Avoid being near people who are sick or have infections. Side effects are also most likely to occur within the first three months of treatment, so keep that in mind if you are beginning a new regimen. Serious and sometimes fatal infections may occur during treatment with methimazole. If you need surgery, tell the surgeon ahead of time that you are using methimazole. I tapered and stopped completely and felt so good. You may need a different medication or a dose adjustment, but you should never quit your medication without your doctor's approval. Worsening of constipation or GI issues. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Most people who have thyroid disease feel better with the appropriate medication. Even while I was having a thyroid storm and my hr was way to high it took the doctor telling me I was going to die before I let him give me meds to slow my heart. This can make it easier for you to bleed from an injury or get sick from being around others who are ill. You may report side effects to FDA at 1-800-FDA-1088. Thyroid level saga continuespart 20. It bounced around .53 to .25 then .50 again but never above. If you want to get notified by every reply to your post, please register. A list of national and international resources and hotlines to help connect you to needed health and medical services. ALiEM is not endorsed by, sponsored by, or affiliated with the University of California San Francisco or any institution. How long were you on Methimazole before weaning off? Some people get thyroiditis due to viral illnesses but it is usually short lived, like a couple of months at most. We want the forums to be a useful resource for our users but it is important to remember that the forums are Management of severe thyrotoxicosis when the gastrointestinal tract is compromised. Taking kelp pills, iodine and alcohol drinking after total thyroidectomy. If you are not taking your thyroid medication because of one or more of the following reasons, try the suggested solutions to address your concerns. In addition to the labs you have already ordered for our patient, you quickly decide to add a thyroid function panel, just in case. 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. Verywell Health's content is for informational and educational purposes only. If a child is using this medicine, tell your doctor if the child has any changes in weight. It does not stay in the body for 2-3 weeks, this is just not true. Found that I could not take vitamin D pills, that they had to be the gel caps. I've read of people getting off Methimazole all at once and doing okay, although many do have "withdrawal" symptoms (symptoms of being hyper) as their body purges the medication. 0.84 t4 sounds pretty low so maybe that was part of the decision? But it started about Monday its about five days and the whole week my anxiety is through the roof! Slowly weaning off or tapering to the right dose is the best method. She has a past medical history of hypertension and she has been compliant with her medications. Got dosage down to 5mgs. You pituitary is trying to tell your thyroid to produce more hormones, but the Methimazole (anti-thyroid med) is preventing your thyroid from working. If you skip or stop your medicine entirely, you can experience a number of short-term and long-term consequences, including: Untreated hyperthyroidism can increase your risk of stroke or heart attack. But didnt feel any on the 5 mg. How long were you on Methimazole before weaning off? Talk to your doctor about these issues, as they can be the effects of your thyroid hormone levels getting back to normal. Some of the effects of skipping or stopping your thyroid medication are obvious, while others are so subtle they can go undiagnosed for years. It works by making it harder for the body to make thyroid hormone. So I would gradually reduce until you think you can go cold turkey. Endometriosis And Thyroid disease: Is There Really A Connection? appropriate medical assistance immediately. My plan is to try to get down to 10MG per week by May..then 5mg per week by summer and then nothing after that. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. 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. Sowiski J, Junik R, Gembicki M. [Effectiveness of intravenous administration of methimazole in patients with thyroid crisis]. Methimazole is used to treat hyperthyroidism, a condition where the thyroid gland produces too much thyroid hormone. She is the author of "The Thyroid Diet Revolution.". So instead of quitting the methimazole cold turkey I should have just lowered the dose to maybe half? I'll hold the cetyl L-carnitine and start with L-Carnitine then. Get your prescription refilled before you run out of medicine completely. I DONT KNOW IF I COULD STILL BE HYPER.MY LAB RESULTS HAAVE BEEN NORMAL FOR 1 YEAR. why does this happen? Yes I know it's dumb and it's something I struggle with daily. If you are covered by Medicare or Medicaid coverage, your thyroid treatments should be paid for under these plans. They are still really active so she changed her mind and I am staying on the medication. To become an empowered patient, you need to obtain a copy of any medical documentation done on you, either lab tests or reports from other physicians and keep your own file so you can see your progresss. don't know how much more I can take of feeling this way. Were the tests TRab or TSI run to make sure your Graves antibodies were low before it was stopped? Patient does not provide medical advice, diagnosis or treatment. No, no doctor has ever tapered off my meds without bloodwork. This was very irresponsible of them and I was not able to be well enough to work for a year after that. My levels are going into the hypo range and so my gp told me to stop taking methimazole. Methimazole is an antithyroid medicine. Best, Rachel. If true allergy to iodine or contraindication to iodine therapy (e.g. I'm not on meds yet but I agree with AnnLW. I remember being on armour thyroid. Then I tried one 500 mg capsule and saw how I felt on it beofre I raised it to the dose that was mentioned in the research article. Written by Cerner Multum. Methimazole prevents the thyroid gland from producing too much thyroid hormone. I feel fine. There are experiences, however, that may cause you to question the benefits of your medications and not stick with your treatment plan. It is also used before thyroid surgery or radioactive iodine treatment. When I say all is good, my TSH level is still less than .01 but that takes longer to bounce back. even my hair started falling out and to me to be a woman and have your hair fall out is the worst thing in the world. over a year ago, peace2theworld Do not give this medicine to a child without medical advice. Hodak S, Huang C, Clarke D, Burman K, Jonklaas J, Janicic-Kharic N. Intravenous methimazole in the treatment of refractory hyperthyroidism. It flared up my GERD do now taking Prevacid and going to go to the counselor.. 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. Slept all day, terrible itching skin especially at night while trying to sleep. Having irrational thoughts worries. I would ask to do labs again. While many people understandably want to stop taking their thyroid medication immediately, the best approach is to begin the protocol and then begin to gradually wean off the thyroid medication under the supervision of a medical doctor. A dosage change can start to be felt for me in 3 days and reaches fullness in about a week, but if it is too big a dosage change the symptoms can last for week(s) afterward till my body adjusts. Moderately severe hyperthyroidism: 30 to 40 mg orally per day. Takiing Armour (thyroid hormone replacement) has seemed to cause your hyperthyroidism. I'm not in hypo yet I don't think the doctors just think that I'm going into hypo..? Coming off of Klonopin after 8 monthswhat to expect and how to do so, Graves Disease/hyperthyroid & I experience Hypnagogic hallucinations-anyone with similar experie, Thyroid Removal Effects and Graves Disease. Be sure to check with your doctor before you stop taking these medicines. My current doctor, who is new to me, also wanted to wean me off but she tested my antibodies first. If the hyperthyroidism returns, the antithyroid drugs are re-started. What was your heart rate when you were at the hospital on Saturday? I think it's common to wean off after being in normal range for 12-18 months to see if it's gone into remission, that's what my endocrinologist did the first time my graves was diagnosed. Stop using methimazole and call your doctor right away if you have signs of infection such as: I am so overwhelmed and only end up having a few days out of a month. tightness in the chest. Press question mark to learn the rest of the keyboard shortcuts. Hashimoto patients do better on the Regular L-Carnitine. The question is now . However, since starting to wean off, my numbers have gotten closer to the Hyper T side again. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. Have been on it for 18 months. I'd get night sweats and have trouble sleeping. Unfortunately, there isn't a natural or herbal replacement for thyroid hormone. Tell your doctor if you are pregnant or if you become pregnant while using this medicine. Been on Tapazole for 13 months after being diagnosed with graves disease. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. ", Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Tenner AG, Halvorson KM. Your email address will not be published. The problem can be changing your diet, as you don't know how the thyroid will react to this. I found out the hard way. All lab work has come back in normal ranges. People with Hashi's are extremely sensitive to both the thyroid-blocking meds and the thyroid hormone replacement meds. I want to know if I should see another doctor. Hello, what you think of my lab results & should I see another doctor? Im feeling exactly those symptoms minus the weight loss because that hasnt changed on 2.5. 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. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. ACMT Toxicology Visual Pearl: Swollen Lips, PECARN Pediatric Head Trauma: Official Visual Decision Aid, A Starters Roadmap to EM Resources: Books, Websites, and Apps, D50 vs D10 for Severe Hypoglycemia in the Emergency Department, The Dirty Epi Drip: IV Epinephrine When You Need It, Tips for Interpreting the CSF Opening Pressure, Trick of the Trade: Mix Ceftriaxone IM with Lidocaine for Less Pain, Trick of the Trade: Urine Pregnancy Test Without Urine, Wellness and Resiliency during Residency: EM is a career with unresolved stories, Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License, Academic Life in Emergency Medicine - All Rights Reserved (except for the PV Cards and MEdIC Series PDFs), Block the production and release of thyroid hormone (preventing the opposing team from getting the ball and scoring), Block the sympathetic outflow (preventing the soccer ball from going out of bounds), Block peripheral conversion of T4 to T3 (preventing penalty kicks), Mechanism of action: Inhibit thyroid peroxidase, an enzyme involved in the production of T3 and T4 through the iodination of tyrosine residues on thyroglobulin, Agents: propylthiouriacil (PTU) and methimazole (MMI), No head-to-head trials have shown any benefit of using one thionamide over another in the management of thyroid storm. Paying for medications can be stressful. Should I stop Methimazole over a high TSH? Saturday evening, I took my blood pressure, and the systolic reading was over 200. My tsh leve as of yesterday dropped down to 3.65 so I'm in range again ref range is 0.34-4.82. Continue reading. Also did the same with Vitamin D and Magnesium. If you lack thyroid hormone for a long period of time, you face the risk of a very dangerous condition called myxedema coma, which can ultimately be fatal. :-). Swollen hands, feet, and face. 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). Alfadhli E, Gianoukakis A. Call your doctor for medical advice about side effects. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information. However, since starting to wean off, my numbers have gotten closer to the Hyper T side again. There are 3 kinds of L Carnitine suppslements what kind did you take to help? Yet many hypo sufferers complain of it as well. 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. By using this Site you agree to the following, By using this Site you agree to the following. STIs are the most common cause of genital sores. 2013 Nov;31(4):969-86. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. Nabil N, Miner D, Amatruda J. Methimazole: an alternative route of administration. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. Unusual weakness or fatigue, fever, headache, skin rash, muscle or joint pain, loss of appetite, pain, tingling, or numbness in the hands or feet. Thank God for my good health again. Is there side effects from stopping or withdrawal symptoms? Endocrinologic emergencies often fall at the wayside and are not generally considered as a possible diagnosis up front in patients in the emergency department who meet the criteria for systemic inflammatory response syndrome (SIRS). yes. Methimazole can lower blood cells that help your body fight infections and help your blood to clot. 6 years ago, I should have listened to him. Is there some other underlying issue that is taking place? Two weeks ago my tsh was 4.70 then on the 19 th of this month it was 5.02 ref range is 0.34-4.82. Her vital signs are blood pressure of 184/106 mmHg, heart rate of 130 beats per minute, respiratory rate of 22 breaths per minute, and temperature of 102.7F. Take your doses at regular intervals to keep a steady amount of the drug in your body at all times. Constipation. 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. as being in breach of those terms. Now I have to start all over again. It depends how you're feeling bad. 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. Being short tempered can go along with being fatigued and/or depressed or not feeling well in general. Methimazole is used to treat hyperthyroidism, a condition that occurs when the thyroid gland produces too much thyroid hormone. Homeopathic remedy for overactive thyroid, Graves' Disease: Symptoms, Treatment And Complications, Graves' Disease: Symptoms, Diagnosis And Treatment, Holistic Approach to Thyroid Related Problems: Naturopathic Medicine for Thyroid Disease. respect of any healthcare matters. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. For oral dosage form (tablets): For hyperthyroidism: AdultsAt first, 15 to 60 milligrams (mg) per day, given in 3 divided doses about every 8 hours. 0.84 t4 sounds pretty low so maybe that was part of the decision? I have had this for 2 years and I just got off the tapazole for at lease 6 weeks until the check my blood again. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Then and only then did my doc increase my meds and will do bloodwork at 4 weeks instead of the usual 8 weeks. I was on 5 mg once a day. 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. Try our Symptom Checker Got any other symptoms? I don't want to shock my body which has already had too many emotional and physical shocks. Didn't find the answer you were looking for? Hello I'm glad I found this. It is generally well tolerated and has few side effects, but it does require close monitoring because of a low rate of some severe side effects, such as low blood counts. There may be two explanations for this benefit of long-term therapy, according . Call your doctor at once if you have: liver problems--nausea, upper stomach pain, itching, tiredness, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes). Debilitating fatigue; tiredness; pressure in head - related, Diagnosed with Graves' disease - my symptoms are high pulse, loose stools and very tired, Graves Disease - Hyperthyroid does anyone have the same symptoms.
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