Doctor insights on:
What is the difference between ptu (propylthiouracil) and carbimazole? Is it possible to switch medication?
Different: Carbimazole is converted to an anti=thyroid drug methimazole. Ptu (propylthiouracil) is a different anti-thyroid drug. Both are effective. Ptu (propylthiouracil) better, but not used as much since it can be associated with liver disease. Both have potential side effects. Talk w/your doctor. ...Read more
What are other medications for surgery other than carbimazole and propylthiouracil (ptu) and how effective are they?
Don't understand: These drugs are used in the treatment of hypothyroidism. I am assuming you mean are they effective in the treatment of hyperthyroidism. That is something you need to discuss with you physician and endocrinologist. There are many causes of hyperthyroidism and it will depend on that. ...Read moreSee 1 more doctor answer
My weight is raising after get medication for hyperthiroidism. Can I do exercise? I want standard weight now. Fyi doc here give me ptu (propylthiouracil) and propanol
Hyperthyroidism: Ptu (propylthiouracil) & propanolol are standard drugs used to treat an overactive thyroid (hyperthyroidism) which can lead to weight loss & fast heart rate. Propanolol is a beta blocker that keeps your heart from beating too fast. As ptu (propylthiouracil) normalizes an overactive thyroid, you stop losing weight & return to your normal weight by gaining it back. Healthy nutrition & regular exercise are always good. ...Read more
Other pregnancy safe hyperthyroid medication? I am almost 16 weeks, I refuse to take PTU, (propylthiouracil) its the worst medicine ever created, why not coat them?
Doc, my TBIL is high i take medication for my hyperthyroid and like atenolol and ptu (propylthiouracil). But my ALT and AST are normal.. ?
Continue workup: In the absence of markers for hepatocellular injury, look at what bilirubin component is up, and determine whether this is new. Several percent of folks have Gilbert's which raises indirect and is harmless. If direct is up, consider a cholestatic response to some medication or if longstanding, a mild genetic glitch like Dubin-Johnson. Labs by themselves mean little. Best wishes. ...Read moreSee 1 more doctor answer
Taken carbimazole and ptu (propylthiouracil) in the past for my thyroid, but they are not improving my condition, is there any other anti- thyroid drugs i can take?
Pregnant taking ptu, (propylthiouracil) labetalol, methyldopa never done drugs in my life, i was tested positive for exstacy is that possible?
Yes,but: Ecstasy false positives have not been associated with those drugs, but otc drugs with decongestants, nose drops , nyquil, and weight loss drugs can. Do any of these ring a bell? ...Read more
Rash, liver, WBCs: Ptu (propylthiouracil) is a type of sulfa drug, so the most common side effect is a diffuse rash on the body. Occasionally it can affect the liver and cause inflammation. Periodic monitoring of liver tests is recommended while on the med. Rarely, it can lower one type of the white cells, increasing the risk of infection. We check the wbcs if one develops a fever or bad "cold" while on the med. ...Read more
Absolutely : The fda has a black box warning on ptu (propylthiouracil) because it has been linked to liver failure in some. It can also cause failure of bone marrow to make certain type of immune cells. Rash and large joint inflammation are also known side effects. Methimazole is the anti-thyroid drug of choice in most. Although there are similar side effects between the two drugs, Methimazole may be safer for liver than ptu (propylthiouracil). ...Read more
Depends: Unless you are pregnant, we usually use Methimazole before ptu (propylthiouracil) because of the occasional liver problems with ptu (propylthiouracil). The dose has to be individual depending on the severity of the hyperthyroidism and the breakdown rate in your body. Some people have a very rapid breakdown and require very high doses to be controlled. If so, you need very close monitoring to use the lowest effective dose. ...Read more
Had you lost weight?: Many hyperthyroid patients lose a lot of weight prior to diagnosis. Once treatment becomes effective, the weight comes back. Thyroid function tests should be monitored carefully as it's easy to become hypothyroid on ptu, (propylthiouracil) which would predispose to further weight gain. ...Read more
Different drugs: Ptu (propylthiouracil) is a drug used to block the thyroid from making thyroid hormones in patients primarily with grave's disease. It has potential serious toxicities involving both liver and bone marrow. Methimazole may be safer, though also has toxicities. Blood work is monitored closely. Beta blockers are medications which help counter side effects of hyperthyroidism like high bp, rapid heart rate, nervousness. ...Read more
Propylthiouracil: Ptu (propylthiouracil) is used to treat hyperthyroidism. It is very effective to cool down the hyperthyroidism. Although it is generally well tolerated, it can cause a rash. More serious side effects are low white blood cell count, making you prone to infections, and liver injury. Another drug, methimazole, has less liver toxicity, and is usually preferred over ptu. ...Read more
Rash: Hi. The most common adverse reaction to PTU (propylthiouracil) is a rash. Some of these people can be switched to methimazole and do fine. The serious side effect we worry about is neutropenia (low white blood cell type that fights bacterial infection). The problems go away with stopping the drug. You might want to proceed thy radioactive iodine therapy. ...Read more
Since being on 600mg of PTU, (propylthiouracil) I've been experiencing constant chest and back pains, is it related??
Depends: Hyperthyroid alone which is what the ptu (propylthiouracil) is supposed to treat can cause chest and back pain as well so it's difficult to know if the disease or the pill is doing it. Ptu (propylthiouracil) is not a good option for hyperthyroidism. Talk to your doctor about Methimazole instead. ...Read more
Yes if needed: Ptu (propylthiouracil) is the treatment for hyperthyroidism. It is very important that hyperthyroidism be well controlled and treated during pregnancy. Not treating it can be dangerous. This is an important medication for patients to take if they have hyperthyroidism in pregnancy. ...Read more