safety.

What happens when my cat comes home?

For 2 weeks your cat must stay indoors, avoid close contact with children and pregnant people, and not sleep in the same room as anyone. Wash your hands after handling them, and bag used litter separately. If this isn't possible, an extra cattery stay can be arranged.

What follow up is needed?

Thyroid levels and kidney values are checked at 1 month and 3 months. Around 5% of cats need a second treatment. I-131 does not cause kidney disease, but treating hyperthyroidism can reveal existing kidney issues.

For veterinarians

Refer a case for I-131

I-131 therapy is available at Auckland Veterinary Hospital only. To refer a patient or discuss suitability, please email our Auckland team.

Email auckland@vethospital.co.nz

Available at Auckland Clinic Only

Vets please use the form below to refer a case.
For further information or to discuss case suitability please email auckland@vethospital.co.nz

* Pets need up to date vaccinations to considered as a candidate for the treatment

Note: an actual T4 reading at the time of diagnosis is required for accurate dosing, please contact the clinic to discuss if you do not have this information

CS at time of diagnosis

Ie. Weight loss, Increased appetite, Pu/Pd, vomiting, diarrhoea

Palpation of the thyroid gland

* Pets need to be stabilized prior to treatment

Note: we require these tests to be repeated within the 30 days prior to admission. If a date is booked longer than this away the tests will need to be repeated while the cat is still on their thyroid medication.

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