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Molecule

Sodium iodide i-131

Radioactive Therapeutic Agent
Available on request
Presentations
2
Brands
2
Manufacturers
1
Available from stock
0

Sodium iodide i-131 is a radioactive therapeutic agent indicated for the treatment of hyperthyroidism and selected cases of thyroid carcinoma. It is available as capsules and oral solution. MedsAcross supplies Sodium iodide i-131 for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Radioactive Therapeutic Agent, Radiopharmaceutical Activity
ATC classification
V10XA01 Sodium iodide i-131 · Lutetium chloride lu-177, subgroup V10XA
US FDA first approval
2 May 1957
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Capsule, Oral solution
Identifiers
UNII 29VCO8ACHHRxCUI 91535CAS 7790-26-3DrugBank DBSALT002460Q22075909

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

HICON ® is indicated for the treatment of hyperthyroidism and selected cases of thyroid carcinoma. HICON ® is a radioactive therapeutic agent indicated for the treatment of hyperthyroidism and selected cases of carcinoma of the thyroid.

Source: US FDA prescribing information

How it works

Iodide is actively transported by the sodium-iodide symporter (NIS) protein, in thyroid follicular cells. Iodide is concentrated in follicular cells to levels up to 50 times higher than in the plasma. Iodide is metabolically oxidized by thyroid peroxidase to iodinium (I + ) which in turn iodinates tyrosine residues of thyroglobulin (tri or tetra-iodinated tyrosine). The beta emission of I 131 is responsible for the therapeutic effect.

Source: US FDA prescribing information

Dosing overview

The concentrated sodium iodide I 131 solution USP provided with HICON ® must be diluted. See Full Prescribing Information for important administration instructions and dilution and preparation instructions for sodium iodide l 131 capsules or oral solution. The recommended dose is based on the thyroid gland uptake as well as the size of the gland: Treatment of Hyperthyroidism: Recommended dosage is 148 MBq to 370 MBq (4 mCi to 10 mCi). Treatment of Thyroid Carcinoma: Recommended dosage is 1,110 MBq to 3,700 MBq (30 mCi to 100 mCi).

Source: US FDA prescribing information

Contraindications

HICON ® is contraindicated in: Patients with vomiting and diarrhea. Patients with thyroid malignancies shown to have no iodide update, which include the majority of medullary or anaplastic carcinomas. Patients receiving concurrent anti-thyroid therapy. Pregnancy. Lactation. Patients with vomiting and diarrhea. Patients with thyroid malignancies shown to have no iodide uptake. Pregnancy. Lactation.

Source: US FDA prescribing information

Warnings and precautions

Radiation-induced thyroiditis may cause or worsen hyperthyroidism. Consider pre-treatment with anti-thyroid medications. Multiple non-thyroid radiation toxicities, including hematopoietic suppression: Individualize dose and monitor for toxicity. Embryo-Fetal toxicity: May cause severe and irreversible hypothyroidism in the neonate. Verify pregnancy status in females of reproductive potential prior to initiating treatment. Females and males of reproductive potential should use effective contraception. Radiation exposure to breast tissue with lactation: Sodium iodide I 131 concentrates in the breast of lactating women. Discontinue breast feeding at least 6 weeks prior to therapy.

Source: US FDA prescribing information

Side effects

The following clinically significant adverse reactions are described below and elsewhere in labeling: Radiation-induced Thyroiditis. Radiation-induced Toxicities. Hypersensitivity Reactions. Embryo-Fetal Toxicity. Increased Radiation Exposure to Breast Tissue with Lactation. Transient Infertility. Radiation Exposure to Other Individuals. Risk of Decreased Effectiveness of Therapy. Common adverse reactions reported with therapeutic doses of sodium iodide I 131 include local swelling, radiation sickness, sialadenitis, salivary gland dysfunction, bone marrow depression, lacrimal gland dysfunction, hypothyroidism, hyperthyroidism, thyrotoxic crisis.

Source: US FDA prescribing information

Interactions

Concomitant use of bone marrow depressants may enhance the depression of the hematopoietic system caused by the use of large doses of sodium iodide I 131. Many drugs and iodide-containing foods interfere with the accumulation of radioiodide by the thyroid. Review the patient’s history, current medications, and recent diagnostic tests prior to the administration of sodium iodide I 131. Advise patients to maintain a low-iodide diet two weeks prior to radioiodide administration and continue for several days during the uptake or imaging process and to discontinue taking the following products before they undergo the procedure as shown in Table 4.

Source: US FDA prescribing information

Storage

Store and dispose of HICON ® in compliance with the appropriate regulations of the government agency authorized to license the use of this radionuclide.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

2 presentations of Sodium iodide i-131, sorted by availability.

MedicineManufacturerRegisterAvailability
Hicon 1000 mCi/mL oral solutionOralJubilant RadiopharmaIndiaUS FDAAvailable on request
Sodium Iodide I 131 Diagnostic 100 mCi capsuleOralJubilant RadiopharmaIndiaUS FDAAvailable on request

Brands by market

2 brand names across 1 markets.

Brand names by country

Manufacturers

Indian manufacturers are highlighted.

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 2 May 1957Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Sodium iodide i-131 available for export from India?

Yes, on request. MedsAcross lists 2 presentations of Sodium iodide i-131 and sources them for licensed hospitals, importers and physicians against valid import documents. Indian manufacturers include Jubilant Radiopharma.

What brand names does Sodium iodide i-131 have?

The catalogue lists 2 brand names for Sodium iodide i-131, including Hicon, Sodium Iodide I 131 Diagnostic.

Is Sodium iodide i-131 approved by the US FDA?

Yes. The US FDA first approved Sodium iodide i-131 on 2 May 1957, according to Drugs@FDA.

Does Sodium iodide i-131 need cold chain shipping?

No listed presentation of Sodium iodide i-131 is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Sodium iodide i-131 in?

Sodium iodide i-131 is classified under ATC code V10XA01 (Sodium iodide i-131).

References

  1. HICON prescribing information (Jubilant Radiopharma). U.S. National Library of Medicine, DailyMed. Retrieved 21 January 2025

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