Some thyroid medications can also cause hair loss, which most people find frustrating and undesirable. Thanks, THANKS FOR YOUR HELP LET ME KNOW IF YOU THINK OF ANYTHING. "Long-term, low-dose methimazole treatment for 60-120 months is a safe and effective treatment for Graves hyperthyroidism and is accompanied by much higher remission rates than the usual 18-24 months of methimazole treatment," he summarized. We tapped the CDC for information on what you need to know about radiation exposure, Endocrinologist Mark Lupo, MD, answers 10 questions about thyroid disorders and how to treat them. Then later when I added supplements and my lab tests were improving very quickly, my new Endo would decrease my dose by no more than 2.5 mg at a time. Then and only then did my doc increase my meds and will do bloodwork at 4 weeks instead of the usual 8 weeks. 2 days on, one day off and this past week my endocrinologist gave me the choice of either going right off Tapazole or going off it slowly. Patient is a UK registered trade mark. Herpes spreads by oral, vaginal and anal sex. Well, nothing like wasting money for an antiquated panel is there? Im going to ask to go back to my old dose because my numbers were exactly in the middle at 2.13 but now theyre probably a mess. Side Effects of Stopping Thyroid Medication Abruptly Two-step method for administration: Test dose: 0.5 to 1 mg as slow IV push administered over 10 minutes Subsequent doses: 1 to 3 mg IV over 10 to 15 minutes every few hours to desired effect with monitoring of cardiac rhythm Esmolol can be considered as an alternative agent Tell your doctor at once if you develop signs of infection. The first time my Endo told me to decrease my dose from 10 mg to 5 mg, about 2 weeks after I did that I got a rebound effect of symptoms so I raised it by 2.5 mg and told her. Herpes spreads by oral, vaginal and anal sex. If you are feeling conflicted about your thyroid medication, discuss your concerns with your doctor. Mine endo only did it once every 6mo and within that time my tsh was no longer detectable and I got super super sick. Maintenance dose: 5 to 15 mg orally per day. A relatively low dose of Methimazole was prescribed, along with Lisinopril, and Metoprolol. Avoid being near people who are sick or have infections. Read This Before You Abruptly Stop Taking Your Thyroid Medication Methimazole: MedlinePlus Drug Information brain fog, loss memeory, Phantom touch Help me please, unemployed, GA medicaid. Is it possible that it is my thyroid or should I see my PCP for the attacks. as being in breach of those terms. A list of national and international resources and hotlines to help connect you to needed health and medical services. Hi, Paying for medications can be stressful. With a thyroid condition, your symptoms can be a good reflection of how well the medication is working. But the symptoms and side effects associated with thyroid disease can make it difficult to know whether you feel better overall with or without your thyroid medication. One thing my Endo and I agree on is that he will not stop a patient's medication entirely unless their antibody levels are within the normal range even if all their thyroid labs are normal. Do not give this medicine to a child without medical advice. My T3 and T4 are at mid to lower end of the range. You should go off it slowly. Worsening of constipation or GI issues. The ENT in the group did suppression therapy. It is also used before thyroid surgery or radioactive iodine treatment. A list of national and international resources and hotlines to help connect you to needed health and medical services. Call your doctor for medical advice about side effects. It should always be tapered incredibly gradually, there's always a small rebound period for me no matter how small I chop it with my pill cutter. Create an account to follow your favorite communities and start taking part in conversations. You should not shock your body that way. manic bipolar unable to get along with others. I just watched my diet, no red meat, no sugar, no wheat or dairy, and room temp water. This is perfect for me. You may need a different medication or a dose adjustment, but you should never quit your medication without your doctor's approval. We offer this Site AS IS and without any warranties. no one will listen. The risk of serious side effects due to thyroid medication is extremely smallfar lower than the risks of remaining untreated. Recently, after a six month stint of being in the normal range, my bloodwork indicated I was hyper. Increased risk of infection. I am weaning off methimazole i was only taking 10 mg a day down to 7.5 mg for 2 weeks feeling lightheaded and was wondering if anyone knew of any side effects? Sorry you're having these problems. If true allergy to iodine or contraindication to iodine therapy (e.g. Follow all directions on your prescription label. The dose is taken in 3 divided doses every 8 hours. Constipation. It is also used before thyroid surgery or radioactive iodine treatment. Answer. Some of the effects of skipping or stopping your thyroid medication are obvious, while others are so subtle they can go undiagnosed for years. Now down to 5 mg a day, 6 days a week (so 30 mg a week). I should have listened to him. don't know how much more I can take of feeling this way. Methimazole is used to treat hyperthyroidism, a condition that occurs when the thyroid gland produces too much thyroid hormone. His goal is to wean me off very slowly. If the patient is given PTU during treatment of thyroid storm, this should be switched to methimazole at the time of discharge unless methimazole is contraindicated. When I say all is good, my TSH level is still less than .01 but that takes longer to bounce back. Methimazole (Oral Route) Proper Use - Mayo Clinic All lab work has come back in normal ranges. Again, be sure to discuss any concerns with your doctor and do not stop taking your medication without consulting with them first. Unusual weakness or fatigue, fever, headache, skin rash, muscle or joint pain, loss of appetite, pain, tingling, or numbness in the hands or feet. So instead of quitting the methimazole cold turkey I should have just lowered the dose to maybe half? Patient does not provide medical advice, diagnosis or treatment. It flared up my GERD do now taking Prevacid and going to go to the counselor.. I DONT KNOW IF I COULD STILL BE HYPER.MY LAB RESULTS HAAVE BEEN NORMAL FOR 1 YEAR. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. I'm not in hypo yet I don't think the doctors just think that I'm going into hypo..? Went back to 10mg, after 2 consecutive blood tests were good (12 weeks) and then went to 7.5, just did a another 12 week stint, all is good so went to 5 mg this week (very happy). Hello, what you think of my lab results & should I see another doctor? Thank you so much! The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. I have my test results and I am taking 15MG Methimazole a day since 5/25 and the Endo told me to continue taking the same dosage Me again. It is also taken before thyroid surgery or radioactive iodine therapy. Furthermore, you should fully understand the consequences of untreated thyroid disease. If you are covered by Medicare or Medicaid coverage, your thyroid treatments should be paid for under these plans. I am also trying to wean off and am having really really really bad anxiety is this normal???? STIs are the most common cause of genital sores. This was very irresponsible of them and I was not able to be well enough to work for a year after that. I occasionally would ask my husband what the readings were. Weaning off Methimazole : r/gravesdisease - Reddit Yet to you, something does not seem right. I have hyper numbers - very low TSH and high/normal T4 and I have the same kind of symptoms you have: freezing cold and sometimes achy legs. Sounds like your doctor wants to work with you though if he gave you that choice. You may report side effects to FDA at 1-800-FDA-1088. Methimazole: Uses & Side Effects | Cleveland Clinic Medically reviewed by Drugs.com on Feb 20, 2023. Serious and sometimes fatal infections may occur during treatment with methimazole. Methimazole - StatPearls - NCBI Bookshelf unusual bleeding or bruising. By using this Site you agree to the following, By using this Site you agree to the following, The Best IOL for 2022 RXSight Light Adjusted Lens, Will refractive surgery such as LASIK keep me out of glasses all my life. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. amiodarone-induced thyrotoxicosis): Consider administration of lithium carbonate 300 mg PO or NG q6h, Maintain lithium level within range of 0.8 to 1.2 mEq/L, Enhanced - and -adrenergic stimulation in the setting of thyroid storm leads to clinical manifestations, Inhibits peripheral conversion of T4 to T3 (3ndB), Effect not demonstrated considerably with other -antagonists, Blocks non-selective -adrenergic receptors to allow for effective treatment of systemic effects, such as tremor, tachycardia, agitation, fever, diaphoresis, psychosis (2nd B), Proper dosing of propranolol is essential because ofdose-dependent effects on inhibition of peripheral conversion of thyroid hormone (> 160 mg/day), and rapid metabolism of the agent in the setting of thyroid storm, Alternative route of propranolol: IV formulation (determine availability at your institution), Test dose: 0.5 to 1 mg as slow IV push administered over 10 minutes, Subsequent doses: 1 to 3 mg IV over 10 to 15 minutes every few hours to desired effect with monitoring of cardiac rhythm, Contraindications to beta blockade: guanethidine or reserpine with close monitoring for hypotension, Depression of the hypothalamic-pituitary axis commonly occurs in the setting of thyroid storm, Additional benefit: inhibition of peripheral conversion of T4 to T3 (3rd B), Can be used to interrupt enterohepatic recirculation of thyroid hormone, leading to decreased circulating levels of thyroid hormone, Dissipation of heat with various cooling modalities for hyperthermia control, Benzodiazepines for control of agitation and to minimize sympathetic outflow. I got diagnosed with graves approx 1 year ago I responded good to tapazole however I was sick with a cold and forgot to take my meds for like a week? He said there is a 50% chance the Hyper T will come back? How should this medicine be used? ChildrenDose is based on body weight and must be determined by your doctor. Is there side effects from stopping or withdrawal symptoms? I have been having anxiety attacks and I have only been off it a week. Herpes sores blister, then burst, scab and heal. 2023 Dotdash Media, Inc. All rights reserved, Mary Shomon is a writer and hormonal health and thyroid advocate. Taking kelp pills, iodine and alcohol drinking after total thyroidectomy. The Best IOL for 2022 RXSight Light Adjusted Lens, Will refractive surgery such as LASIK keep me out of glasses all my life. decreased sense of taste. A previous ALiEM blog post further discusses some of the nuances associated with the diagnosis of thyroid storm. I never was given clarity about what "the damage" entailed though:(. However I choice to go off the med and now I'm wondering what the side effects may be because of my choice. Thyrotoxic Crisis Oral Some clinicians recommend 60-80 mg daily. We strive to reshape medical education and academia in their evolution beyond the traditional classroom. But have plenty of lab slips on hand and get checked if you feel like hurting someone. Methimazole (Oral Route) Description and Brand Names - Mayo Clinic
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