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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Advised Carbimazole For Overactive Thyroid. Concerned About The Possible Side Effects

I am 70 year old female aged 70. On Tuesday I was treated with an Iodine tablet due to an overactive thyroid. I am due to commence Carbimazole 5 mg tablets today (Friday). I have read up on some of the side effects and have found that I have been experiencing most of these problems before commencing on the Carbimozole tablets. I have in later years had swollen stomach (gas), nausea, feeling of being generally unwell and I do not wish to continue on this feeling of being unwell day by day. Am I following the correct procedures to getting on top of this feeling unwell. I am also concerned about the increase in weight that some people have reported as I have always eaten a healthy diet and would like to remain the weight that I am.

Pauline
Mon, 25 Nov 2013
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Internal Medicine Specialist 's  Response
Hi Pauline,
Thanks for using Healthcaremagic,

You have been detected to overactive thyroid that is thyrotoxicosis which means I presume your T3 and T4 levels are high and rightly advised antithyroid drug.

This drug is generally well tolerated and your Physician is starting with low dose in case you have any undesirable effects please report them to your treating physician.

Allergic rashes and pruritus are common, these can often be treated with antihistamines without stopping the carbimazole.

Bone marrow suppression should be monitored with blood counts and if not tolerated then alternative Propylthiouracil can be used.

In over active thyroid state weight is lost due to high metabolism but that is not desirable so if you gain some weight take care by diet and regular walking.

Once Thyroid levels are controlled surgery if possible is one of the option and also radioactive iodine therapy discuss with treating Doctor.

Hope this helps.
Take care
Good Luck
Dr.Akhilesh Dubey M.D.




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Advised Carbimazole For Overactive Thyroid. Concerned About The Possible Side Effects

Hi Pauline, Thanks for using Healthcaremagic, You have been detected to overactive thyroid that is thyrotoxicosis which means I presume your T3 and T4 levels are high and rightly advised antithyroid drug. This drug is generally well tolerated and your Physician is starting with low dose in case you have any undesirable effects please report them to your treating physician. Allergic rashes and pruritus are common, these can often be treated with antihistamines without stopping the carbimazole. Bone marrow suppression should be monitored with blood counts and if not tolerated then alternative Propylthiouracil can be used. In over active thyroid state weight is lost due to high metabolism but that is not desirable so if you gain some weight take care by diet and regular walking. Once Thyroid levels are controlled surgery if possible is one of the option and also radioactive iodine therapy discuss with treating Doctor. Hope this helps. Take care Good Luck Dr.Akhilesh Dubey M.D.