how to wean off methimazole

Read our editorial policy. Most of us feel best with Free T4 at about the mid range point and Free T3 in the upper half to upper third of the range. His goal is to wean me off very slowly. why does this happen? Comments: Daily doses are usually given in 3 divided doses at approximately 8 hour intervals. Emerg Med ClinNorth Am. 2012 Aug;86(3):244-251. Dr.DanielleWeiss is the founder of the Center for Hormonal Health and Well-Being, a personalized, proactive, patient-centered medical practice with a unique focus on integrative endocrinology. Press question mark to learn the rest of the keyboard shortcuts. ", Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. I don't believe our bodies respond well to abrupt changes. Before Tom died, I felt amazingly well off the armor even with low TSH. Herpes sores blister, then burst, scab and heal. There are experiences, however, that may cause you to question the benefits of your medications and not stick with your treatment plan. I was on 5 mg once a day. I just wanted to tell everyone DON'T GIVE UP and DON'T TAKE THE RADIATED IODINE or have your thyroid removed (unless there is a growth of course). Also did the same with Vitamin D and Magnesium. Now down to 5 mg a day, 6 days a week (so 30 mg a week). Reddit and its partners use cookies and similar technologies to provide you with a better experience. I'm very upset because I figure he's the doctor and shouldn't have left that choice up to me. Upgrade to Patient Pro Medical Professional? However, since starting to wean off, my numbers have gotten closer to the Hyper T side again. Slowly weaning off or tapering to the right dose is the best method. It bounced around .53 to .25 then .50 again but never above. Mary Shomon is a writer and hormonal health and thyroid advocate. My doctor took me completely off Methimazole at 1 year with very poor resultsI was off the charts in 2 1/2 weeks and back up to 20MG a day to get me stable. The doctor told me to take a Metoprolol once in the morning, then, around lunch time, take the 20 mgLisinopril, then, at dinner time, take another Metoprolol. The goal of antithyroid drug treatment is to treat for a defined period of time then stop to determine if the Graves' disease has gone into remission. Nabil N, Miner D, Amatruda J. Methimazole: an alternative route of administration. Egton Medical Information Systems Limited. Worsening memory function. Clearly, there are sensible health reasons to take your prescribed thyroid medication. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information. The maintenance dose is 5 to 15 mg per day. Thyroid Problems: Extremes Are Never Good. Maintenance dose: 5 to 15 mg orally per day. :), The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It was the Acetyl-L-Carnitine that really worked for me and from other boards seems to work for Graves patients. over a year ago. Didn't find the answer you were looking for? If you are on a beta blocker for your heart rate (propranolol, atenolol, metoprolol, etc), your doctor may discontinue, decrease the dose, or keep the dose the same with plans to wean the medication in the weeks and . Twice, I got worried because my hand and arm were deep red from the tightness of the cuff. Sowiski J, Junik R, Gembicki M. [Effectiveness of intravenous administration of methimazole in patients with thyroid crisis]. Methimazole can lower blood cells that help your body fight infections and help your blood to clot. no one will listen. I DONT KNOW IF I COULD STILL BE HYPER.MY LAB RESULTS HAAVE BEEN NORMAL FOR 1 YEAR. I'd get night sweats and have trouble sleeping. 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. A list of national and international resources and hotlines to help connect you to needed health and medical services. 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. And I am still could thins be a side affect of relapse or not taking my meds? That is a real challenge but I know one lady with both Graves and Hashi's who got treated by a Naturopath who was able to keep her thyroid levels normal with just the natural methods. 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. If you have lived with untreated thyroid disease for years, you may have gotten used to living with symptoms. Mine endo only did it once every 6mo and within that time my tsh was no longer detectable and I got super super sick. We comply with the HONcode standard for trustworthy health information. By Mary Shomon She is the author of "The Thyroid Diet Revolution. Same as sudden weather changes, we get headaches etc. my dr. didnt warn me about any of this I am having a hard time working without panicking and having to leave. I dont think theres any harm in that as long as they are testing your blood frequently like every month. But yet they tell me I'm hyper. Recently, after a six month stint of being in the normal range, my bloodwork indicated I was hyper. ALiEM is your digital connection to the cooperative world of EM. Didn't find the answer you were looking for? Herpes spreads by oral, vaginal and anal sex. Ive been on the 5 mg daily for a few years now. The ENT in the group did suppression therapy. as being in breach of those terms. DID YOU NOTICE ANXIETY OR RAPID HEARTBEAT OR COULD I BE ANXIOUS ABOUT GETTING OFF THE MEDICATION. 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. Methimazole is an antithyroid medicine. Herpes spreads by oral, vaginal and anal sex. I was on 5 mg daily and now my dr halved it to 2.5 daily. However, there are a lot of side effects from taking it and stop taking it (especially, without tapering). I don't get it. 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. Be sure to check with your doctor before you stop taking these medicines. This is perfect for me. My TSH plunged this year after Tom's death and all my health scares (the eye bleeds - occular migraines - vertigo - stroke scare which turned out to be migraine aura - ugh) This must have tipped me into real hyper maybe graves. (unknowingly had covid at the time of last bloodwork). They do better controlling their thyroid hormones using Regular L-Carnitine. Is There a Best Time to Take Your Thyroid Medication? 7 Tips To Manage Heavy, Painful Or Irregular Periods When You Have Hypothyroidism. What dose were you on to start with? fatigue and hyperthyroidism and Graves' Disease. This was very irresponsible of them and I was not able to be well enough to work for a year after that. If someone else had been through this I'd certainly like to know their opinion. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We offer this Site AS IS and without any warranties. Methimazole is used to treat hyperthyroidism (overactive thyroid). I got pulled over for speeding on Christmas eve last year. 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. 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. I feel fine. Dr. Fereidoun Azizi. One thing my Endo and I agree on is that he will not stop a patient's medication entirely unless their antibody levels are within the normal range even if all their thyroid labs are normal. Didn't find the answer you were looking for? They took blood work and X-rays, and this went on for over 4 hours. 0.84 t4 sounds pretty low so maybe that was part of the decision? Stomach/digestive issues (gassy feeling/bloating), depression and fatigue are certainly hypo symptoms, but many people who are hyper have them as well. Seemed like it got stuck or something. I'm currentlytaking 1.25mg in the morning and 1.25mgat night in an efort to slowly get my levels normalised again. I don't want to shock my body which has already had too many emotional and physical shocks. But didnt feel any on the 5 mg. How long were you on Methimazole before weaning off? She also tells you that she has had recent blood work ordered by her primary care physician that was highly suspicious for some sort of thyroid disorder, but the results have not been made known to her yet. They told me to do that when I was taking 4 pills a day (20 mg) to get a test. Endometriosis And Thyroid disease: Is There Really A Connection? Paying for medications can be stressful. yes. Have been on it for 18 months. i teally feel I have late stage chronic lime. The risk of serious side effects due to thyroid medication is extremely smallfar lower than the risks of remaining untreated. This can make it easier for you to bleed from an injury or get sick from being around others who are ill. Slowly weaning off or tapering to the right dose is the best method. Gaitonde DY, Rowley K, Sweeney L. Hypothyroidism: An update. Anxiety is a major symptom of hyperthyroidism. And there are no natural substitutes for antithyroid medications, either. So I would gradually reduce until you think you can go cold turkey. 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. Yet to you, something does not seem right. They were always very high. HELP. Yes I know it's dumb and it's something I struggle with daily. 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. 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. Some clinicians recommend discontinuing methimazole 2-7 days before radioactive iodine; may restart methimazole 3-7 days after radioactive iodine, then generally taper over 4-6 weeks as thyroid function normalizes and radioactive iodine becomes effective. I occasionally would ask my husband what the readings were. Thank you so much! I just have to say thanks for always replying to my posts. It works by making it harder for the body to make thyroid hormone. Takiing Armour (thyroid hormone replacement) has seemed to cause your hyperthyroidism. You should not breast-feed while using methimazole. It flared up my GERD do now taking Prevacid and going to go to the counselor.. 19 users are following. Patient is a UK registered trade mark. If you need surgery, tell the surgeon ahead of time that you are using methimazole. I started out at 30mg a day. Weaning off of Methimazole What next? To me, it really is the missed mimic of several disease states, as described above in our possibly uroseptic patient. Some of the effects of skipping or stopping your thyroid medication are obvious, while others are so subtle they can go undiagnosed for years. Your doctor may occasionally change your dose. Could the anxiety be stemming from you actually still needing the methimazole? I do have Hashitoxicosis so I remember you saying that I won't respond as well to methimazole. I'd never stop any medication cold turkey. Methimazole is used to treat hyperthyroidism, a condition where the thyroid gland produces too much thyroid hormone. Methimazole doses are based on weight in children, and any changes may affect your child's dose. What many people don't realize is that there are quite a few symptoms that can apply to either/both hyper and hypo. Got dosage down to 5mgs. We want the forums to be a useful resource for our users but it is important to remember that the forums are 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. I got diagnosed with graves approx 1 year ago I responded good to tapazole however I was sick with a cold and forgot to take my meds for like a week? 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. I think its common to wean off after being in normal range for 12-18 months to see if its gone into remission, thats what my endocrinologist did the first time my graves was diagnosed. You can think of the mainstay treatment strategies of thyroid storm based on three main goals (what I like to call the 3 Bs of thyroid storm soccer): The agents are discussed below along with some EM pharmacy pearls that may be beneficial to those of you practicing in the emergency department. Stop using methimazole and call your doctor right away if you have signs of infection such as: No chance of a beach here. She seems relatively anxious on physical exam, and you note that she is diaphoretic. It depends how you're feeling bad. Common side effects of methimazole may include: This is not a complete list of side effects and others may occur. Has anyone elses doctor done this? These side effects usually mimic the side effects of hypothyroidism, because if you stop taking your medication your body will not be able to produce it naturally for some time. :-). Radioiodine in the treatment of hyperthyroidism. Good luck, hope you go into remission! Thanks. Thyrotoxic Crisis Oral Some clinicians recommend 60-80 mg daily. HyperT77 My Endocrinologist has started weaning me off of Methimazole. Have been able to come off of the beta blocker as my blood pressure and heart rate have dropped back to a low/low normal range. Stop using methimazole and call your doctor right away if you have signs of infection such as: sudden weakness or ill feeling, fever, chills, sore throat, cold or flu symptoms; painful mouth sores, pain when swallowing, red or swollen gums; or. I am feeling ok just scared that I will be back to where I was 2 years ago, but with Gods help and my awesome doctor I hope that it will be all good. Being short tempered can go along with being fatigued and/or depressed or not feeling well in general. amiodarone-induced thyrotoxicosis): Consider administration of lithium carbonate 300 mg PO or NG q6h, Maintain lithium level within range of 0.8 to 1.2 mEq/L, Enhanced - and -adrenergic stimulation in the setting of thyroid storm leads to clinical manifestations, Inhibits peripheral conversion of T4 to T3 (3ndB), Effect not demonstrated considerably with other -antagonists, Blocks non-selective -adrenergic receptors to allow for effective treatment of systemic effects, such as tremor, tachycardia, agitation, fever, diaphoresis, psychosis (2nd B), Proper dosing of propranolol is essential because ofdose-dependent effects on inhibition of peripheral conversion of thyroid hormone (> 160 mg/day), and rapid metabolism of the agent in the setting of thyroid storm, Alternative route of propranolol: IV formulation (determine availability at your institution), Test dose: 0.5 to 1 mg as slow IV push administered over 10 minutes, Subsequent doses: 1 to 3 mg IV over 10 to 15 minutes every few hours to desired effect with monitoring of cardiac rhythm, Contraindications to beta blockade: guanethidine or reserpine with close monitoring for hypotension, Depression of the hypothalamic-pituitary axis commonly occurs in the setting of thyroid storm, Additional benefit: inhibition of peripheral conversion of T4 to T3 (3rd B), Can be used to interrupt enterohepatic recirculation of thyroid hormone, leading to decreased circulating levels of thyroid hormone, Dissipation of heat with various cooling modalities for hyperthermia control, Benzodiazepines for control of agitation and to minimize sympathetic outflow.

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