Question

I am a breastfeeding mother and i want to know if it is safe to use Iodure (131I) de sodium? Is Iodure (131I) de sodium safe for nursing mother and child? Does Iodure (131I) de sodium extracts into breast milk? Does Iodure (131I) de sodium has any long term or short term side effects on infants? Can Iodure (131I) de sodium influence milk supply or can Iodure (131I) de sodium decrease milk supply in lactating mothers?

Answer by DrLact: About Iodure (131I) de sodium usage in lactation

Information in this record refers to the use of Iodure (131I) de sodium as a diagnostic and therapeutic agent. The use of I 131 is contraindicated during lactation.[1] Breastfeeding should be discontinued permanently for this child after administration of Iodure (131I) de sodium in a dose of 0.01 MBq (0.004 mCi) or greater to a nursing mother.[2][3][4][5][6] Ceasing breastfeeding at least 4 weeks before receiving a therapeutic dose of Iodure (131I) de sodium is recommended to reduce the radiation dose to the breasts and the risk of milk leakage that can contaminate clothing with radioactive iodine.[4][7][8] The American Thyroid Association recommends using I 123 or Tc99m pertechnetate scans for diagnosis of hyperthyroidism in nursing mothers.[1] Parents should refrain from close contact with their infants after therapeutic iodine 131 administration. The exact duration depends on the dose administered, condition being treated, and source of the recommendation.[2][9][10] Recommended times range from 15 to 27 days after hyperthyroidism treatment, 16 to 24 days after ablation of thyroid cancer, and 4 to 5 days after follow-up therapy of thyroid ablation therapy.[10]

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