Antithyroid Medications: Antithyroid medications (sometimes written anti-thyroid) prevent the thyroid from producing excess amounts of T4 and T3 hormones. There are 2 types of antithyroid medications used in the US—propylthiouracil (PTU) and methimazole (also known as Tapazole).

Your comments are welcome.

Antithyroid Medications: Antithyroid medications (sometimes written anti-thyroid) prevent the thyroid from producing excess amounts of T4 and T3 hormones. There are 2 types of antithyroid medications used in the US—propylthiouracil (PTU) and methimazole (also known as Tapazole).

Radioactive iodine treatment is also recommended.

Beta blockers such as propranolol and atenolol. The drugs inhibiting the secretion of thyroid hormones such as methimazole, and propylthiouracil. And radioactive iodine: This drug is taken by mouth; it destroys the cells that enter it, and because the capture is only from the cells of the thyroid gland, this destruction is topical only in the thyroid gland and spread to nowhere.

Dear Sikandar Khan

I depends upon the cause.There are multiple causes for hyperthyroidism.

Options include:

1-Surgery

2- Radioiodine treatment followed by thyroxine replacement

3- Carbimazole /mehhimazole for temporary management

I will repeat "Comprehensive Patient Management" will depend upon cause, which are multiple and co-morbid conditions, diagnostic test findings, and age. Medication MUST only be started after concerned specialist advice.

There are some detailed guidelines on the subject:

ATA / AACE guidelines: Available at: https://www.aace.com/files/final-file-hypo-guidelines.pdf

Regards

Following

· Antithyroid Medications: Antithyroid medications (sometimes written anti-thyroid) prevent the thyroid from producing excess amounts of T4 and T3 hormones. There are 2 types of antithyroid medications used in the US—propylthiouracil (PTU) and methimazole (also known as Tapazole). Your symptoms should gradually subside within 3 months, though you may need to stay on the medication for more than a year (and will need to be gradually tapered off). These 2 medications target the thyroid gland directly to reduce T4 and T3 hormone production.

Radioactive Iodine: This oral medication is absorbed by your thyroid gland. Radioactive iodine works by gradually destroying the thyroid.

· Surgery: The total or partial surgical removal of the thyroid is called a thyroidectomy. A thyroidectomy, when performed by an experienced surgeon, is a safe and effective treatment

Please check

AACE Hyperthyroidism Management Guidelines, Endocr Pract. 2011; 17(No. 3) (https://www.aace.com/sites/default/files/HyperGuidelines2011.pdf )

Depends on etiology, age and sex of the patients. Carbimazole with beta blockers are quite effective. Special precautions should be taken in early pregnancy where PTU is preferable. No anti thyroid drugs are required in case of thyroiditis where thyroid hormones are temporarily elevated. Radioactive iodine is considered in case of relapsing hyperthyroidism. Of course surgery should be the last option.

Thank you very much Dear Mizanul Hasan, Entedhar Sarhat , Sikandar Hayat Khan , Khansaa Azeez Obayes Al-Husseini and Fares Aboushnaf for your sincere and wonderful comments .

Best regards,

You have to make a suit in accordance to your patient.