Doctor insights on:
Graves Disease And Propylthiouracil
I'm on 60mg carbimazole, 120mg propanolol and 200mg propylthiouracil, got graves' disease, i want to go clubbing, would it be ok to drink alcohol?
Clubbing: You can go clubbing but you should be tea totler. ...Read more
No: There are essentially three approaches to managing hyperthyroidism: surgical removal of gland, radiation therapy to the gland, medication (tapazole, propylthiouracil) to block the gland from taking up iodine and forming too much hormone. The symptoms must be treated often first with beta-blocker. Treatment options need by discussed and tailored for each person, depending on age, other probs, etc. ...Read more
How long will it take for my meds to bring my graves disease back to normal i've been taking ptu for three weeks now?
Weeks to months: Depending on how severe your grave's presentation was and how much medication you're on, it could take awhile. You may also become hypothyroid on treatment which also doesn't feel good. Routine monitoring of labs really important. Black box warning on ptu as it's caused fulminant liver failure in some. Methimazole preferably used except under certain circumstances. ...Read more
Is it possible that a person with graves disease be able to take medicine all their life such as ptu?
Possible: It is possible to take ptu indefinitely but generally not recommended. Most people with graves disease are treated with antithyroid drugs for a maximum of 2 years. If you remain hyperthyroid after that time, definitive treatment with surgery or radioactive iodine is recommended. There are few studies looking at the long term effects of taking ptu for many years. ...Read more
Might it happen that a person with graves disease be able to take medicine all their life such as ptu?
You Can but/choices: About30% of patients will remission after prolonged treatment with ptu, but you can not predict who will go into remission.Most endocrinologist recommend radioactive iodine therapy if there is no remission after one or two years if there is no contraindication for rai therapy, or if one can not tolerate ptu due to side effects.After rai you may need thyroid supplements all your life which is simpler. ...Read more
I have Graves Disease and take PTU. My TSH is very suppressed but T3 and T4 are normal. Should I try to raise my TSH before attempting pregnancy?
Several therapies: Medical therapy consists of several medications to control or block thyroid hormone. Sometimes medical therapy does not consistently control problem. Other therapies are radioactive ablation with I131 with destruction of the gland. An alternative therapy is surgery where thyroid gland is removed, ...Read moreSee 1 more doctor answer
Very carefully.: See published guidelines ( endocrine society and american thyroid association). Thionamides including Propylthiouracil and Methimazole are used depending on stage of pregnancy, beta blockers added for short term control of symptoms. Surgery in rare cases. Despite this approx 1-5% of infants are born with fetal grave's. ...Read more
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