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Neo-Mercazole 10Mg Tablet Health Feed

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MBBS, MD Internal Medicine, PhD (Endocri...read more

Endocrinologist•Vellore
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Dear lybrate-user,
as you are planning on a pregnancy by next year, it may be wise to continue only carbimazole for control of hyperthyroidism. As soon as pregnancy is confirmed by urine test change over to propylthiouracil for the first 3 months of pregnancy. After this you can change back to carbimazole. During pregnancy the requirement for the tablets usually comes down and the decision regarding radioactive iodine therapy may be taken say a year after delivery
37 people found this helpful
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Hello, thanks for the query.
I have seen the details given. The treatment with carbamizole need to be given up to 18 to 24 months in some cases to effectively control excessive thyroid activity. So the treatment with carbamizole has to be continued. Every 3 to 4 months tsh and t4 levels need to be checked to see if normalisation has occurred.
As regards the nodules if the size increases then there is a need to get fnac (fine needle aspiration cytology) to see if any untoward changes have...more
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Asked for male, 21 years old from Pune
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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lybrate-user ji, thanks for the query.
I have gone through the details given. Hyperthyroidism is treated with carbimazole or other anti-thyroid drugs. Usually these drugs are given for a period of 18 to 24 months. In quite a few cases thyroid function returns to normal during this period or even earlier. When that happens, anti-thyroid drugs (carbimazole) are discontinued. Again in quite a few patients there is no further hyperthyroidism seen. However, if symptoms return or if again tsh goes...more
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Asked for male, 53 years old from Lucknow
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Diploma in Diabetology, MBBS

Endocrinologist•Mumbai
Dear this itchy patches may be because of some fungal infection. You can try applying candid cream twice a day and apply some talcum powder to keep the area dry. If it does not help, then you hv to visit the doctor personally.
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Asked for female, 35 years old from Visakhapatnam
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Diploma in Obstetrics & Gynaecology, MBB...read more

General Physician•Delhi
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graves disease is common in women ,it appears during phases of extreme stress , adolescence, during pregnancy
good news is that it disappears as suddenly as it appears
one can reduce the dose of medicines depending upon general condition and thyroid profile
neomercazole is the drug of choice
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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
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