TABLE 2

Factors Interfering with Thyroid Uptake of Radioiodine, and Recommended Minimal Withdrawal Time Before Radioiodine Therapy

CompoundWithdrawal time
Thyroid-related medications
 Antithyroid drugs*3–7 d to 2–3 wk
 Perchlorate1 wk
Iodinated drugs or substances
 Amiodarone3–6 mo
 Intravenous contrast agents2–4 wk
 Iodine-containing preparations4 wk
 Lugol solution or SSKI4–6 wk
 Kelp or seaweed2–4 wk
 Oil-based contrast agents3–6 mo
  • * Methimazole, carbimazole, and propylthiouracil: longer withdrawal for methimazole, shorter for propylthiouracil.

  • Currently used nonionic contrast agents undergo fast renal clearance, thus possibly requiring shorter withdrawal times.

  • Rarely used in current clinical practice.

  • SSKI = supersaturated potassium iodide solution.