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Carbimazole Health Feed

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Diploma in Diabetology, MBBS

Endocrinologist•Mumbai
This is little tricky. If you want to opt for radio active iodine treatment, then you need to wait for 6- 12 months post treatment to plan a child. Also, you have to make sure, that preconception TSH of your wife is normal before planning a child. Or else you can opt for surgery to remove Thyroid gland partly or fully as the case may be & replace the Thyroid dose of required & plan your family.
154 people found this helpful
Asked for male, 78 years old from Jaipur
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
Mr. lybrate-user, thanks for the query.
Usually treatment with anti-thyroid drugs (neomercazole or other drugs) is given for 18 to 24 months. Once the levels return to normal treatment is discontinued. If levels remain with in normal range over a long period (2 to 3 years or so) disease is considered as cured. However, if tsh levels drop again, which means hyperthyroidism has resurfaced, some times antithyroid drug's course may be repeated. Otherwise other means of treatment mainly radio act...more
Asked for female, 27 years old from Panchkula
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MBBS, MS - Obstetrics & Gynaecology & Fe...read more

Gynaecologist•Mumbai
Doing repeated mtps will affect your future pregnancy and you might face problems in conceiving. So better use regular contraception like condoms if not planning for pregnancy at present.
88 people found this helpful
Asked for male, 41 years old from Mumbai
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Hi, patient has vision problems since last 1 month now. She has had problems in the past like breast cancer 7 year back. Only chemo was taken, no radiation. One breast removed. 2 years back she developed *hyperthyroidism* and she also had to put one stent. 2 months back she was hospitalized for back pain and mri was done and she had some *l4l5l6* issue. She wears belt for that and her bones are weak. Since the time she's discharged from hospital, she has this eyes problem. We showed it to two eye specialists too and they suggested an mri for brain and orbits. Mri reports attached for your reference. For to thyroid we had shown to Dr. girish in the past and he had prescribed neomercazole. She used to take 30 mg initially, 3 months months back her t3t4 tsh levels improved so he had reduced it to 10 mg a day. We increased it to 15 mg a day after since last 15 days after showing to a family doc. Our primary complaint now is eyes problem. Her vision has deteriorated and we put this refresh drops in eyes every 3 hours. Below are the thyroid reports that we have taken along with tsh receptor antibody. We have tried 3 injections of methylprednisolone in last 3 days. Still we are seeing no improvement. Tsh receptor antibody 38.68 done last month. T3 4.66 t4 1.46 and tsh 0.006medicine now tab tpo 100, predmet, azoran neomercazole 20 mg, apart from starpr press, metxl and clopitab a.what do you suggest?

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MS - Ophthalmology, FICO, FRCS - I & II

Ophthalmologist•Mathura
Mr. lybrate-user I have gone through the history you have provided. It's quiet complicated. You have not mentioned age must be around 70 I guess. Is she having headache or pain in eyes. What is vision with n without glasses. Detail eye checkup is required. Specially rule out cataract, glaucoma. Hyperthyroidism has multiple eye involvement. All needs to be ruled out. In the mean time just use refres tears eye drops 3- 4 times a day. Specific treatment only after physical consultation.
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Asked for Female, 29 years old from Delhi
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M.D. Consultant Pathologist, CCEBDM Diab...read more

Sexologist•Sri Ganganagar
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In second semester we usually withdraw ptu and convert to neomercazole if really needs
more contact with endocrinologist.
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Asked for female, 38 years old from Sonipat
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Hello, thanks for the query. The thyroid hormone levels suggest she has hyperthyroidism. So carbamizole needs to be continued. (dosage is not mentioned). Usually that drug needs to be given for 18 months to 24 months. Once tsh levels comes around 3 to 4 mu/l (or normal range) then tablets can be discontinued. In quite a few cases hyperthyroidism is reversed. However, in a few patients it may come back after a few months. That needs to be observed with once is 3 to 6 months check up of thyroid pr...more
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MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi
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You should not take any medicine without doctor's advice it maybe harmful and can lead other complications. We have to look into the details of the problem. Let's have a detailed discussion for better advice and healthy lifestyle.
386 people found this helpful
Asked for female, 34 years old from Bangalore
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Hubli-Dharwad
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hyperthyroidism before pregnancy means through pregnancy there is antithyroid treatment on. Carbimazole crosses the placental barrier, hence can affect the development of thyroid gland in fetus causing hypothyroidism. So propylthiouracil is preferred as it does not cross the placental barrier. However, there are possible side effects of these drugs affecting the pregnancy. Usually antithyroid drugs are given for 12 to 18 months and stopped. That could be one option when hyperthyroidism is comple...more
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