Carbimazole Health Feed

Hello, Thanks for the query.
The information given is inadequate to give any opinion. I need to know following details: His TSH, T3 & T4 levels when treatment was started with Neomercazole, plus what were the symptoms. His age, weight, height, heart rate, BP, and any other related issue. Secondly when was the treatment with neomercazole was stopped? What was the TSH level at that point? Because present TSH level signifies e over treatment with that drug. Usually when TSH levels reach around ...more

Mr. lybrate-user, Thanks for the query.
In hyperthyroidism patiients usually have severe palpitation, to reduce that proplanolol is used. It is not for high blood pressure in this situation. Thanks.

Hello, Thanks for the query.
With 10 mg twice a day of Carbimazole, your TSH is still very low. Please tell me since how long this dosage is being taken? Because it takes over 6 to 8 weeks to show effect on TSH levels.
Usually treatment is continued for 12 to 18 months. In some cases up to 24 months. If thyroid levels become normal and TSH comes up, then treatment is discontinued. In some cases hyperthyroidism does not come back. But if it comes back, then other alternatives are con...more

It shows your diagnosis of hyperthyroidism was not right.
You night be taking more carbimazole than required.

Hi, You said you are suffering with hyperthyroidism, need to know what are the symptoms you had and since how long, were your symptoms preceded by any episodes of fever and sore throat etc. Based on the above history and physical examination we can understand whether there is hyperthyroidism or not. And based on your report it's very mild degree also it has to carefully considered whether treatment is needed or not which again will depend on history, examination and few other tests. So I would s...more

Mr Arun Kumar, Thanks for the query.
I have seen the query. TSH 4.8 mU/L is in the normal range. That is good. Please let me know how log have you been taking Carbimazole 5 mg once a day? (Months or so)
Secondly did you have any symptoms ealier like palpitation, sweating, anxiety loss of sleep or disturbed sleep etc? Are those symptoms gone or reduced? Unless these details are known, it is difficult to give a clear answer. When was TSH 0.03 mU/L? Please let m know these details. Thanks...more

Mabashasji, Treatment of hyperthyroidism (Neomercazole 10 mg), has to continue for at least 12 to 18 months. If thyroid function returns to normal with TSH levels increasing, then drugs are stopped. In some cases, patients remain free of any symptoms for a fairly long time. In a few symptoms return in some moths, then other options of treatment are considered.

If hyper thyroidism detected in first 3 months of pregnancy the first choice is ptu but subsequent 6 months pregnancy nmz (neomercazole) can be safely taken under close supervision of doctor as frequent 4-6 weekly thyroid testing needed so auto avoid under or overdosing.

Mr. lybrate-user, Thanks for the query.
You have a problem of excessively active thyroid gland, which is called as Hyperthyroidism. If you do not like the word, I can not help it. This situation needs treatment with antithyroid drugs like Neomercazole or propythioracil. You will have to come in a private conversation (paid consultation) for getting proper prescription for this condition. Or else consult a local endocrinologist closer to your area. Thanks.

Your will need a dose adjustment of neomercazole along with appropriate supplementation with levothyroxine, depending on your symptoms. In your case I would check for appropriate thyroid antibodies to rule out "Graves disease" If this tests positive then I would recommend supplements that and control inflammation and modulate immunity. At some point of time you may have to consider Surgery or Radioactive ablation of thyroid.