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Neo-Mercazole 5Mg Tablet Health Feed

Asked for female, 27 years old from Nagpur
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MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi
I am sorry to hear about your concern but will be happy to assist you.
Hyperthyroidism (overactive thyroid) occurs when your thyroid gland produces too much of the hormone thyroxine.
Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.
73 people found this helpful
Asked for female, 25 years old from Jamshedpur
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Diploma in Anesthesia, MBBS

General Physician•Hyderabad
In hyperthyroid status you need to avoid iodine containing food like iodised salt etc., The food items like fish, egg yolk etc., you need not stop completely but only avoid excessive consumption. The body looking slim is the nature of the hyperthyroidism. You need to keep the thyroid levels normal to gain weight. As for food take protein containing food like dal, non-veg etc., As for exercises easy and simple one is walking and jogging. Is facility available you can do weight training to build m...more
324 people found this helpful
Asked for male, 54 years old from Mumbai
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Hello doctor, I am a 54 years old male. I was detected with hyperthyroidism for the first time when I was about 32 yrs. And was on carbimazole at min. Dose for few years before I happened to see a homeopath whose prescribed medicines effectively controlled my thyroidism. Eventually I didn't require to take any medicines for next few years without any issue before developing the symptoms again with abnormal lab test parameters and severe weight loss. That required me to start carbimazole again at moderate dose to regain my lost weight and continued with the min. Dose to maintain the condition thereafter. About three years back, I started to lose weight again and continued to lose after losing about 10 kg. So I had to increase my dose and followed a diet prescribed by my nutritionist and regained most of the lost weight within few months. Recently about a year back, I started to lose weight again and I increased the dose to offset the weight loss. But a recent lab test shows my tsh level as way too high. I don't remember of having my tsh level ever so high, in fact it was mostly very low, beyond measure. So my doctor obviously asked me to stop the carbimazole immediately for about 2 months before doing the lab test again for the results. My doctor explained that since my hyperthyroidism is a chronic condition which is an autoimmune disorder that might reverse the condition after some years. Well, I have lost more than 10 kg this time too. Please be informed that I am taking vitamin d as well and I use to take that occasionally since last few years. I have also been taking a tablet of nebivolol 5 mg daily to control my high blood pressure for almost 10 years. My cholesterol parameters have been high although the triglyceride is normal for several years but I am not advised for any medicine for that rather I try to follow the restrictions. Please suggest me the course of treatment as well as diet plan and do's and don'ts to regain my weight quickly. Thanks.

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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
Hello, Thanks for the query.
I have seen the details given. However, there is no mention of actual TSH and T4 levels and even the dosage of Carbimazole. Based on whatever stated in the details, the reason for high TSH is excessive dosage of Carbimazole . Normal TSH expected to be maintained around 3 to 4 mU/L at which level most of the symptoms related to thyroid conditions are absent.
Another aspect which is very important point is in case of hyperthyroidism in quite a few patients ...more
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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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