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Author Topic: Radioiodine treatment for hyperactive thyroid  (Read 1586 times)
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ShellysMom
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« on: August 04, 2008, 08:48:56 PM »

My sister, chelsandphoebs, told me about this site and thought you all could give me some info.
My 15 year old cat, Whitney, has been diagnosed with a hyperactive thyroid (weight loss, big appetite, thirst, vomiting, and night time restlessness).
We have an appointment for radioiodine treatment August 17th.  Any of you ever have to "nuke the cat"?
I'm apprehensive, but after doing lots of internet research I think this is the way to go.
The toughest part will be leaving her there for a few days.
Looking forward to hearing from you!
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Mom to fur babies Whitney, Jake, and Timmy (aka Porch Kitty) too!
Nabiya
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« Reply #1 on: August 04, 2008, 09:08:15 PM »

Hi shellysmom, welcome to Itchmo and so sorry to hear about your kitty's hyperthyroidism.  I've had two kitties that have gone through the I131 treatment with a complete 100% cure.  It's definitely the best treatment out there for the disease.  It's a simple injection, non-evasive and really has no side affects.  They are cured almost immediately, too.  The hardest part is being separated from them for anywhere from 4-7 days.  But, it's harder on you than on the kitty!

The alternative is just a lifetime of Tapazole, which has side affects like blowing out the kidneys.  I did that treatment for my first hyperthyroid cat, and wish I would have done the I131 instead as he died from renal failure.

After kitty comes home, she'll need to be isolated in a separate room for a couple of weeks until all the radioactive iodine leaves the body. I actually bought a geiger counter and used it on them until they registered in the safe range.  I also found it strange that only the urine is still radioative and not the stool.  Also, only certain parts of the body (where the thyroid glands are) registered any radioactive readings.

Dealing with the radioactive litter after the kitty comes home is an experience.  In the state I live in, I had to bag it and return it to the vet!  I couldn't by law just throw it in my garbage cans (so it wouldn't end up in the landfill dump).  I believe each state is different but your vet will know.

I highly recommend the treatment because of the success I've had with my two.  They came home like they never left, didn't forget who we were and were more loving than ever.  Other members here have also had the treatment and I'm sure they'll post about it.

Best of luck with the treatment and keep us informed!
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kaffe
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« Reply #2 on: August 04, 2008, 09:26:21 PM »

Welcome to Itchmo, Shellysmom!  Although I am right sorry to hear that your kitty has hyper-T.  Having had that scare for one of mine, I know somewhat the trepidation you are feeling.  Nabiya and several others here have had experience with I131 with good success and when I thought my kitty was hyper-T, "nuking" was THE option I was batting for.  Fortunately, hyper-T has a cure, and the best route is I131.  Just make sure that the kidneys are monitored before and after becuase hyper-T can mask on-going renal insufficiency.  Has your kitty been put on a trial run of Tapazole (methimazole) to see how the kidneys level off?  I thin the common prcedure now is to put kitty on methimazole for at least two weeks, retest to see kidney function and if all is OK, go ahead with I131.  BTW, where are you having it done? 
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Sandi K
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« Reply #3 on: August 04, 2008, 09:47:10 PM »

Shellysmom, our KiKi who is now deceased (not from hyper-T) had the I131 done.  She could not tolerate any of the meds to treat it so we decided on the I131.  We flew with her first class, mind you  Grin, to Seattle from Alaska to have the treatment done.  She only had to stay 3 days.  Now with her, she ended up hypo-thyroid afterwards.  Because of the distance we had to travel, the Dr decided that he would give her a little more than normal to prevent her from possibly having to come back.  But the hypo-thyroid did not affect her and it was not real low, she did just fine.  No more vomiting, ferocious eating, etc and it did cure her.  Make sure they not only do blood work but also do a urinalysis to check everything before the treatment although the Dr doing the treatment will probably ask for that before he will begin.  The hardest part of the whole thing was her serenading first-class passengers with her meows all the way back from Seattle, she just wanted out of the darn cage.  Really the whole trip and experience was harder on us than on her, she handled it extremely well including the part where we had to take her out of her carrier while going thru security, that scared me, I thought she would get loose and run all over the airport but she was just more curious than anything. 

By the way, there are some I131 facilities that actually have cameras and you can log onto their website and check in on your kitty while they are there.  We didnt have that but I have seen it.  Good luck and keep us posted.   

ETA:  We did not put her in a separate room afterwards, we were told by the Dr to just not sleep right next to her and not be real close with her alot especially close contact up to our faces, etc...he said that we get as much as exposure to the radio-iodine on one plane trip cross-country, I dont know if thats true or not.  Now that I read Nabiya's info, Im going oh great.... Shocked We did have to scoop the pee-pee's with gloves and hold them in covered containers for 3 months or so before we could dispose of it.  I think each state may have different rules. 
« Last Edit: August 04, 2008, 10:49:33 PM by Sandi K » Logged
catwoods
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« Reply #4 on: August 05, 2008, 12:29:31 AM »

Welcome, Shelleysmom. I'm sorry your kitty is hyper-T. Around eight years ago I had a kitty who had the I131 treatment and it was very successful. In her case, she did not go hypothyroid after the treatment. But your cat will have to be checked for that as it does sometimes happen. We had to drive about four or five hours to the treatment center and being separated from her for a few days was actually the worst part of it.

Everyone has given you very good advice about having thorough check-ups before the procedure. Best of luck to you and your kitty!
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JJ
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« Reply #5 on: August 05, 2008, 01:53:14 AM »

Welcome to Itchmo Shellysmom. Hope the procedure goes well for your lil kitty and a lot of very good, kind people on here have the best advice about kitties as lots have gone thru same thing with their lil babies too.
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ranger
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« Reply #6 on: August 05, 2008, 06:54:52 AM »

Yes leaving them for a few days is the worst part, the best thing is not having to give that awful medicine twice a day.  My girl had this in December and being a former feral does not like to be in a caged envirornment.  I took my own food and just in case they don't tell you usually everything you leave with kitty is not given back.  I raised a fuss and they did give me back my food and medicine.

I live in Massachusetts and they let her go home on the fourth day but I had to keep the kitty litter she used for the first two weeks for three months and then I just put it in the trash.

I was told I had to limit my time with her to 20 minutes a day so I slept on the couch for two weeks and she had the bedroom.  I didn't have any other pets.

Good luck.

Judy
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Carol
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« Reply #7 on: August 05, 2008, 07:17:18 AM »

Welcome to itchmo....

I wish I had chosen this treatment for my kitty Jessica last Nov...but I didn't and the medicine did put her kidneys back into renal failure (she had slowly completely recovered from the pet food induced acute renal failure) as we think her kidneys were not strong enough for another assault...

I do think getting her kidneys checked out ahead of time is very wise....and I wish you the very best!
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3catkidneyfailure
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« Reply #8 on: August 05, 2008, 07:20:34 AM »

shellysmom, I too have a cat treated with radioiodine for hyperthyroidism about seven
years ago. Despite the restrictions right after the treatment, which were less then, it cured
her hyperthyroidism 100 percent.
« Last Edit: August 05, 2008, 07:22:35 AM by 3catkidneyfailure » Logged
shibadiva
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« Reply #9 on: August 05, 2008, 07:43:05 AM »

shellysmom Welcome to Itchmoforums.

My 11 year old cat, Molly, had the treatment last August, after being on tapazole for a few months. She stayed at the clinic for 3 days, and the injection went off without a hitch. I kept her confined to her favourite front bedroom with her cat pal, Genji, but we had lots of visits.

The litterbox contents had to be kept for a month, and the main thing was keeping the dogs from hunting for kitty cigars.

I have to say that Molly's temperament improved considerably. Before the treatment, she could be quite testy. Now she is sweet and cuddly. Her T-4's have been OK since the treatment.
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Sandi K
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« Reply #10 on: August 05, 2008, 08:13:28 AM »

This is where we had KiKi's treatment done and it has some info about what to expect, etc:   http://www.felinehtc.com/site/view/57409_Faq.pml
« Last Edit: August 05, 2008, 08:15:53 AM by Sandi K » Logged
ANDYcat
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« Reply #11 on: August 05, 2008, 01:13:51 PM »

Welcome to Itchmo!

You've already heard references to kidney-related issues.

You might want to read about radioiodine treatment from the perspective of a specialist (not a Vet) in CRF...here.
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3catkidneyfailure
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« Reply #12 on: August 05, 2008, 04:17:45 PM »

Thanks, Andycat, for pointing out the possible kidney related issues. That was
something I didn't have to consider when my cat was treated.
« Last Edit: August 05, 2008, 04:19:16 PM by 3catkidneyfailure » Logged
Sandi K
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« Reply #13 on: August 05, 2008, 04:51:02 PM »

Those are good articles Andycat.  Another issue that isnt talked about though and that is sometimes with hyper-thyroid, even if it is controlled with meds, they can go on to develop heart disease.  And sometimes more and more meds are needed to keep the hyper-T under control as time goes on.  So it can be a catch 22.  In our case, we had no option, as the meds made our cat sicker so we chose the I131.  It is very important to get all the labwork done and urinalysis done before even considering I131 (and that is while they are not on any meds in order to get a good picture of things).  I would definately want to get all the labwork and urinalysis and whole history of the pet and have a consultation done by a kidney specialist and also talk to the I131 Dr.

One thing I noticed is that Shelleysmom said it was diagnosed in her kitty but didnt say whether that was thru T4 testing or not so I would want to make sure it was truly diagnosed with the proper tests first.  There are also a few Yahoo Groups for feline hyper-thyroidism that might be helpful to join before deciding on an option....    

As a sidenote it makes me wonder how many cats that had hyper-thyroid werent diagnosed with melamine and ca poisoning at the time of the recalls last year because their thyroid was masking kidney problems.  I still remember my old vet saying most of their cases had bloodwork looked just fine and it was only the urinalyis that showed the problem.  Many vets werent running both tests.  But anyhow, that is a off-topic in regard to Shelleysmom and her cat Whitney...
« Last Edit: August 05, 2008, 05:10:25 PM by Sandi K » Logged
kaffe
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« Reply #14 on: August 05, 2008, 06:19:45 PM »

Shelleysmom:  Did your kitty have both the T4 and the FreeT4 by equilibrium tests done?  I suppose your vet woul have done those two tests at least before diagnosing hyper-T.  On one blood test, my cat's T4 showed an elevated number; but since he was not showing the usual symptoms of feline hyperthyroidism, I decided to wait one month and retest.  I also tweaked his home made diet to address any possible "spike" in the thyroid hormone.  Sure enough, the second blood test showed normal thyroid levels - both T4 and FreeT4Eq.
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