how to wean off methimazole

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 . Alfadhli E, Gianoukakis A. 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). Didn't find the answer you were looking for? The state patrol who should be serving and protecting, was searching to destroy based on my appearance bulging eyes, unable to hold head back and count due to goiter,and the yellowing eyes and tremors crawling skin causes jerking movements. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. So I now went to Winthrop Hospital and am off 5 mg of methimazole since I'm taking the nuclear test this week. I should have listened to him. 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. Endocrine causes of dangerous Fever. Anterior cervical discectomy, no fusion - what to expect? 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. 6 years ago, 0.84 t4 sounds pretty low so maybe that was part of the decision? over a year ago. Management of severe thyrotoxicosis when the gastrointestinal tract is compromised. It works by making it harder for the body to make thyroid hormone. STIs are the most common cause of genital sores. 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. Answer. Methimazole is used to treat hyperthyroidism, a condition where the thyroid gland produces too much thyroid hormone. But since then I have very gradually been reducing. I don't remember the rest of the reading. Its been almost a month now on the 2.5 so Im going to get the blood work rechecked within a week or so. Yes, Ive had doctors try to wean me off twice. 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. manic bipolar unable to get along with others. My tsh leve as of yesterday dropped down to 3.65 so I'm in range again ref range is 0.34-4.82. She is the author of "The Thyroid Diet Revolution.". Registered in England and Wales. ALiEM is not endorsed by, sponsored by, or affiliated with the University of California San Francisco or any institution. 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. The primary mechanism of action of methimazole is to block thyroid hormone production from the thyroid gland. The risk of serious side effects due to thyroid medication is extremely smallfar lower than the risks of remaining untreated. Most people who have thyroid disease feel better with the appropriate medication. :), The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. In addition to the labs you have already ordered for our patient, you quickly decide to add a thyroid function panel, just in case. Good luck, hope you go into remission! Weaning off of Methimazole What next? My pcp didn't like that. Tell your doctor if you are pregnant or if you become pregnant while using this medicine. If you are feeling conflicted about your thyroid medication, discuss your concerns with your doctor. a beta blocker--atenolol, carvedilol, labetalol, metoprolol, nadolol, propranolol, sotalol, and others. Brand names: Tapazole, Northyx We strive to reshape medical education and academia in their evolution beyond the traditional classroom. Follow all directions on your prescription label. 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. Furthermore, you should fully understand the consequences of untreated thyroid disease. I am a 52 year old female and I had been on 15MG Methimazole for the over 2 months and Endo lower the dosage to 10MG when my Triio Hi, My body symptoms were freezing weak cold tired muscles and bones hurt. You may need a different medication or a dose adjustment, but you should never quit your medication without your doctor's approval. I want to know if I should see another doctor. Hello I'm glad I found this. How Are Thyroid Disorders Linked To An Increased Risk Of Developing Osteoporosis? i am afraid of going hyper again, they told me to wean off i tried just quiting then had major panic attack and went back on the medication I feel off balance and am having anxiety my eyes hurt and I dont know if its me making myself feel that way or it is my thyroid, I will get my labs next week to see if i am still normal i only had post partum hyprethyroid, and i probably really nevre needed the medication because my tsh was low but had normal t3 t4. Herpes sores blister, then burst, scab and heal. This article covers the possible risks of not taking your hypothyroidism or hyperthyroidism medication. 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. 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). I feel wonderful now. We want the forums to be a useful resource for our users but it is important to remember that the forums are Your hair loss or hair thinning may also be a symptom of hyperthyroidism, when your thyroid gland is overactive and makes too much thyroid hormone. 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. But don't tapper too much and too fast. 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. Sowiski J, Junik R, Gembicki M. [Effectiveness of intravenous administration of methimazole in patients with thyroid crisis]. If you are hypothyroidwhether due to Hashimoto's, Graves' disease treatment, thyroid surgery, or congenital hypothyroidismfailing to take your thyroid hormone replacement medication can pose many risks to your health. There are a number of strategies you can use toremember to take your thyroid medication. Levels of hormone can swing up quickly. 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. He naturally handcuffed me and searched my car in which I had marijuwana and had already told him. 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. Hashimoto patients do better on the Regular L-Carnitine. Methimazole side effects. 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). 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. My levels are all in good range so Im confused why she wants to see if I can lower the dose. Im feeling exactly those symptoms minus the weight loss because that hasnt changed on 2.5. I tried this and my TSH rose from less than 0.001 (where it had been for 2 years) to 0.12 (in the right direction but not enough). I'm on 2.5mg sun, we'd, Friday I was stressed about some things before. And other symptoms of hypothyroidism. This list is not complete. I have been having anxiety attacks and I have only been off it a week. Many people prefer natural remedies or don't think their medication is helping. All lab work has come back in normal ranges. 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. All lab work has come back in normal ranges. The maintenance dose is 5 to 15 mg per day. No chance of a beach here. Press question mark to learn the rest of the keyboard shortcuts. Now I have to start all over again. Same as sudden weather changes, we get headaches etc. Metroprolol is a beta blocker that slows the heart rate. https://patient.info/forums/discuss/stopping-methimazole-543742. Yet many hypo sufferers complain of it as well. I'd love to be able to start these again once I'm diagnosed and under the care of a naturopath. I don't believe our bodies respond well to abrupt changes. Clearly, there are sensible health reasons to take your prescribed thyroid medication. Is it possible that it is my thyroid or should I see my PCP for the attacks. I take 5 mg at night and 2.5 in the morning. The achy legs suggests you may be carnitine deficient, also vitamin D deficient and Magnesium deficient and these things are extremely important for thyroid patients. 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. Some people have Graves alone, some have Hashi's alone and some people have both Graves and Hashi's at the same time. You have a 54-year-old female who presents to the emergency department with a chief complaint of just feeling out of it. She has felt off and on for the past 12 hours and has had an occasional cough with some sputum production along with the shakes and chills. She also feels as if her heart was going at a mile a minute and because of this, she is very much out of breath. 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. In the case of our patient above, both laboratory parameters and the overall clinical picture confirm our suspicion of thyroid storm. Create an account to follow your favorite communities and start taking part in conversations. 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. If your levels start to drop toward the lower end of the scale, you'll be able to taper the dose down a bit - to 20 mg a day. 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. "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. If your regular doctor can't explain why you have this problem, it can be fixedcheck out naturopathic ways to treat symptoms, you are worth it. Overdose symptoms may include nausea, vomiting, upset stomach, headache, joint pain, fever, itching, swelling, or pale skin and easy bruising or bleeding. My Endocrinologist has started weaning me off of Methimazole. Before Tom died, I felt amazingly well off the armor even with low TSH. Could you be swinging back into hyperthyroid? Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. Methimazole is an antithyroid medicine. But he also closely monitored my levels after weaning off, bloodwork once a week for a while to make sure things stayed normal. 2012 Aug;86(3):244-251. It can take a few days to a few weeks for you to even start noticing a difference in how you feel. I don't want to shock my body which has already had too many emotional and physical shocks. Please get back to me.. 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. Continue reading. By Mary Shomon Why would she try to wean me off the medicine if my numbers didnt indicate remission? Natural Solutions For Graves' Disease & Hashimoto's Thyroiditis. I just have to say thanks for always replying to my posts. I do have Hashitoxicosis so I remember you saying that I won't respond as well to methimazole. .50 was the low normal range. Herpes sores blister, then burst, scab and heal. 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. The dose is taken in 3 divided doses every 8 hours. Previous: "Why Wasn't I Taught This Stuff In Medical School?" 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. 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. difficulty swallowing overactive thyroid gland. Methimazole is an excellent medication for Grave's disease and other forms of hyperthyroidism which works by interfering with the production of the thyroid hormones. respect of any healthcare matters. Read our editorial policy. Since 2007 I gained 60 pounds using effexor and tapazole. 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. I said ok, not thinking anything of it, but after halving my dose for a few weeks Ive started to feel bad again. This was very irresponsible of them and I was not able to be well enough to work for a year after that. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. brain fog, loss memeory, Phantom touch Help me please, unemployed, GA medicaid. And then see if you need the beta blocker if what you're experiencing is heart palpitations/shakiness. Takiing Armour (thyroid hormone replacement) has seemed to cause your hyperthyroidism. A list of national and international resources and hotlines to help connect you to needed health and medical services. Are these symtpoms of both hyper and hypo? 7 Tips To Manage Heavy, Painful Or Irregular Periods When You Have Hypothyroidism. I have the L Carnitine to start taking but have not yet. Special Populations 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.