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Suggest Treatment For Hyperthyroidism While On Thyroxine

Posted on Sat, 5 Aug 2017

Question: My daughter is 32 years old and having hyperthyroidism. She is on80mg thyroxine but she is experiencing tremors in her hands and losing weight

Answered by Dr. Binu Parameswaran Pillai (23 minutes later)

Brief Answer:
Please clarify

Detailed Answer:
Good day,
Noted the question. Are you sure that she has hyperthyroidism? Thyroxine is a medicine used for "HYPO"thyroidism, not for "Hyper"thyroidism. Could you clarify this ? Is she is on Thyroxine or Carbimazole? Do you have a copy of the recent thyroid blood test?
Regards
Binu

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Binu Parameswaran Pillai (5 hours later)

Hi Doctor,

She is on Synthroid. Have attached the image for reference.

She is in Canada now and will ask her to send the report.

Regards,
XXXXXXX

Answered by Dr. Binu Parameswaran Pillai (15 minutes later)

Brief Answer:
Hypothyroidism

Detailed Answer:
Hi.
Synthroid is given for Hypothyroidism. We need to look at the thyroid function tests to see if she has excess thyroid hormones in body which can cause her symptoms. If that is the case, we will have to reduce the dose.
Regards
Binu

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Binu Parameswaran Pillai (4 hours later)

Thank you doctor.

She will be doing the blood test tomorrow and will share the report with you.

Regards,
XXXXXXX

Answered by Dr. Binu Parameswaran Pillai (4 hours later)

Brief Answer:
Please send reports when available

Detailed Answer:
Okay.. I will wait for the reports. Please reply after you get the blood reports.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Binu Parameswaran Pillai (32 hours later)

Hi Doctor,

Please find the report attached.

Her Endocrynologist has advised her to continue the same dosage of 80 mg as it is normal.

Please advise.

Regards,
XXXXXXX

Answered by Dr. Binu Parameswaran Pillai (6 hours later)

Brief Answer:
Normal report

Detailed Answer:
Good day.
Noted the report. Yes I agree that it's a perfectly normal report and she should continue same dose of medicine.
She may need to look at alternate causes for her symptoms. It may be worth doing an 8Am serum cortisol and Electrolytes as well as a vitamin D levels.
Regards
Binu

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Above answer was peer-reviewed by : Dr. Prasad