Use

It is probable that no patient is wholly refractory to these drugs. Failure to respond is likely to be due to the patient not taking the tablets or to wrong diagnosis. The drugs are used in hyperthyroidism as

• principal therapy,

• adjuvant to radioiodine to control the disease until the radiation achieves its effect,1

• to prepare patients for surgery.

Clinical improvement is noticeable in 2-4 weeks, and the patient should be euthyroid in 4-6 weeks. The best guides to therapy are the patient's symptoms (decreased nervousness and palpitations), increased strength and weight gain, and pulse rate.

Symptoms and signs are, of course, less valuable as guides if the patient is also taking a P-adrenoceptor blocker, and reliance is then put on biochemical tests.

With optimal treatment the gland decreases in size, but overtreatment leading to low hormone concentrations in the blood activates the pituitary feedback system, inducing TSH secretion and goitre.

Was this article helpful?

0 0
Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

Get My Free Ebook


Post a comment