Q: thyroid medication. i am using neomercazole 10mg per day but am not sure that my blood work is showing a real improvent: tsh from nov was <0.01 and this month same. free t4 was 74 now 24. antithyroglobulen was 332 now 207. antithyroid was 224 now 210?

: Without normal values for your lab cannot help. They differ by lab. Should be in the report. Go to uptodate.com and read more then discuss with your team.

Q: could i breastfeed if i am taking antithyroid medicine for graves' disease?

Maybe: Many pediatricians strongly discourage breastfeeding while taking ptu (propylthiouracil) or methimazole. These meds can affect the baby by lowering his thyroid hormone levels right at the time he needs them for growth and brain development. Others will monitor the baby for any signs of slow growth or get blood tests to check thyroid levels. Close supervision is essential.

Q: hi antithyroglobulin 1361 (range 116) antithyroid peroxidase 678 (range 10) please explain what this means. thank you ?

It: Means that you have antibodies that may alter the activity of your thyroid. Hashimoto thyroiditis is one.

Q: my tsh= 8.6 ft4= 0.2 but antithyroid ab and antithyroglobuline is normal! what is wrong with my thyroid?

Hypothyroidism: I don't know the normals in your lab but those numbers look abnormal if i follow our levels here. The TSH looks high and the ft4 looks low which shows your thyroid is likely underworking. Wait for your doctor to explain and give the proper treatment depending on your laboratory levels there.

Question 1

when you start your antithyroid medication, how long does it take for you to feel better?

Accepted Answer

Hyperthyroid treatmt: If you are hyperthyroid (eg. Graves disease) and start on a proper dose of methimazole, it may take several weeks for the T4 level to go down and for you to feel better.  This is why beta blockers are often used;  they don't affect the T4, but they help you feel better right away.

Question 2

any side effects to antithyroid medication?

Accepted Answer

Multiple but uncommon: One in ten patient on antithyroid drugs can have rashes, joint pains, bad taste in their mouth. More rarely, patients may have a reversible drop in their white blood cells. This is a dangerous but rare side effect that can lead to severe infection. Even more rarely, liver disease can occur, and an inflammation of the blood vessels called vasculitis. Your doctor should explain all this carefully so taht you can recognize side effects timely.

Question 3

why in treatment of hypothyrodism start with high dose of  antithyroid drugs and in hypothyrodism start wiith low dose of thyroxin?

Accepted Answer

Side Effects: Starting with a fairly high dose of thyroxine may cause palpitations, insomnia and possible atrial fibrillation.
If serum TSH is over 10,  start with 50ug thyroxine and every 2 weeks increase to 75 etc., then 88 etc.

Question 4

will thyroid hormones or antithyroid medications interfere with a tc99m pertechnetate thyroid scan?

Accepted Answer

Yes and No: Thyroid hormone therapy and recent administration of iodide, iodinated contrast agents, or other iodine-containing 
 drugs will lower the thyroidal accumulation of tc99m pertechnetate.
Antithyroid-drug therapy (propylthiouracil or methimazole) do not interfere with the trapping of tc99m pertechnetate.

Question 5

can you stay on antithyroid medication indefinitely rather than definitive treatment for graves' disease ?

Accepted Answer

Meds for Grave's: 52F from UK asks if one can take antithyroid meds indefinitely rather than definitive treatment for Graves' Disease. ANS: Yes and sometimes one can even stop after a period of time but need to weigh side effects of meds vs radiation and your other circumstances that are best assessed by your thyroid Dr.

Question 6

does a young female of age 29 with toxic multinodular goiter difficult to conceive along with the antithyroid medication..will i get pregnant?

Accepted Answer

You could: Plenty of hyperthyroid patients get pregnant. If you are trying to get pregnant make sure the antithyroid medication is ptu (propylthiouracil) - not Methimazole (tapazole) - talk to your endocrinologist.

Question 7

thyroid medication. i am using neomercazole 10mg per day but am not sure that my blood work is showing a real improvent: tsh from nov was <0.01 and this month same. free t4 was 74 now 24. antithyroglobulen was 332 now 207. antithyroid was 224 now 210?

Accepted Answer

: Without normal values for your lab cannot help.  They differ by lab.  Should be in the report. Go to uptodate.com and read more then discuss with your team.

Question 8

could i breastfeed if i am taking antithyroid medicine for graves' disease?

Accepted Answer

Maybe: Many pediatricians strongly discourage breastfeeding while taking ptu (propylthiouracil) or methimazole.  These meds can affect the baby by lowering his thyroid hormone levels right at the time he needs them for growth and brain development.  Others will monitor the baby for any signs of slow growth or get blood tests to check thyroid levels.  Close supervision is essential.

Question 9

hi  antithyroglobulin 1361 (range 116)  antithyroid peroxidase 678 (range 10)  please explain what this means.  thank you ?

Accepted Answer

It: Means that you have antibodies that may alter the activity of your thyroid. Hashimoto thyroiditis is one.

Question 10

my tsh= 8.6 ft4= 0.2 but antithyroid ab and antithyroglobuline is normal! what is wrong with my thyroid?

Accepted Answer

Hypothyroidism: I don't know the normals in your lab but those numbers look abnormal if i follow our levels here. The TSH looks high and the ft4 looks low which shows your thyroid is likely underworking. Wait for your doctor to explain and give the proper treatment depending on your laboratory levels there.

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Doctor answers about:

Which foods do you need to avoid with antithyroid medications

A member asked:

When you start your antithyroid medication, how long does it take for you to feel better?

A member asked:

Any side effects to antithyroid medication?

A member asked:

Why in treatment of hypothyrodism start with high dose of antithyroid drugs and in hypothyrodism start wiith low dose of thyroxin?

A member asked:

Will thyroid hormones or antithyroid medications interfere with a tc99m pertechnetate thyroid scan?

A member asked:

Can you stay on antithyroid medication indefinitely rather than definitive treatment for graves' disease ?

A member asked:

Does a young female of age 29 with toxic multinodular goiter difficult to conceive along with the antithyroid medication..will i get pregnant?

A member asked:

Thyroid medication. i am using neomercazole 10mg per day but am not sure that my blood work is showing a real improvent: tsh from nov was <0.01 and this month same. free t4 was 74 now 24. antithyroglobulen was 332 now 207. antithyroid was 224 now 210?

A member asked:

Could i breastfeed if i am taking antithyroid medicine for graves' disease?

A member asked:

Hi antithyroglobulin 1361 (range 116) antithyroid peroxidase 678 (range 10) please explain what this means. thank you ?

A member asked:

My tsh= 8.6 ft4= 0.2 but antithyroid ab and antithyroglobuline is normal! what is wrong with my thyroid?

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