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module menu icon Treating thyroid disorders

Hyperthyroidism

Hyperthyroidism is usually treatable and the main treatments are:

  • Medication that stops the thyroid producing so much T4 and T3. The most commonly used are carbimazole and propylthiouracil, and they need to be taken for one to two months before the patient feels any benefit, so they may also be prescribed a beta-blocker to ease their symptoms in the meantime
  • Radioactive iodine reduces the amount of hormones produced by the thyroid gland by damaging some of the cells inside it. It is usually taken as a single drink or capsule, but it can take a few weeks for the benefits to be felt so other medication may be needed short term
  • Surgery is an option for those who haven’t responded to or can’t have other treatments, or who have severe eye problems or goitre as one of their symptoms. All or part of the thyroid gland may be removed, and the patient may need to take the medication used for an underactive thyroid if the operation leaves them without enough thyroid hormones in their body naturally.
  • Most of the side effects of hyperthyroid medication are relatively minor and will improve over time – for example, nausea, headaches, achiness, upset stomach and a rash – but a more serious, albeit rarer, problem can be a sudden drop in the white blood cell count. Agranulocytosis increases the risk of catching an infection and it becoming very severe so anyone on these medicines should be advised that if they develop symptoms suggestive of an infection – such as a sore throat or fever – they should seek medical help immediately.

    The amount of radiation in a dose of radioactive iodine is very small, but there are still some precautions that should be taken, including limiting prolonged close contact with children and pregnant women for a few days or weeks after taking it and avoiding falling pregnant for at several months. It is also not suitable for women who are pregnant or breastfeeding.

    Hypothyroidism

    Hypothyroidism treatment usually involves taking daily doses of levothyroxine, a replacement hormone, and the medication is usually lifelong. It can take a while to get to the right dose, so regular blood tests are needed in the early stages of treatment. It should be taken on an empty stomach, and ideally in the morning, because the effectiveness can be altered by other medicines, foods and supplements. Side effects are similar to the symptoms of hyperthyroidism.

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