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Neo-Mercazole 5Mg Tablet Health Feed

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MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi
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I am sorry to hear about your concern but will be happy to assist you.
Thyrotoxicosis is the clinical manifestation of excess thyroid hormone action at the tissue level due to inappropriately high circulating thyroid hormone concentrations. Hyperthyroidism, a subset of thyrotoxicosis, refers specifically to excess thyroid hormone synthesis and secretion by the thyroid gland.
Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for yo...more
14 people found this helpful
Asked for male, 60 years old from Phagwara
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Hubli-Dharwad
Mr. lybrate-user, Thanks for the query.
Your thyroid test results are in the normal range. There is no reason to take any treatment at present. You will have to monitor the levels once is six months to see if there is any major change. At present there is no problem at all. If you have any doubts please comeback. Thanks.
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Hubli-Dharwad
Hello, Thanks for the query.
Usually with high anti TPO antibodies, there is lymphocyte infiltration in thyroid gland. This usually causes hypothyroidism. However, increased antibody level in Hyperthyroidism means there is a significant autoimmune process going on. There is no specific treatment directed towards reducing these antibodies. However, intake of selenium is to help in reduction. Thanks.
83 people found this helpful
Asked for male, 41 years old from Patna
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Mr. lybrate-user, Thanks for the query.
Graves disease (hyperthyroidism) can be controlled with anti-thyroid drugs. Treatment has to continue for at least 12 to 18 months. After that if the gland function becomes normal, then treatment may be discontinued. But the condition may revert after certain time (many months or so). There is no complete cure. Thanks.
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
Mr. lybrate-user, Thanks for the query.
Hyperthyroidism is initially treated with Anti-thyroid drugs (as being given now Neomercazole). With treatment for over 18 to 24 months, in many patients Thyroid activity returns to normal, with TSH becoming normal and T3 & T4 levels showing normal levels. If this happens then further treatment is usually not required. But some times hyperactivity does return. Then other options are considered. In some others, with stoppage of Neomercazole, within few ...more
Asked for male, 41 years old from Patna
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
Mr. lybrate-user Kumar, Thanks for the query.
I get a feeling that I have answered the same earlier. Please understand problems with thyroid gland are related to either hormone (thyroxine) excess - hyperthyroidism & Graves disease or less thyroxine -Hypothyroidism. Since these are hormone related there is no complete cure. If hypothyroidism is there, then hormone needs to be supplemented daily for lifetime. If excess is there as in Grave's then one has to curb the gland activity with anti th...more
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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.
Since you are antithyroid drug (Neomercazole, TSH should have gone up a bit more to wards 1.0 mU/L. It is good to know that the USG is normal. You will ave to continue the same treatment for at least 18 to 24 months. Periodically TSH has to be checked. If you have any troublesome symptoms those should be attended to. Tablet Thyrowel has really no role to play in this situation. Thanks.
Asked for female, 51 years old from Haldwani
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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lybrate-user, Thanks for the query.
From the present report it is clear that she has HYPOTHYROIDISM. I really do not understand how it changes from hyper to hypo. It is better if you mention her earlier reports when doctor had said about hyperthyroidism. Plus how long was the earlier drug Neo-mercazole was taken and when was it stopped? It will be really good if you come back with all the information in a private conversation, then I will be able to give specific guidelines and even prescrip...more
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