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Can I Continue Thyroid Medications And Beta Blockers Post Radioactive Iodine Therapy?

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Posted on Mon, 9 Feb 2015
Question: do i continue anti thyroid medication and beta blocker after XXXXXXX therapy ......
doctor
Answered by Dr. Shehzad Topiwala (5 hours later)
Brief Answer:
Thyroid

Detailed Answer:
When I treat a patient in my practice with XXXXXXX I typically stop the anti thyroid medication. However, I only gradually withdraw the beta blocker.
Sometimes at around 1 week after XXXXXXX treatment there is a potential spike in thyroid hormone levels as the radiation destroys thyroid cells. At this time it is possible that the 'hyperadrenergic symptoms' such as increased pulse rate for example may become more evident. Beta blockers help in keeping this in check and control these manifestations.
So essentially, it is important to monitor pulse and blood pressure and other symptoms in the ensuing days after XXXXXXX therapy, to see what dose of beta blocker is appropriate, and then further begin gradual withdrawal of beta blockers with the intent to completely stop them over the course of a couple weeks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala (6 hours later)
also, what could cause the headaches and my hears seem stuffy and i cannot hear what anyone is saying. is this caused by the radiation therapy or anxiety. I check my pulse rate and it does not seem high enough to take beta blocker. thank you, and I believe that's all I need
doctor
Answered by Dr. Shehzad Topiwala (7 hours later)
Brief Answer:
Follow up

Detailed Answer:
If you stopped your beta blocker all of a sudden, then it can result in 'rebound' symptoms.
The beta blocker must be gradually withdrawn regardless.

Radiation should not cause the headaches nor stuffiness in your ears. You may wish to get these symptoms looked at by your family doctor to consider other potential causes.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Can I Continue Thyroid Medications And Beta Blockers Post Radioactive Iodine Therapy?

Brief Answer: Thyroid Detailed Answer: When I treat a patient in my practice with XXXXXXX I typically stop the anti thyroid medication. However, I only gradually withdraw the beta blocker. Sometimes at around 1 week after XXXXXXX treatment there is a potential spike in thyroid hormone levels as the radiation destroys thyroid cells. At this time it is possible that the 'hyperadrenergic symptoms' such as increased pulse rate for example may become more evident. Beta blockers help in keeping this in check and control these manifestations. So essentially, it is important to monitor pulse and blood pressure and other symptoms in the ensuing days after XXXXXXX therapy, to see what dose of beta blocker is appropriate, and then further begin gradual withdrawal of beta blockers with the intent to completely stop them over the course of a couple weeks.