I dont think theres any harm in that as long as they are testing your blood frequently like every month. Previous: "Why Wasn't I Taught This Stuff In Medical School?" i have been taking 2.5 mg of methimazole every other day for the past 3 years which is 4x a week and now she told me to just take 2.5mg once a week for 6 weeks and then just stop. Clearly, there are sensible health reasons to take your prescribed thyroid medication. rachelemacd About Us Our Team Annual Report Our Culture Contact Disclosures, ALiEMU ALiEM Cards Chief Resident Incubator Faculty Incubator Wellness Think Tank, ACEP Annals of Emergency Medicine EBSCO Health-DynaMed Plus Essentials of Emergency Medicine SAEM The Teaching CoOp US Acute Care Solutions Western Journal of Emergency Medicine. So this is a surprise to me that I migh have Graves or toxic nodules as I feel I'm bouncing back with no symptoms of hyper. If the patient is given PTU during treatment of thyroid storm, this should be switched to methimazole at the time of discharge unless methimazole is contraindicated. I hadn't tested much in over a year- hoping this prior post link will work on this post to refresh anyone's memory who cares to 27M, 6'0, 174lb, Been on NP for about 4 months, Don't smoke or drink. Gimel is right, it only has a 6 hour half life. Create an account to follow your favorite communities and start taking part in conversations. When starting medication, your appetite may change, you may be feeling tired, or you could have a change in your bowel movements. If you have Graves' disease, toxic nodules, thyroiditis, or another cause of hyperthyroidism, you may need to take antithyroid medication such as methimazole or propylthiouracil (PTU). Side Effects of Stopping Thyroid Medication Abruptly Some side effects may occur that usually do not need medical attention. Egton Medical Information Systems Limited. I was diagnosed with Autoimmune Hyperthyroidism in Dec., 2006. You need to be involved in the decisions regarding your care, and how you feel about your medication and its effects are of great importance. National Institute of Diabetes and Digestive and Kidney Diseases. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. If you are covered by Medicare or Medicaid coverage, your thyroid treatments should be paid for under these plans. I have not been on it for 6 days now. No chance of a beach here. Upgrade to Patient Pro Medical Professional? I do have Hashitoxicosis so I remember you saying that I won't respond as well to methimazole. This is perfect for me. Coming Off Percocet (Endocet) Or Oxycodone. The problem can be changing your diet, as you don't know how the thyroid will react to this. My body symptoms were freezing weak cold tired muscles and bones hurt. Yet to you, something does not seem right. Do not take extra medicine to make up the missed dose. What Do Herpes Sores Look Like at Different Stages. Written by Cerner Multum. You will be able to stop your methimazole or PTU immediately. If you are feeling unsure about your thyroid medication, it is a good idea to think about the reasons why and to talk about them with your doctor. I DONT KNOW IF I COULD STILL BE HYPER.MY LAB RESULTS HAAVE BEEN NORMAL FOR 1 YEAR. Were the tests TRab or TSI run to make sure your Graves antibodies were low before it was stopped? I STOPPED TAKING mathemizol on may 11, 2017 after 3 years of being sick. I was on 10mg (5mg x 2)a day Carbimazole. I agree, doctor should have told you this. His goal is to wean me off very slowly. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. I'm not on meds yet but I agree with AnnLW. Is it possible that it is my thyroid or should I see my PCP for the attacks. Reddit and its partners use cookies and similar technologies to provide you with a better experience. Most people who have thyroid disease feel better with the appropriate medication. So I don't think there is one size fits all but I do believe you need the information from the tests your doc does as well as learning about your body and its symptoms and what works and what doesn't in order to get well. But he also closely monitored my levels after weaning off, bloodwork once a week for a while to make sure things stayed normal. Severe hyperthyroidism: 60 mg orally per day. Shoulder Replacement Surgery: What to Expect, Arachnoid Cysts: What They Are, What to Expect, What To Really Expect From Postpartum Sex, What To Expect When You Have Your Gallbladder Taken Out. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. I am a 52 year old female and I had been on 15MG Methimazole for the over 2 months and my Endo lower the dosage to 10MG (took the And I vote you find another endo even if you do even out - you want someone who knows their stuff to monitor you in case you relapse in the future. A previous ALiEM blog post further discusses some of the nuances associated with the diagnosis of thyroid storm. ALiEM is not endorsed by, sponsored by, or affiliated with the University of California San Francisco or any institution. (PTU), Methimazole, or Tapazole thyroid medicine 4 days before their tests. I said ok, not thinking anything of it, but after halving my dose for a few weeks Ive started to feel bad again. DID YOU NOTICE ANXIETY OR RAPID HEARTBEAT OR COULD I BE ANXIOUS ABOUT GETTING OFF THE MEDICATION. You should not use methimazole if you are allergic to it, or: To make sure methimazole is safe for you, tell your doctor if you have: Using methimazole during pregnancy could harm the unborn baby. Other drugs may interact with methimazole, including prescription and over-the-counter medicines, vitamins, and herbal products. My blood pressure was constantly high until I was off of medications. We offer this Site AS IS and without any warranties. Then and only then did my doc increase my meds and will do bloodwork at 4 weeks instead of the usual 8 weeks. Methods: We retrospectively studied patients with Graves' disease who were initially on MMI, in whom this drug was stopped because they had undetectable thyroid-stimulating antibodies (TSAbs) or were euthyroid after at least 24 months on MMI treatment. Sometimes though if your levels are too far out of range (hypo) it is necessary to stop the meds temporarily and then restart them. What are the medication for hypothyroidism in cats? 6 years ago, She seems relatively anxious on physical exam, and you note that she is diaphoretic. Read This Before You Abruptly Stop Taking Your Thyroid Medication The antithyroid drugs methimazole (MMI) and propylthiouracil (PTU) are used as one option to treat patients with hyperthyroidism, especially those with Graves' disease. IS THERE A WEIGHT LOSS PLAN THAT ADDRESSES THYROIDECTOMY - what do you do to lose weight? 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. I don't believe our bodies respond well to abrupt changes. You can keep your medicine in an obvious place, such as your bedroom or kitchen, or you can use a pill organizer to keep you on track. Overdose symptoms may include nausea, vomiting, upset stomach, headache, joint pain, fever, itching, swelling, or pale skin and easy bruising or bleeding. and he said that it could not be my thyroid because the Methimazole will be in my blood for 2-3 weeks. She enjoys giving lectures and writing articles for both the lay public and medical audiences. I remember being on armour thyroid. Ok. Usual Pediatric Dose for Hyperthyroidism: Initial dose: 0.4 mg/kg orally per dayMaintenance dose: 0.2 mg/kg orally per day (approximately half the initial dose) Comments: Daily doses are usually given in 3 divided doses at approximately 8 hour intervals. If you have thyroid disease and don't take your prescribed medications to manage it, you can have a number of serious long-term effects. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. However I choice to go off the med and now I'm wondering what the side effects may be because of my choice. Could you be swinging back into hyperthyroid? Your phone, computer, or another alarm can be programmed to give you a daily reminder. Your number for what was 2.13? Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Herpes sores blister, then burst, scab and heal. Could the anxiety be stemming from you actually still needing the methimazole? Patient does not provide medical advice, diagnosis or treatment. For myself, I found that I could not lower my dose too quickly or stop my Methimazole altogether. Paying for medications can be stressful. Sometimes it can take a few months to adjust your medication, but the end result is well worth it. I have hyper numbers - very low TSH and high/normal T4 and I have the same kind of symptoms you have: freezing cold and sometimes achy legs. Some people get thyroiditis due to viral illnesses but it is usually short lived, like a couple of months at most. It should always be tapered incredibly gradually, there's always a small rebound period for me no matter how small I chop it with my pill cutter. My levels are all in good range so Im confused why she wants to see if I can lower the dose. However, there are a lot of side effects from taking it and stop taking it (especially, without tapering). The Best IOL for 2022 RXSight Light Adjusted Lens, Will refractive surgery such as LASIK keep me out of glasses all my life. I tapered and stopped completely and felt so good. Taking kelp pills, iodine and alcohol drinking after total thyroidectomy. any responses appreciated thx Lauren, If you go off tapazole cold turkey you can go into a thryoid storm and possibly die it happened to me I had dry heaves bad thank god I made it through the night. Moderately severe hyperthyroidism: 30 to 40 mg orally per day. Tell your doctor if you are pregnant or if you become pregnant while using this medicine. Continue reading. I'd love to be able to start these again once I'm diagnosed and under the care of a naturopath. My levels are going into the hypo range and so my gp told me to stop taking methimazole. My Endocrinologist has started weaning me off of Methimazole. difficulty swallowing overactive thyroid gland. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. 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. The anxiety and the eye problem could be symptoms of Hyperthyroid, or it might be unrelated. All lab work has come back in normal ranges. Unusual weakness or fatigue, fever, headache, skin rash, muscle or joint pain, loss of appetite, pain, tingling, or numbness in the hands or feet. I have been having anxiety attacks and I have only been off it a week. You decide to pan-culture her and determining that she has no known drug allergies, you order a combination of piperacillin/tazobactam 4.5 g IV and tobramycin 500 mg IV as one-time doses for her suspected urinary tract infection (which you consider at this point to be urosepsis). 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. Typical dosing for methimazole The dose of methimazole for adults ranges from 5 to 40 mg by mouth per day depending on how severe your hyperthyroidism is. Got dosage down to 5mgs. 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. If there is a contraindication for the use of methimazole, alternative methods to treat hyperthyroidism should be considered after discharge, such as radioactive iodine or surgery. Tell your doctor at once if you develop signs of infection. 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. PDF This handout gives instructions for patients who will receive Or, you could be experiencing over-treatment, meaning that you need a dose adjustment or a different medication. Some people have Graves alone, some have Hashi's alone and some people have both Graves and Hashi's at the same time. Methimazole is used to treat hyperthyroidism, a condition where the thyroid gland produces too much thyroid hormone. I am not so familiar with hyper as I am hypothyroidism; however, since Methimazole only has a half life of 4-6 hours, it clearly is a fast acting med, similar to a T3 med for hypo. and Privacy Policy and steps will be taken to remove posts identified The risk of serious side effects due to thyroid medication is extremely smallfar lower than the risks of remaining untreated. Please adjust and get your doctor to test - YOU have the right to tell your doctor/ask politely lol, because you are the one they are working for. I am weaning off methimazole i was only taking 10 mg a day down to 7.5 mg for 2 weeks feeling lightheaded and was wondering if anyone knew of any side effects? This article covers the possible risks of not taking your hypothyroidism or hyperthyroidism medication. Endometriosis And Thyroid disease: Is There Really A Connection? Just like a person with type 1 diabetes needs insulin, you need thyroid hormonefor survival. All lab work has come back in normal ranges. I'm very upset because I figure he's the doctor and shouldn't have left that choice up to me. I'll hold the cetyl L-carnitine and start with L-Carnitine then. I have nevery had anxiety attacks before. 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. Bartle W, Walker S, Silverberg J. Rectal absorption of propylthiouracil. Common side effects of methimazole may include: This is not a complete list of side effects and others may occur. The question is now . yes. By learning about your labs and what they mean and following your body symptoms, you will have more information and be more prepared for discussions with your physician. But yet they tell me I'm hyper. My free T4 two weeks ago was 1.1 last week on the 19 th it went up to 1.2 ref range is 0.8-1.8. Many people prefer natural remedies or don't think their medication is helping. Should I stop Methimazole over a high TSH? Vancomycin Loading Doses in Pediatric Patients: A Missed Opportunity? These are valid concerns, but they are not reasons to stop taking your medication; the risks of going untreated are far too serious. Sulfamethoxazole-Trimethoprim for Skin and Soft Tissue Infections: 1 or 2 Tablets BID? It is also used before thyroid surgery or radioactive iodine treatment. We recommend using methimazole (MMI; 0.25 to 1.0 mg/kg per day). In addition to the labs you have already ordered for our patient, you quickly decide to add a thyroid function panel, just in case. Make sure you get tested monthly while getting weaned off. "Long-term, low-dose methimazole treatment for 60-120 months is a safe and effective treatment for Graves hyperthyroidism and is accompanied by much higher remission rates than the usual 18-24 months of methimazole treatment," he summarized. And there are no natural substitutes for antithyroid medications, either. What Happens When You Don't Take Your Thyroid Medication - Verywell Health But since then I have very gradually been reducing. If the hyperthyroidism returns, the antithyroid drugs are re-started. Tell your doctor about all your current medicines and any you start or stop using, especially: a blood thinner--warfarin, Coumadin, Jantoven; or. 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. (unknowingly had covid at the time of last bloodwork). The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. However, since starting to wean off, my numbers have gotten closer to the Hyper T side again. At my last visit, my Dr suggested seeing if I could wean off my medicine. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. Sorry you're having these problems. A list of national and international resources and hotlines to help connect you to needed health and medical services. brain fog, loss memeory, Phantom touch Help me please, unemployed, GA medicaid. Alfadhli E, Gianoukakis A. ACMT Toxicology Visual Pearl: Is the Silver Bullet for Refractory Vasoplegia Really Blue? Thyroid Storm: Treatment Strategies - ALiEM It is a smart investment to get affordable health insurance if you don't already have it. 2023 Dotdash Media, Inc. All rights reserved, Mary Shomon is a writer and hormonal health and thyroid advocate. Additional benefit of PTU in thyroid storm: Inhibition of the peripheral conversion of T4 to T3 (3rdB), PTU and MMI can both be administered through the rectal route as a suppository and retention enema, Shown to have good response in several trials, Intravenous (IV) thionamides are currently not commercially available in the United States, IV formulation of MMI is available in Europe, Success reported in case reports and case series of treating thyroid storm with IV MMI compounded formulations, PTU: black box warning for severe and/or life-threatening hepatotoxicity issued by FDA in 2010, Tends to be dose-related with MMI, unlike PTU, Granulocyte colony-stimulating factors (G-CSFs) can be used in the management of thionamide-induced agranulocytosis, Used to prevent the release of pre-formed thyroid hormone from the thyroid gland, Administration of inorganic iodine should be delayed for at least one hour after initiation of thionamide therapy, Iodine load can serve as a substrate for thyroid hormone synthesis and exacerbate thyroid storm, Iodine content of formations (NOTE: Solutions, Dissolve the dose in solution of 3 to 4 ounces of milk, fruit juice, or water to ensure that the full dose is given and to mask the bitter taste.