hello there!
you said hyperactive thyroid but for what reason?
there are many and can be confirmed by investigations. so how deeply have you been investigated so far? ofr just the
thyroid function tests and started on carbemazole. dont you wanna know what could be the reason for your active thyroid?
if you do. then
do autoantibodies tests like anti TPO, TSI
if the cause is still not sure
do the
iodine uptake
scintigraphy scan. radio active iodine uptake it is both diagnostic and therapeutic by ablation . dpo an ecg if you have palpitations and start 40 mg propanolol.
now lets add some care to your carbemazole
1)use saline eye drops as needed and tight sunglasses for out doors.
2)if eyes are severely affected , use high dose glucocorticoids like deltacortil and consider orbital decompression surgery.
3)continue the carbemazoles for 12 to 18 months, remember remissions are common and surgery is a better option once your leels become normal or you become euthyroid.
4) radiactive iodine ablation can also be used.
cheers and good luck
Dr Khan