how to wean off methimazole

unable to get any financial help*SSI/DISABILITY DENIED X4, ***this post is edited by moderator *** *** private e-mails not allowed*** Please read our Terms of Use. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. I have my test results and I am taking 15MG Methimazole a day since 5/25 and the Endo told me to continue taking the same dosage Hi, A strategy of high MMI doses plus T4 was not used in these patients. Moderately severe hyperthyroidism: 30 to 40 mg orally per day. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. But yet they tell me I'm hyper. I would ask to do labs again. If the patient is given PTU during treatment of thyroid storm, this should be switched to methimazole at the time of discharge unless methimazole is contraindicated. It works by making it harder for the body to make thyroid hormone. Was there any tapering of the dose at all? Mine endo only did it once every 6mo and within that time my tsh was no longer detectable and I got super super sick. respect of any healthcare matters. Do not use methimazole in larger or smaller amounts or for longer than recommended. Helpful - 0 Comment leilajax Gimel is right, it only has a 6 hour half life. She has a past medical history of hypertension and she has been compliant with her medications. The goal of antithyroid drug treatment is to treat for a defined period of time then stop to determine if the Graves' disease has gone into remission. Why would she try to wean me off the medicine if my numbers didnt indicate remission? So this is a surprise to me that I migh have Graves or toxic nodules as I feel I'm bouncing back with no symptoms of hyper. Some clinicians recommend discontinuing methimazole 2-7 days before radioactive iodine; may restart methimazole 3-7 days after radioactive iodine, then generally taper over 4-6 weeks as thyroid function normalizes and radioactive iodine becomes effective. Couldn't go outside all summer. There are 3 kinds of L Carnitine suppslements what kind did you take to help? By using this Site you agree to the following, By using this Site you agree to the following. This article covers the possible risks of not taking your hypothyroidism or hyperthyroidism medication. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. Okay I didn't know you had completely stopped the Methimazole, but I think you misread what I wrote. Now I have to start all over again. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. Use methimazole regularly to get the most benefit, even if you feel fine or have no symptoms of hyperthyroidism. I got diagnosed with graves approx 1 year ago I responded good to tapazole however I was sick with a cold and forgot to take my meds for like a week? When I started getting hyper symptoms from armour I tapered slowly and went off but my TSH never sprang back. Having irrational thoughts worries. And I am still could thins be a side affect of relapse or not taking my meds? Skip the missed dose if it is almost time for your next scheduled dose. What Do Herpes Sores Look Like at Different Stages. She seems relatively anxious on physical exam, and you note that she is diaphoretic. Some my symptoms inc My thyroid was stable for about 4 years, then suddenly, after my Mom's death, my thyroid went into hypothyroid. Reddit and its partners use cookies and similar technologies to provide you with a better experience. unusual tiredness or weakness. I started out at 30mg a day. They do better controlling their thyroid hormones using Regular L-Carnitine. I'm afraid the L Carnitine I'll make me have more symptoms. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Didn't find the answer you were looking for? It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. DID YOU NOTICE ANXIETY OR RAPID HEARTBEAT OR COULD I BE ANXIOUS ABOUT GETTING OFF THE MEDICATION. (PTU), Methimazole, or Tapazole thyroid medicine 4 days before their tests. Got dosage down to 5mgs. IS THERE A WEIGHT LOSS PLAN THAT ADDRESSES THYROIDECTOMY - what do you do to lose weight? rachelemacd The doctor told me to take a Metoprolol once in the morning, then, around lunch time, take the 20 mgLisinopril, then, at dinner time, take another Metoprolol. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. I am weaning off methimazole i was only taking 10 mg a day down to 7.5 mg for 2 weeks feeling lightheaded and was wondering if anyone knew of any side effects? Registered in England and Wales. Is there side effects from stopping or withdrawal symptoms? But have plenty of lab slips on hand and get checked if you feel like hurting someone. You will be able to stop your cholestyramine (if on it) immediately. Take the missed dose as soon as you remember. Get your TBII or TRAb antibodies tested for Graves, anti-TPO and TGAb for hashimoto's. You should not use methimazole if you are allergic to it, or: To make sure methimazole is safe for you, tell your doctor if you have: Using methimazole during pregnancy could harm the unborn baby. She also tells you that she has had recent blood work ordered by her primary care physician that was highly suspicious for some sort of thyroid disorder, but the results have not been made known to her yet. Methimazole can lower blood cells that help your body fight infections and help your blood to clot. Please get back to me.. Birth defects an option due to untreated Graves' disease? We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Weaning off of Methimazole What next? Untreated Graves' disease caused severe problems for me. ACMT Toxicology Visual Pearl: Swollen Lips, PECARN Pediatric Head Trauma: Official Visual Decision Aid, A Starters Roadmap to EM Resources: Books, Websites, and Apps, D50 vs D10 for Severe Hypoglycemia in the Emergency Department, The Dirty Epi Drip: IV Epinephrine When You Need It, Tips for Interpreting the CSF Opening Pressure, Trick of the Trade: Mix Ceftriaxone IM with Lidocaine for Less Pain, Trick of the Trade: Urine Pregnancy Test Without Urine, Wellness and Resiliency during Residency: EM is a career with unresolved stories, Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License, Academic Life in Emergency Medicine - All Rights Reserved (except for the PV Cards and MEdIC Series PDFs), Block the production and release of thyroid hormone (preventing the opposing team from getting the ball and scoring), Block the sympathetic outflow (preventing the soccer ball from going out of bounds), Block peripheral conversion of T4 to T3 (preventing penalty kicks), Mechanism of action: Inhibit thyroid peroxidase, an enzyme involved in the production of T3 and T4 through the iodination of tyrosine residues on thyroglobulin, Agents: propylthiouriacil (PTU) and methimazole (MMI), No head-to-head trials have shown any benefit of using one thionamide over another in the management of thyroid storm. ", Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. You need to be involved in the decisions regarding your care, and how you feel about your medication and its effects are of great importance. I'm not in hypo yet I don't think the doctors just think that I'm going into hypo..? Read our, Effects of Skipping Thyroid Hormone Replacement, Effects of Skipping Antithyroid Medication, It's Difficult to Remember to Take Your Dose, You Like How Hyperthyroidism Makes You Feel. We tapped the CDC for information on what you need to know about radiation exposure, Endocrinologist Mark Lupo, MD, answers 10 questions about thyroid disorders and how to treat them. I'd never stop any medication cold turkey. Answer. Its been almost a month now on the 2.5 so Im going to get the blood work rechecked within a week or so. It works by making it harder for the body to make thyroid hormone. Thyroid storm. I'm very upset because I figure he's the doctor and shouldn't have left that choice up to me. I said ok, not thinking anything of it, but after halving my dose for a few weeks Ive started to feel bad again. 2. Instructions for Women Pregnant women cannot receive the therapeutic radioactive iodine, since it will harm the fetus. i teally feel I have late stage chronic lime. Im so confused. I feel wonderful now. Your doctor may occasionally change your dose. I hadn't tested much in over a year- hoping this prior post link will work on this post to refresh anyone's memory who cares to 27M, 6'0, 174lb, Been on NP for about 4 months, Don't smoke or drink. Good luck, hope you go into remission! We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. This list is not complete. I hope you go into remission and you dont have to keep taking those god forsaken meds. A relatively low dose of Methimazole was prescribed, along with Lisinopril, and Metoprolol. Get your prescription refilled before you run out of medicine completely. The maintenance dose is 5 to 15 mg per day. Debilitating fatigue; tiredness; pressure in head - related, Diagnosed with Graves' disease - my symptoms are high pulse, loose stools and very tired, Graves Disease - Hyperthyroid does anyone have the same symptoms. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Herpes spreads by oral, vaginal and anal sex. Use of the forums is subject to our Terms of Use Methimazole prevents the thyroid gland from producing too much thyroid hormone. Read our editorial policy. Even while I was having a thyroid storm and my hr was way to high it took the doctor telling me I was going to die before I let him give me meds to slow my heart. They took blood work and X-rays, and this went on for over 4 hours. Patient does not provide medical advice, diagnosis or treatment. Is it possible that it is my thyroid or should I see my PCP for the attacks. That is a real challenge but I know one lady with both Graves and Hashi's who got treated by a Naturopath who was able to keep her thyroid levels normal with just the natural methods. I have nevery had anxiety attacks before. Some people have Graves alone, some have Hashi's alone and some people have both Graves and Hashi's at the same time. Not all possible interactions are listed in this medication guide. I am at 15 MG per weekI take 5 mg on M/W/F and my body is getting used to it but I have passed the two year mark and no signs of it abating. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. How should this medicine be used? I stopped Zinc, L-Lysine & alpha lipoic which made me feel amazing! When I stopped in 2015, I went hyper againin approx 8 months, so after a lotof readingand research, I've decided to taper my dose rather than stopping. Methimazole is used to treat hyperthyroidism, a condition where the thyroid gland produces too much thyroid hormone. Serious and sometimes fatal infections may occur during treatment with methimazole. Is There a Best Time to Take Your Thyroid Medication? Can You Eat Soy If You Have a Thyroid Condition? Hi, By learning about your labs and what they mean and following your body symptoms, you will have more information and be more prepared for discussions with your physician. HyperT77 My Endocrinologist has started weaning me off of Methimazole. It depends how you're feeling bad. Now I am in none. Tell your doctor about all your current medicines and any you start or stop using, especially: a blood thinner--warfarin, Coumadin, Jantoven; or. All lab work has come back in normal ranges. I had to do the same for 2 weeks and had no withdrawal symptoms and I was on 30mg at the time. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. When your lab tests are like yours (low TSH and high Free T4) you are hyper. Home Treatment For Low Thyroid: What Essential Oils Are Good For Hypothyroidism? I just wanted to tell everyone DON'T GIVE UP and DON'T TAKE THE RADIATED IODINE or have your thyroid removed (unless there is a growth of course). Written by Cerner Multum. I was on 5 mg once a day. I was taking a dosage of forty, then cut it down to twenty for about two weeks, and then was taken off of it entirely. Before Tom died, I felt amazingly well off the armor even with low TSH. How Are Thyroid Disorders Linked To An Increased Risk Of Developing Osteoporosis? My levels are going into the hypo range and so my gp told me to stop taking methimazole. Side effects are also most likely to occur within the first three months of treatment, so keep that in mind if you are beginning a new regimen. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. It bounced around .53 to .25 then .50 again but never above. I am a 52 year old female and I have been on 15MG Methimazole for the over 2 months and Endo lower the dose since my result for Tr Hi, It is a smart investment to get affordable health insurance if you don't already have it. 6 years ago, I think it's common to wean off after being in normal range for 12-18 months to see if it's gone into remission, that's what my endocrinologist did the first time my graves was diagnosed. If you want to get notified by every reply to your post, please register. Call your doctor for medical advice about side effects. Methimazole may cause serious side effects. This exact thing happened to me and then my endo put me back on it and my body couldnt tolerate it I was passing out and my symptoms were so much worse,. Some side effects may occur that usually do not need medical attention. It becomes too easy to label them as septic, and we may forget that endocrinologic emergencies, specifically thyroid storm, can present in very much the same way. Same as sudden weather changes, we get headaches etc. We went to the ER. [4] Serious and sometimes fatal infections may occur during treatment with methimazole. Ok. The dose is taken in 3 divided doses every 8 hours. fatigue and hyperthyroidism and Graves' Disease. Thank you so much! Usual Pediatric Dose for Hyperthyroidism: Initial dose: 0.4 mg/kg orally per dayMaintenance dose: 0.2 mg/kg orally per day (approximately half the initial dose) Comments: Daily doses are usually given in 3 divided doses at approximately 8 hour intervals. I tried this and my TSH rose from less than 0.001 (where it had been for 2 years) to 0.12 (in the right direction but not enough). Gaitonde DY, Rowley K, Sweeney L. Hypothyroidism: An update. Hodak S, Huang C, Clarke D, Burman K, Jonklaas J, Janicic-Kharic N. Intravenous methimazole in the treatment of refractory hyperthyroidism. She is the author of "The Thyroid Diet Revolution.". I am a 52 year old female and I had been on 15MG Methimazole for the over 2 months and my Endo lower the dosage to 10MG (took the And I vote you find another endo even if you do even out - you want someone who knows their stuff to monitor you in case you relapse in the future. Create an account to follow your favorite communities and start taking part in conversations. Endocrine causes of dangerous Fever. When I was in the ER, they hooked me up to the BP cuff, and it stayed there, turning off and on the entire time. Growth of thyroid nodules, increasing goiter size. I have been having anxiety attacks and I have only been off it a week. :), The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. The problem can be changing your diet, as you don't know how the thyroid will react to this. They told me to do that when I was taking 4 pills a day (20 mg) to get a test. Found that I could not take vitamin D pills, that they had to be the gel caps. Im feeling exactly those symptoms minus the weight loss because that hasnt changed on 2.5. Do Thyroid Problems Always Have To Be Treated? Tell your doctor if you are pregnant or if you become pregnant while using this medicine. Because I thought they might be responsible for lowering TSH. But I'm wondering now if it could be missing dosses? Vancomycin Loading Doses in Pediatric Patients: A Missed Opportunity? TSH above 1 is a good place to be in according to my endo. Thyrotoxic Crisis Oral Some clinicians recommend 60-80 mg daily.

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