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What Causes Hyperactivity And Insomnia After Stopping Methimez?
Question: hi please forward this question to Dr XXXXXXX XXXXXXX (Endocriniologist).hi doctor i hope u remember me i m graves disease patient contacted u for last few times.In month og march on 14 march i contacted u last time.u said to me continue from 75 eltroxin dosage to 100 to 125 for few days along with 5dosage of methimez.but i dont know due to misunderstanding or i dont know i went to continue 125 dos of eltroxin and stop completely taking methimez.I worked well then since i was also doing yoga to support my irritation at back of my neck and those anxiety.But lately i feel i m getting more hyperactive.i am getting insominia just today.kindly let me know wat shud i do.shud i go for thyroid report and let u know? plz reply madam
Brief Answer:
Need a fresh report of TSH and FT4.
Detailed Answer:
Dear XXXXXXX hi! how are you. yes i remember starting you on block and replacement therapy. i also remember asking you to get a fresh report after 4 weeks but here we do not have a system of a follow up call to our patients. now coming to your query, as you stopped methimazole and continued with eltroxin, you have probably induced drug induced thyrotoxic state. don't panic, stop eltroxin and get a recent thyroid profile , TSH and FT4 and let me know. meanwhile you can start some beta blocker like ciplar LA 20mg twice a day. regards!
Need a fresh report of TSH and FT4.
Detailed Answer:
Dear XXXXXXX hi! how are you. yes i remember starting you on block and replacement therapy. i also remember asking you to get a fresh report after 4 weeks but here we do not have a system of a follow up call to our patients. now coming to your query, as you stopped methimazole and continued with eltroxin, you have probably induced drug induced thyrotoxic state. don't panic, stop eltroxin and get a recent thyroid profile , TSH and FT4 and let me know. meanwhile you can start some beta blocker like ciplar LA 20mg twice a day. regards!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
hi madam.sorry for the inconvience but plz ignore the last conversation.I forgot to mention that i do regularly and esp sirsasana and due to this my body gets too much heated and the there too much of heating sensation during sleep.in other words it needs to cool down,unless i cant sllep in night.also i do oga beofre sllep so that is the reason i m not getting the sleep.this has happen with me very often in past.i took the bath with cold water after last night after querying you. i then had proper sleep. i suspect there is nothing serious but then for m doubt i will conduct the thyroid test and will reply you back.thenk youi forgot to mention i do yoga esp sirsasana in last paragraph
Brief Answer:
we still need the test report.
Detailed Answer:
Dear XXXXXXX hi! all said and done, it has been missing out methimazole and taking eltroxin alone, so we must get a recent thyroid status. i'll wait for your reports . regards!
we still need the test report.
Detailed Answer:
Dear XXXXXXX hi! all said and done, it has been missing out methimazole and taking eltroxin alone, so we must get a recent thyroid status. i'll wait for your reports . regards!
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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