Nadczynność tarczycy
Leczenie

Nadczynność tarczycy (hipertyreoza) charakteryzuje się nadmierną produkcją hormonów tarczycy, co może prowadzić do poważnych powikłań kardiologicznych, kostnych, mięśniowych oraz zaburzeń płodności i cyklu menstruacyjnego. Podstawowe metody leczenia obejmują farmakoterapię lekami przeciwtarczycowymi (tionamidy: metimazol i propylotiouracyl), terapię radiojodem (I-131) oraz tyreoidektomię. Metimazol jest preferowany ze względu na mniejszą toksyczność, natomiast propylotiouracyl stosuje się u kobiet w pierwszym trymestrze ciąży z uwagi na ryzyko teratogenności metimazolu. Terapia lekami trwa zwykle 12-18 miesięcy, a remisja w chorobie Gravesa-Basedowa osiągana jest u 20-50% pacjentów. Radiojodoterapia jest skuteczna u około 90% chorych, z efektem terapeutycznym widocznym po 6-8 tygodniach, jednak wiąże się z wysokim ryzykiem niedoczynności tarczycy (ponad 90% w pierwszym roku), wymagającej dożywotniej suplementacji lewotyroksyną. Tyreoidektomia, choć rzadziej stosowana, jest wskazana w przypadku dużego wola uciskającego drogi oddechowe, podejrzenia nowotworu, aktywnej oftalmopatii Gravesa-Basedowa lub planowanej ciąży, z wskaźnikiem wyleczenia 80-90% i ryzykiem powikłań neurologicznych.

Nadczynność tarczycy – wprowadzenie do leczenia

Nadczynność tarczycy (hipertyreoza) to stan, w którym gruczoł tarczowy produkuje zbyt dużo hormonów tarczycy. Skuteczne leczenie tego schorzenia jest kluczowe, ponieważ nieleczona nadczynność może prowadzić do poważnych powikłań, w tym problemów z sercem, kośćmi, mięśniami, cyklem menstruacyjnym oraz płodnością.12 Istnieją trzy główne metody leczenia nadczynności tarczycy: leki przeciwtarczycowe, terapia radiojodem oraz tyreoidektomia/” title=”tyreoidektomia” class=”to-tag” data-termid=”39012″>zabieg chirurgiczny. Wybór odpowiedniej metody zależy od wieku pacjenta, jego stanu zdrowia, nasilenia objawów, przyczyny nadczynności tarczycy oraz preferencji pacjenta.34

Pacjenci z nadczynnością tarczycy są zazwyczaj kierowani do specjalisty w dziedzinie endokrynologii, który planuje dalsze leczenie.5 Celem terapii jest przywrócenie prawidłowego poziomu hormonów tarczycy, co łagodzi objawy i zapobiega długoterminowym problemom zdrowotnym.6 Po diagnozie nadczynności tarczycy pacjenci wymagają regularnych wizyt kontrolnych w celu monitorowania stanu zdrowia.7

Leki przeciwtarczycowe

Leki przeciwtarczycowe (tionamidy) to podstawowa metoda leczenia nadczynności tarczycy. Działają one poprzez hamowanie zdolności tarczycy do wytwarzania hormonów.8 Najczęściej stosowanymi lekami przeciwtarczycowymi są metimazol (Tapazole) i propylotiouracyl (PTU).9

Metimazol jest zwykle preferowany w leczeniu nadczynności tarczycy ze względu na mniejszą liczbę skutków ubocznych w porównaniu z propylotiouracylem. PTU może w rzadkich przypadkach powodować ciężkie i potencjalnie śmiertelne uszkodzenie wątroby.10 Jednakże propylotiouracyl jest często stosowany u kobiet w pierwszych 3 miesiącach ciąży, ponieważ metimazol może w rzadkich przypadkach zaszkodzić płodowi.11

Leczenie lekami przeciwtarczycowymi zwykle trwa od 12 do 18 miesięcy.12 Poprawa objawów zazwyczaj następuje w ciągu kilku tygodni do kilku miesięcy po rozpoczęciu terapii.13 Pełne korzyści z leczenia mogą być widoczne po 2-3 tygodniach.14 W przypadku choroby Gravesa-Basedowa normalizacja poziomu hormonów i kontrola objawów zwykle występują po 3-6 tygodniach od rozpoczęcia terapii.15

Po ustabilizowaniu poziomu hormonów tarczycy, dawka leków może być stopniowo zmniejszana, a następnie całkowicie odstawiona, jeśli objawy ustąpią, a wyniki badań krwi pokażą, że poziom hormonów tarczycy wrócił do normy.1617 Jednak niektórzy pacjenci muszą kontynuować przyjmowanie leków przez wiele lat lub nawet przez całe życie.18

Wskazania do stosowania leków przeciwtarczycowych

Leki przeciwtarczycowe są najczęściej stosowane w następujących przypadkach:1920

  • U dzieci i młodzieży z nadczynnością tarczycy
  • U kobiet w ciąży lub karmiących piersią
  • Jako terapia pomostowa przed leczeniem radiojodem lub zabiegiem chirurgicznym
  • W celu kontroli nadczynności tarczycy w przypadku choroby Gravesa-Basedowa

Skuteczność i ograniczenia leków przeciwtarczycowych

Leki przeciwtarczycowe mogą skutecznie kontrolować nadczynność tarczycy, ale nie zawsze prowadzą do remisji choroby. W przypadku choroby Gravesa-Basedowa, około 20-30% pacjentów osiąga remisję po 12-18 miesiącach leczenia lekami przeciwtarczycowymi.21 Maksymalny odsetek remisji wynosi 30-50% po 12-24 miesiącach terapii.22

Leki przeciwtarczycowe nie indukują remisji nadczynności tarczycy związanej z gruczolakiem toksycznym lub wolem wieloguzkowym toksycznym. W tych przypadkach preferowane są leczenie radiojodem lub zabieg chirurgiczny.23

Leczenie radiojodem

Terapia radiojodem (I-131) jest jedną z najczęściej stosowanych metod leczenia nadczynności tarczycy, szczególnie w Stanach Zjednoczonych.2425 Ta metoda polega na podaniu doustnym (w formie kapsułki lub płynu) jodu radioaktywnego, który jest wychwytywany przez tarczycę i niszczy komórki gruczołu, zmniejszając w ten sposób produkcję hormonów tarczycy.26

Terapia radiojodem jest stosowana od wczesnych lat 40. XX wieku i jest uważana za bezpieczną i skuteczną metodę leczenia nadczynności tarczycy.27 Około 90% pacjentów potrzebuje tylko jednej dawki, aby wyleczyć nadczynność tarczycy.28

Mechanizm działania radiojodu

Radioaktywny jod jest szybko wchłaniany do krwiobiegu w przewodzie pokarmowym, a następnie jest koncentrowany przez komórki pęcherzykowe tarczycy.29 Promieniowanie emitowane przez jod-131 niszczy komórki tarczycy, co prowadzi do zmniejszenia produkcji hormonów tarczycy.30

Efekty leczenia radiojodem mogą być widoczne w ciągu kilku tygodni, ale pełne efekty terapeutyczne mogą wystąpić dopiero po kilku miesiącach.31 Normalizacja funkcji tarczycy może nastąpić już po 6-8 tygodniach od leczenia u 50-75% pacjentów.32

Wskazania do leczenia radiojodem

Terapia radiojodem jest zalecana w następujących przypadkach:3334

  • W leczeniu nadczynności tarczycy, zwłaszcza w przypadku choroby Gravesa-Basedowa
  • W leczeniu toksycznych guzków tarczycy
  • U pacjentów z nadczynnością tarczycy, którzy nie reagują na leczenie lekami przeciwtarczycowymi
  • U pacjentów z nawrotem nadczynności tarczycy po leczeniu lekami przeciwtarczycowymi

Przeciwwskazania do leczenia radiojodem

Leczenie radiojodem jest przeciwwskazane w następujących przypadkach:353637

  • U kobiet w ciąży – radiojod przenika przez łożysko i może wpływać na rozwój tarczycy u płodu
  • U kobiet karmiących piersią – konieczne jest przerwanie karmienia piersią przed leczeniem

Konsekwencje leczenia radiojodem

Najczęstszym długoterminowym skutkiem ubocznym leczenia radiojodem jest niedoczynność tarczycy (hipotyroza). Ponad dwie trzecie pacjentów, którzy otrzymali leczenie radiojodem, rozwinie niedoczynność tarczycy.38 Może to wystąpić w dowolnym momencie, począwszy od miesiąca po leczeniu, ale najczęściej występuje w ciągu pierwszych 12 miesięcy po terapii.39 W pierwszym roku po leczeniu niedoczynność tarczycy występuje u ponad 90% pacjentów, a później wskaźnik wynosi 2-3% rocznie.40

Pacjenci, którzy rozwijają niedoczynność tarczycy po leczeniu radiojodem, muszą przyjmować lewotyroksynę (syntetyczny hormon tarczycy) przez resztę życia, aby utrzymać prawidłowy poziom hormonów tarczycy.4142

Leczenie chirurgiczne (tyreoidektomia)

Zabieg chirurgiczny polegający na usunięciu części lub całej tarczycy (tyreoidektomia) jest rzadziej stosowaną metodą leczenia nadczynności tarczycy.43 Jednakże w niektórych przypadkach może być to preferowana opcja terapeutyczna.44

Wskazania do leczenia chirurgicznego

Zabieg chirurgiczny jest zalecany w następujących przypadkach:4546

  • Gdy duże wole uciska drogi oddechowe, utrudniając oddychanie
  • U pacjentów, którzy nie tolerują leków przeciwtarczycowych i nie chcą stosować radiojodu
  • Gdy w gruczole tarczowym występuje guzek, który może być nowotworem
  • U pacjentów z aktywną oftalmopatią Gravesa-Basedowa
  • U kobiet planujących ciążę, które chcą definitywnego leczenia przed zajściem w ciążę
  • U pacjentów z ciężką nadczynnością tarczycy
  • U kobiet w ciąży, które nie stosują się do zaleceń lub nie tolerują farmakoterapii przeciwtarczycowej

Rodzaje zabiegów chirurgicznych

Istnieje kilka rodzajów zabiegów chirurgicznych stosowanych w leczeniu nadczynności tarczycy:4748

  • Tyreoidektomia całkowita – usunięcie całego gruczołu tarczowego
  • Tyreoidektomia częściowa – usunięcie części gruczołu tarczowego
  • Hemityreoidektomia – usunięcie połowy gruczołu tarczowego
  • Istmektomia – usunięcie węziny tarczycy

Usunięcie całej tarczycy jest zwykle zalecane, ponieważ zapobiega nawrotom objawów nadczynności tarczycy.49 W przypadku pojedynczego guzka autonomicznego, wystarczające może być usunięcie guzka lub połowy gruczołu tarczowego.50

Konsekwencje leczenia chirurgicznego

Po usunięciu tarczycy organizm nie jest w stanie produkować hormonów tarczycy, co prowadzi do rozwoju niedoczynności tarczycy.51 W związku z tym pacjenci po zabiegu muszą przyjmować lewotyroksynę (syntetyczny hormon tarczycy) przez resztę życia, aby utrzymać prawidłowy poziom hormonów tarczycy.52

Operacja usunięcia tarczycy jest bezpieczną i skuteczną metodą leczenia, gdy jest przeprowadzana przez doświadczonego chirurga. Wskaźnik wyleczenia wynosi 80-90%.53 Jednakże, jak każda operacja, wiąże się z pewnymi ryzykami, takimi jak uszkodzenie nerwów kontrolujących struny głosowe, co może prowadzić do chrypki lub zmian w głosie.54

Leki wspomagające

Beta-adrenolityki

Beta-adrenolityki (beta-blokery) to leki, które blokują działanie hormonów tarczycy na układ sercowo-naczyniowy.55 Chociaż nie wpływają one na poziom hormonów tarczycy we krwi, mogą pomóc w kontrolowaniu objawów nadczynności tarczycy, takich jak przyspieszony rytm serca, drżenie, nerwowość i niepokój.56

Najczęściej stosowane beta-adrenolityki w leczeniu nadczynności tarczycy to:5758

  • Propranolol (Inderal)
  • Atenolol (Tenormin)
  • Metoprolol (Lopressor)

Beta-adrenolityki są często rozpoczynane natychmiast po zdiagnozowaniu nadczynności tarczycy i mogą być stosowane razem z innymi metodami leczenia.59 Mogą być szczególnie przydatne w pierwszych tygodniach po zdiagnozowaniu nadczynności tarczycy, łagodząc objawy w czasie oczekiwania na działanie innych terapii (radiojodu lub leków przeciwtarczycowych).60

Glikokortykosteroidy

U pacjentów z chorobą Gravesa-Basedowa czasami stosuje się glikokortykosteroidy.61 Leki te mogą pomóc w leczeniu oftalmopatii (zmian ocznych) związanej z chorobą Gravesa-Basedowa.62

Leczenie w szczególnych sytuacjach klinicznych

Leczenie tyreotoksykozy

Tyreotoksykoza to nasilona forma nadczynności tarczycy charakteryzująca się wyjątkowo wysokim poziomem hormonów tarczycy we krwi. Jest to stan zagrażający życiu i wymaga natychmiastowego leczenia.63

Przełom tarczycowy (burza tarczycowa) jest leczony agresywnie za pomocą kombinacji różnych metod leczenia, w tym:64

  • Dożylne podawanie beta-adrenolityków, takich jak propranolol
  • Tionamidy, takie jak metimazol
  • Jodowany środek kontrastowy lub roztwór jodu
  • Dożylne podawanie steroidów, takich jak hydrokortyzon

Leczenie nadczynności tarczycy w ciąży

Leczenie nadczynności tarczycy w ciąży wymaga szczególnej ostrożności, ponieważ zarówno nieleczona nadczynność tarczycy, jak i niektóre metody leczenia mogą mieć negatywny wpływ na rozwój płodu.65

W przypadku ciąży lekiem z wyboru jest propylotiouracyl, szczególnie w pierwszym trymestrze, ponieważ metimazol może w rzadkich przypadkach powodować wady rozwojowe płodu.66 Jednakże ze względu na ryzyko poważnego uszkodzenia wątroby związanego z propylotiouracylem, po pierwszym trymestrze często zaleca się przejście na metimazol.67

Terapia radiojodem jest przeciwwskazana w ciąży, ponieważ może uszkodzić tarczycę płodu.68 W ciężkich przypadkach, gdy pacjentka nie toleruje leków przeciwtarczycowych, można rozważyć zabieg chirurgiczny.69

Leczenie zapalenia tarczycy

Leczenie nadczynności tarczycy spowodowanej zapaleniem tarczycy różni się od leczenia innych form nadczynności tarczycy. Zapalenie tarczycy bezbolesne i zapalenie tarczycy podostre to stany samoograniczające się, które zwykle ustępują samoistnie w ciągu sześciu miesięcy.70

W przypadku zapalenia tarczycy nie ma wskazań do stosowania leków przeciwtarczycowych lub terapii radiojodem. Beta-adrenolityki mogą być stosowane w razie potrzeby do kontroli objawów adrenergicznych, takich jak przyspieszony rytm serca i drżenie.71 Nadczynność tarczycy związana z zapaleniem tarczycy jest tymczasowa i ustępuje bez specyficznego leczenia.72

Monitorowanie i kontrola po leczeniu

Po leczeniu nadczynności tarczycy konieczne jest regularne monitorowanie funkcji tarczycy. Ma to na celu upewnienie się, że leczenie było skuteczne i że poziom hormonów tarczycy pozostaje w granicach normy.73

W przypadku leczenia lekami przeciwtarczycowymi, lekarz monitoruje poziom hormonów tarczycy za pomocą badań krwi i odstawia leki, gdy są one niepotrzebne.74

Po leczeniu radiojodem lub zabiegu chirurgicznym należy często kontrolować poziom hormonów tarczycy, aż do stabilizacji, a następnie raz w roku, ponieważ istnieje długoterminowe ryzyko rozwoju niedoczynności tarczycy.75

Jeśli monitorowanie wykaże, że nadczynność tarczycy nadal występuje po leczeniu, lekarz może zalecić zwiększenie dawki leków przeciwtarczycowych lub dalsze leczenie radiojodem lub zabiegiem chirurgicznym.76

Zalecenia dietetyczne i styl życia

Chociaż sama dieta nie może wyleczyć nadczynności tarczycy, niektóre składniki odżywcze mogą odgrywać rolę w regulacji funkcji tarczycy.77

Pacjenci z nadczynnością tarczycy powinni unikać pokarmów bogatych w jod, takich jak wodorosty morskie, szczególnie w tygodniu poprzedzającym leczenie radiojodem.7879

Pokarmy zawierające selen, żelazo, wapń i witaminę D mogą być korzystne dla osób z nadczynnością tarczycy.80 Jednakże suplementacja tych składników powinna odbywać się pod nadzorem lekarza.

Po normalizacji funkcji tarczycy i metabolizmu przez leczenie, pacjenci mogą musieć zmniejszyć spożycie pokarmów, aby uniknąć niepożądanego przyrostu masy ciała.81

Podsumowanie leczenia nadczynności tarczycy

Nadczynność tarczycy jest chorobą, którą można skutecznie leczyć. Dostępne są różne metody leczenia, a wybór najodpowiedniejszej zależy od indywidualnych czynników, takich jak wiek pacjenta, przyczyna nadczynności tarczycy, nasilenie objawów oraz preferencje pacjenta.82

Leki przeciwtarczycowe, takie jak metimazol i propylotiouracyl, są często stosowane jako leczenie pierwszego rzutu, szczególnie u dzieci i kobiet w ciąży. Terapia radiojodem jest skuteczną i bezpieczną metodą leczenia, szczególnie w przypadku nawrotu choroby po leczeniu lekami przeciwtarczycowymi. Zabieg chirurgiczny może być konieczny w przypadkach, gdy inne metody leczenia są nieskuteczne lub przeciwwskazane.8384

Niezależnie od wybranej metody leczenia, regularne monitorowanie funkcji tarczycy jest niezbędne dla zapewnienia odpowiedniej kontroli choroby i wczesnego wykrycia ewentualnych powikłań.85 Z odpowiednim leczeniem większość pacjentów z nadczynnością tarczycy może prowadzić normalne, aktywne życie.86

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  1. 10.04.2026
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Materiały źródłowe

  • #1 Hyperthyroidism | Graves’ Disease | Overactive Thyroid | MedlinePlus
    https://medlineplus.gov/hyperthyroidism.html
    Hyperthyroidism, or overactive thyroid, happens when your thyroid gland makes more thyroid hormones than your body needs. […] If not treated, hyperthyroidism can cause serious problems with your heart, bones, muscles, menstrual cycle, and fertility. But there are treatments that can help. […] The treatments for hyperthyroidism include medicines, radioiodine therapy, and thyroid surgery: […] Antithyroid medicines, which cause your thyroid to make less thyroid hormone. […] Beta blocker medicines, which can reduce symptoms such as tremors, rapid heartbeat, and nervousness. […] Radioiodine therapy is a common and effective treatment for hyperthyroidism. […] Surgery to remove part or most of the thyroid gland is done in rare cases. […] If you have hyperthyroidism, it’s important not to get too much iodine.
  • #2 Hyperthyroidism – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hyperthyroidism/symptoms-causes/syc-20373659
    Hyperthyroidism happens when the thyroid gland makes too much thyroid hormone. This condition also is called overactive thyroid. Several treatments are available for hyperthyroidism. Anti-thyroid medicines and radioiodine can be used to slow the amount of hormones the thyroid gland makes. Sometimes, hyperthyroidism treatment includes surgery to remove all or part of the thyroid gland. […] After a diagnosis of hyperthyroidism, most people need regular follow-up visits with their health care provider to monitor the condition.
  • #3 Hyperthyroidism – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hyperthyroidism/diagnosis-treatment/drc-20373665
    Hyperthyroidism is diagnosed with a medical history, physical exam and blood tests. Depending on the results of the blood tests, you may need other tests too. […] Blood tests that measure the hormones T-4 and T-3 and thyroid-stimulating hormone (TSH) can confirm a diagnosis of hyperthyroidism. A high level of T-4 and a low level of TSH is common in people with hyperthyroidism. […] There are several treatments available for hyperthyroidism. The best approach for you depends on your age and health. The underlying cause of hyperthyroidism and how severe it is make a difference too. Your personal preference also should be considered as you and your health care provider decide on a treatment plan. Treatment may include: […] Anti-thyroid medicine. These medications slowly ease symptoms of hyperthyroidism by preventing the thyroid gland from making too many hormones. Anti-thyroid medications include methimazole and propylthiouracil. Symptoms usually begin to improve within several weeks to months.
  • #4 Hyperthyroidism: Diagnosis and Treatment | AAFP
    https://www.aafp.org/pubs/afp/issues/2016/0301/p363.html
    Hyperthyroidism caused by overproduction of thyroid hormones can be treated with antithyroid medications (methimazole and propylthiouracil), radioactive iodine ablation of the thyroid gland, or surgical thyroidectomy. Radioactive iodine ablation is the most widely used treatment in the United States. The choice of treatment depends on the underlying diagnosis, the presence of contraindications to a particular treatment modality, the severity of hyperthyroidism, and the patient’s preference. […] The choice of treatment modality for hyperthyroidism caused by overproduction of thyroid hormones depends on the patient’s age, symptoms, comorbidities, and preference. […] Antithyroid medications are thionamides; they inhibit thyroid peroxidase, blocking the synthesis of T3 and T4. Thionamides can serve as a long-term therapy or as a bridge to I-131 ablation or thyroidectomy, with the goal of normalizing thyroid function and preventing exacerbation of hyperthyroidism after I-131 ablation or avoiding surgical risks associated with uncontrolled hyperthyroidism.
  • #5
    https://www.nhs.uk/conditions/overactive-thyroid-hyperthyroidism/treatment/
    An overactive thyroid (hyperthyroidism) is usually treatable. […] You’ll usually be referred to a specialist in hormonal conditions (endocrinologist) who will plan your treatment. […] The 3 main treatments are: medicine, radioactive iodine treatment, surgery. […] Medicines called thionamides are commonly used to treat an overactive thyroid. They stop your thyroid producing excess hormones. […] The main types used are carbimazole and propylthiouracil. […] You’ll usually need to take the medicine for 12 to 18 months, and it may be a few months after you start taking it before you notice any benefit. […] Once your thyroid hormone levels are under control, your dose may be gradually reduced and then stopped. But some people need to continue taking medicine for several years or possibly for life.
  • #6 Hyperthyroidism (Overactive Thyroid) – NIDDK
    https://www.niddk.nih.gov/health-information/endocrine-diseases/hyperthyroidism
    Hyperthyroidism is usually treated with medicines, radioiodine therapy, or thyroid surgery. […] Your doctor will treat your hyperthyroidism to bring your thyroid hormone levels back to normal. Treating the disease will prevent long-term health problems, and it will relieve uncomfortable symptoms. No single treatment works for everyone. […] Antithyroid therapy is the simplest way to treat hyperthyroidism. Methimazole is used most often. Propylthiouracil is often used for women during the first 3 months of pregnancy because methimazole can, on rare occasions, harm the fetus. […] Radioiodine therapy is a common and effective treatment. You can take radioactive iodine-131 by mouth as a capsule or liquid. […] Surgery to remove part or most of the thyroid gland is used less often to treat hyperthyroidism. Sometimes doctors use surgery to treat people with large goiters or pregnant women who cannot take antithyroid medicines.
  • #7 Hyperthyroidism – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hyperthyroidism/symptoms-causes/syc-20373659
    Hyperthyroidism happens when the thyroid gland makes too much thyroid hormone. This condition also is called overactive thyroid. Several treatments are available for hyperthyroidism. Anti-thyroid medicines and radioiodine can be used to slow the amount of hormones the thyroid gland makes. Sometimes, hyperthyroidism treatment includes surgery to remove all or part of the thyroid gland. […] After a diagnosis of hyperthyroidism, most people need regular follow-up visits with their health care provider to monitor the condition.
  • #8 Hyperthyroidism (Overactive Thyroid): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/14129-hyperthyroidism
    Hyperthyroidism is treatable typically with medications. […] Its important to get medical treatment if you develop signs of hyperthyroidism so you can get back to feeling like yourself. […] There are many treatment options for hyperthyroidism. Depending on the cause, some options may be better for you than others. Your healthcare provider will discuss each option with you and help you determine the best treatment plan. […] Methimazole (Tapazole) and propylthiouracil (PTU) block the ability of your thyroid to make hormones. These medications are the most common treatment for hyperthyroidism. They can usually control thyroid function within two to three months. Your symptoms may get better within days to weeks. […] RAI therapy involves taking radioactive iodine by mouth in a single capsule or liquid dose. The radioactive iodine targets your thyroid cells specifically and destroys them. RAI usually leads to permanent destruction of your thyroid, which will cure hyperthyroidism. Most people who receive this treatment must take thyroid hormone medication (levothyroxine) for the rest of their lives to maintain normal thyroid hormone levels.
  • #9 Hyperthyroidism | American Thyroid Association
    https://www.thyroid.org/hyperthyroidism/
    HOW IS HYPERTHYROIDISM TREATED? There is no single treatment that is best for all patients with hyperthyroidism. The treatment that you and your doctor decide on will take into account factors such as your age, your symptoms, and other medical problems (ex. heart disease). It also depends on the cause of hyperthyroidism and how abnormal the tests are. […] There are several treatments that may be recommended: […] 1. BETA BLOCKERS: Beta blockers are medications that help control your symptoms such as rapid heart rate, shakiness, and nervousness until your thyroid hormone levels have improved. […] 2. ANTITHYROID DRUGS (ATD) METHIMAZOLE (MMI) AND PROPYLTHIOURACIL (PTU): ATDs work by decreasing the ability of your thyroid cells to make new thyroid hormones. […] 3. RADIOACTIVE IODINE (RAI): Radioactive iodine works by destroying the thyroid cells that are making thyroid hormones. This treatment works for Graves disease and toxic nodules but is not effective in thyroiditis. […] 4. SURGERY: Hyperthyroidism can be cured by surgical removal of the overactive thyroid gland or nodules.
  • #10 Patient Journey Thyroid – Planning and Treatment – Hyperthyroid | American Association of Clinical Endocrinology
    https://www.aace.com/patient-journey/thyroid/planning-and-treatment/hyperthyroid-treatment
    Hyperthyroidism treatment will depend on your age, health, case, and the severity of your condition. Speak with your health care professional to determine the best treatment plan for your personal condition. […] Common treatment options for hyperthyroidism include: […] Anti-thyroid medications: Two drugs are available for treating hyperthyroidism: propylthiouracil (PTU) and methimazole (Tapazole). Methimazole is usually preferred because PTU can rarely cause severe and potentially fatal liver damage. These medications control hyperthyroidism by slowing thyroid hormone production. […] Radioactive iodine treatment: Radioactive iodine is usually taken orally. It enters the thyroid cells from the bloodstream and gradually destroys them. Results are usually seen in 8 to 12 weeks, although it can take up to six months.
  • #11 Hyperthyroidism (Overactive Thyroid) – NIDDK
    https://www.niddk.nih.gov/health-information/endocrine-diseases/hyperthyroidism
    Hyperthyroidism is usually treated with medicines, radioiodine therapy, or thyroid surgery. […] Your doctor will treat your hyperthyroidism to bring your thyroid hormone levels back to normal. Treating the disease will prevent long-term health problems, and it will relieve uncomfortable symptoms. No single treatment works for everyone. […] Antithyroid therapy is the simplest way to treat hyperthyroidism. Methimazole is used most often. Propylthiouracil is often used for women during the first 3 months of pregnancy because methimazole can, on rare occasions, harm the fetus. […] Radioiodine therapy is a common and effective treatment. You can take radioactive iodine-131 by mouth as a capsule or liquid. […] Surgery to remove part or most of the thyroid gland is used less often to treat hyperthyroidism. Sometimes doctors use surgery to treat people with large goiters or pregnant women who cannot take antithyroid medicines.
  • #12 Hyperthyroidism – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hyperthyroidism/diagnosis-treatment/drc-20373665
    Hyperthyroidism is diagnosed with a medical history, physical exam and blood tests. Depending on the results of the blood tests, you may need other tests too. […] Blood tests that measure the hormones T-4 and T-3 and thyroid-stimulating hormone (TSH) can confirm a diagnosis of hyperthyroidism. A high level of T-4 and a low level of TSH is common in people with hyperthyroidism. […] There are several treatments available for hyperthyroidism. The best approach for you depends on your age and health. The underlying cause of hyperthyroidism and how severe it is make a difference too. Your personal preference also should be considered as you and your health care provider decide on a treatment plan. Treatment may include: […] Anti-thyroid medicine. These medications slowly ease symptoms of hyperthyroidism by preventing the thyroid gland from making too many hormones. Anti-thyroid medications include methimazole and propylthiouracil. Symptoms usually begin to improve within several weeks to months.
  • #13 Hyperthyroidism – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hyperthyroidism/diagnosis-treatment/drc-20373665
    Hyperthyroidism is diagnosed with a medical history, physical exam and blood tests. Depending on the results of the blood tests, you may need other tests too. […] Blood tests that measure the hormones T-4 and T-3 and thyroid-stimulating hormone (TSH) can confirm a diagnosis of hyperthyroidism. A high level of T-4 and a low level of TSH is common in people with hyperthyroidism. […] There are several treatments available for hyperthyroidism. The best approach for you depends on your age and health. The underlying cause of hyperthyroidism and how severe it is make a difference too. Your personal preference also should be considered as you and your health care provider decide on a treatment plan. Treatment may include: […] Anti-thyroid medicine. These medications slowly ease symptoms of hyperthyroidism by preventing the thyroid gland from making too many hormones. Anti-thyroid medications include methimazole and propylthiouracil. Symptoms usually begin to improve within several weeks to months.
  • #14 Hyperthyroidism (overactive thyroid) | Doctor
    https://patient.info/doctor/hyperthyroidism
    Hyperthyroidism is overactivity of the thyroid gland, which results in a number of symptoms and signs. It can be primary or secondary: […] All patients with new-onset thyrotoxicosis should be referred for assessment in secondary care, to establish the cause and to agree on a management plan. […] Beta-blockers can be used for rapid symptom control whilst waiting for thyroid function to normalise. […] Carbimazole or propylthiouracil are now commonly started in general practice, given the waiting times for specialist care. […] These drugs act very quickly and inhibit the production of thyroid hormones. Full benefit may take 2-3 weeks to become apparent. […] Radioactive iodine is given to the patient as a drink and is taken up by the thyroid gland, leading to destruction of the gland. It can take 3-4 months to take effect. […] Surgery is used infrequently in the treatment of thyrotoxicosis. […] If the decision is made to treat, radio-iodine is generally the treatment of choice, especially in toxic nodular goitre. An alternative is long-term carbimazole.
  • #15 A Review of Treatment Options for Graves’ Disease
    https://www.uspharmacist.com/article/a-review-of-treatment-options-for-graves-disease
    Antithyroid Medications: In Graves disease, propylthiouracil (PTU) and methimazole (MMI) are given to inhibit thyroid production. The primary objective of using antithyroid medications is to induce remission. Maximum remission rates of 30% to 50% are observed after 12 to 24 months of therapy. […] Generally, normalization of hormone levels and symptom control occur 3 to 6 weeks after therapy is initiated. […] RAI (I131): Patients whose Graves disease is more severe and those who have relapsed after antithyroid therapy are candidates for RAI treatment. RAI given as I is the preferred drug for treating Graves disease in the U.S., as it is rapidly absorbed into and concentrated in thyroid follicular cells. […] Normal thyroid function can occur as early as 6 to 8 weeks after treatment in 50% to 75% of patients. However, hypothyroidism results in more than 90% of patients within the first year after treatment, with a 2% to 3% rate each year thereafter.
  • #16 Hyperthyroidism – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hyperthyroidism/diagnosis-treatment/drc-20373665
    Hyperthyroidism is diagnosed with a medical history, physical exam and blood tests. Depending on the results of the blood tests, you may need other tests too. […] Blood tests that measure the hormones T-4 and T-3 and thyroid-stimulating hormone (TSH) can confirm a diagnosis of hyperthyroidism. A high level of T-4 and a low level of TSH is common in people with hyperthyroidism. […] There are several treatments available for hyperthyroidism. The best approach for you depends on your age and health. The underlying cause of hyperthyroidism and how severe it is make a difference too. Your personal preference also should be considered as you and your health care provider decide on a treatment plan. Treatment may include: […] Anti-thyroid medicine. These medications slowly ease symptoms of hyperthyroidism by preventing the thyroid gland from making too many hormones. Anti-thyroid medications include methimazole and propylthiouracil. Symptoms usually begin to improve within several weeks to months.
  • #17 Treatment for hyperthyroidism | Top Doctors
    https://www.topdoctors.co.uk/medical-articles/hyperthyroidism-what-to-expect-from-treatment-of-an-overactive-thyroid
    The thyroid gland can be found in the neck, situated just below the Adam’s apple. Its job is to regulate hormones. Hyperthyroidism is essentially an overactive thyroid, which can mean an overproduction of hormones which can result in serious consequences. […] Professor Parag Singhal, a top endocrinologist, explains some of the treatment options available for hyperthyroidism, how effective treatment can be and some of the risks involved. […] There are a variety of tablets that can help bring thyroid hormone levels back to normal to prevent long-term health problems and relieve uncomfortable symptoms. Some of the options are: […] Antithyroid therapy is the simplest way to treat hyperthyroidism. These medicines usually dont provide a permanent cure either. The two available medicines are carbimazole and propylthiouracil.
  • #18
    https://www.nhs.uk/conditions/overactive-thyroid-hyperthyroidism/treatment/
    An overactive thyroid (hyperthyroidism) is usually treatable. […] You’ll usually be referred to a specialist in hormonal conditions (endocrinologist) who will plan your treatment. […] The 3 main treatments are: medicine, radioactive iodine treatment, surgery. […] Medicines called thionamides are commonly used to treat an overactive thyroid. They stop your thyroid producing excess hormones. […] The main types used are carbimazole and propylthiouracil. […] You’ll usually need to take the medicine for 12 to 18 months, and it may be a few months after you start taking it before you notice any benefit. […] Once your thyroid hormone levels are under control, your dose may be gradually reduced and then stopped. But some people need to continue taking medicine for several years or possibly for life.
  • #19 Hyperthyroidism: Diagnosis and Treatment | AAFP
    https://www.aafp.org/pubs/afp/issues/2016/0301/p363.html
    Hyperthyroidism caused by overproduction of thyroid hormones can be treated with antithyroid medications (methimazole and propylthiouracil), radioactive iodine ablation of the thyroid gland, or surgical thyroidectomy. Radioactive iodine ablation is the most widely used treatment in the United States. The choice of treatment depends on the underlying diagnosis, the presence of contraindications to a particular treatment modality, the severity of hyperthyroidism, and the patient’s preference. […] The choice of treatment modality for hyperthyroidism caused by overproduction of thyroid hormones depends on the patient’s age, symptoms, comorbidities, and preference. […] Antithyroid medications are thionamides; they inhibit thyroid peroxidase, blocking the synthesis of T3 and T4. Thionamides can serve as a long-term therapy or as a bridge to I-131 ablation or thyroidectomy, with the goal of normalizing thyroid function and preventing exacerbation of hyperthyroidism after I-131 ablation or avoiding surgical risks associated with uncontrolled hyperthyroidism.
  • #20 Hyperthyroidism and Thyrotoxicosis Treatment & Management: Approach Considerations, Management of Ophthalmopathy, Management of Dermopathy
    https://emedicine.medscape.com/article/121865-treatment
    Treatment of hyperthyroidism and thyrotoxicosis includes symptom relief, while hyperthyroidism also requires antithyroid pharmacotherapy, radioactive iodine-131 (131I) therapy (the preferred treatment of hyperthyroidism among US thyroid specialists), or thyroidectomy. However, antithyroid medications are not effective in thyrotoxicosis in which scintigraphy shows low uptake of iodine-123 (123I), as in patients with subacute thyroiditis, because these cases result from release of preformed thyroid hormone. […] Antithyroid drugs (eg, methimazole and propylthiouracil) have been used for hyperthyroidism since their introduction in the 1940s. These medications are employed for long-term control of hyperthyroidism in children, adolescents, and pregnant women. In adult men and nonpregnant women, they are used to control hyperthyroidism (for a so-called „cooling-down effect”) before definitive therapy with radioactive iodine.
  • #21 Hyperthyroidism: Symptoms, treatment, causes, and diet
    https://www.medicalnewstoday.com/articles/9153
    Hyperthyroidism, or overactive thyroid, occurs when the thyroid gland produces too much of certain hormones. […] Without treatment, hyperthyroidism can lead to severe complications. However, medication can normally control it by reducing thyroid hormone production. […] Some medications treat the symptoms of hyperthyroidism, such as heart problems, while others aim to address the production of thyroid hormone. […] Antithyroid drugs stop the thyroid gland from producing too much thyroid hormone. One common drug that doctors recommend is methimazole. […] According to the American Thyroid Association, about 2030% of people living with Graves disease experience symptom remission when receiving treatment for a period of 1218 months with antithyroid drugs. […] Radioactive iodine enters active thyroid cells and destroys them. […] Surgery can remove part or all of the thyroid gland if other treatments are not viable. […] People can treat hyperthyroidism and manage its symptoms using various medications, while some dietary changes may also help.
  • #22 A Review of Treatment Options for Graves’ Disease
    https://www.uspharmacist.com/article/a-review-of-treatment-options-for-graves-disease
    Antithyroid Medications: In Graves disease, propylthiouracil (PTU) and methimazole (MMI) are given to inhibit thyroid production. The primary objective of using antithyroid medications is to induce remission. Maximum remission rates of 30% to 50% are observed after 12 to 24 months of therapy. […] Generally, normalization of hormone levels and symptom control occur 3 to 6 weeks after therapy is initiated. […] RAI (I131): Patients whose Graves disease is more severe and those who have relapsed after antithyroid therapy are candidates for RAI treatment. RAI given as I is the preferred drug for treating Graves disease in the U.S., as it is rapidly absorbed into and concentrated in thyroid follicular cells. […] Normal thyroid function can occur as early as 6 to 8 weeks after treatment in 50% to 75% of patients. However, hypothyroidism results in more than 90% of patients within the first year after treatment, with a 2% to 3% rate each year thereafter.
  • #23 Hyperthyroidism: Diagnosis and Treatment | AAFP
    https://www.aafp.org/pubs/afp/issues/2016/0301/p363.html
    Radioactive iodine ablation of the thyroid gland is the most common treatment of Graves disease in the United States. It is contraindicated in pregnancy. […] Antithyroid medications can control hyperthyroidism, but do not induce remission of hyperthyroidism associated with toxic adenoma or toxic multinodular goiter. Therefore, radioactive iodine ablation and thyroidectomy are the main treatment options for these conditions. […] Painless thyroiditis and subacute thyroiditis are self-limiting conditions that usually resolve spontaneously within six months. There is no role for antithyroid medications or radioactive iodine ablation in the treatment of thyroiditis. Beta blockers may be used if needed to control adrenergic symptoms.
  • #24 Hyperthyroidism (Overactive Thyroid): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/14129-hyperthyroidism
    Hyperthyroidism is treatable typically with medications. […] Its important to get medical treatment if you develop signs of hyperthyroidism so you can get back to feeling like yourself. […] There are many treatment options for hyperthyroidism. Depending on the cause, some options may be better for you than others. Your healthcare provider will discuss each option with you and help you determine the best treatment plan. […] Methimazole (Tapazole) and propylthiouracil (PTU) block the ability of your thyroid to make hormones. These medications are the most common treatment for hyperthyroidism. They can usually control thyroid function within two to three months. Your symptoms may get better within days to weeks. […] RAI therapy involves taking radioactive iodine by mouth in a single capsule or liquid dose. The radioactive iodine targets your thyroid cells specifically and destroys them. RAI usually leads to permanent destruction of your thyroid, which will cure hyperthyroidism. Most people who receive this treatment must take thyroid hormone medication (levothyroxine) for the rest of their lives to maintain normal thyroid hormone levels.
  • #25 Treatment Options for Hyperthyroidism
    https://www.everydayhealth.com/hyperthyroidism/guide/treatment/
    In the United States, more than 70 percent of adults with hyperthyroidism are treated with radioactive iodine, according to the American Thyroid Association. (2) […] Radioactive iodine is a procedure that essentially destroys the thyroid gland, which prevents it from staying overactive, explains Gregory Dodell, MD, an assistant clinical professor of medicine, endocrinology, diabetes, and bone disease at the Icahn School of Medicine at Mount Sinai in New York City. […] Sometimes, doctors recommend a thyroidectomy (surgery to remove all or part of the thyroid gland) to treat hyperthyroidism. (1) […] This procedure can also lead to permanent hypothyroidism, for which you’ll need to take a daily thyroid hormone supplement. (1,2) […] A number of different medications may be used to treat hyperthyroidism.
  • #26
    https://www.nhs.uk/conditions/overactive-thyroid-hyperthyroidism/treatment/
    Radioactive iodine treatment is a type of radiotherapy used to destroy the cells in the thyroid gland, reducing the amount of hormones it can produce. It’s a highly effective treatment that can cure an overactive thyroid. […] You’re given a drink or capsule that contains iodine and a low dose of radiation, which is absorbed by your thyroid. Most people only need a single treatment. […] Occasionally, surgery to remove all or part of your thyroid may be recommended. […] Removing all of the thyroid gland is usually recommended because it stops the symptoms of hyperthyroidism coming back. […] But removing your thyroid means your body will be unable to produce thyroid hormones so you’ll need to take medicine, such as levothyroxine, for the rest of your life.
  • #27 Become a member
    https://www.btf-thyroid.org/treatment-of-an-over-active-or-enlarged-thyroid-gland-with-radioactive-iodine
    Radioactive iodine (I-131) has been used to treat overactive thyroid disorders (hyperthyroidism) since the early 1940s. It is an effective method of treatment and is now being offered as first-line definitive treatment rather than surgery. Radioactive iodine is taken up by the thyroid, and destroys the cells in the thyroid gland. This has the effect of reducing the amount of thyroxine made by the thyroid gland and may also reduce the size of the gland. […] As treatment for an overactive thyroid gland, with or without prior antithyroid drug therapy, especially in people with toxic nodular hyperthyroidism […] Radioactive iodine is also used in higher doses in the treatment of thyroid cancer. […] Large follow-up studies have been carried out for more than 70 years in many European countries and the United States. These show that there is an extremely small excess risk of cancer from treatment with radioactive iodine. For most patients the benefit of treating the overactive thyroid gland far outweighs the extremely low cancer risk.
  • #28 Radioactive Iodine (RAI) Treatment for HyperthyroidismRadioactive Iodine (RAI) Treatment for Hyperthyroidism – The Ottawa Hospital
    https://www.ottawahospital.on.ca/en/radioactive-iodine-rai-treatment-for-hyperthyroidism/
    Radioactive iodine is used as a treatment in the following cases: To treat hyperthyroidism (too much thyroid hormone) due to Graves’ disease. […] Radioactive iodine (I-131) has been used to treat over-active thyroid disorders (hyperthyroidism) since the early 1940s. It is an effective method of treatment. […] Approximately 90% of patients need only one dose to be cured of their hyperthyroidism. […] Follow-up after radioactive iodine treatment is essential. There is no single correct dose and about 10% of patients need a further dose. […] Over two-thirds of those who have radioactive iodine treatment will develop hypothyroidism (an underactive thyroid). This can occur anytime from one month after the treatment and is most common within the first 12 months after treatment but can occur later. […] Radioactive iodine is an effective and safe treatment option for children and teenagers with an overactive thyroid gland but will usually be given as a second-line treatment after a reasonably long course of antithyroid medication.
  • #29 Radioactive Iodine (I-131) Therapy for Hyperthyroidism
    https://www.radiologyinfo.org/en/info/radioiodine
    Radioiodine therapy is a nuclear medicine treatment. Doctors use it to treat an overactive thyroid, a condition called hyperthyroidism. […] Radioactive Iodine I-131 (also called Radioiodine I-131) therapy is a nuclear medicine treatment. Doctors use it to treat an overactive thyroid, a condition called hyperthyroidism. […] Hyperthyroidism treatment is almost always done on an outpatient basis because the dose required is relatively small. […] The radioiodine I-131 is swallowed in a single capsule or liquid dose and is quickly absorbed into the bloodstream in the gastrointestinal (GI) tract. It is concentrated from the blood by the thyroid gland, where it begins destroying the gland’s cells. […] It is highly likely that this procedure will destroy some or most of your thyroid gland. Since hormones produced by the thyroid are essential for metabolism, most patients will need to take thyroid pills for the rest of their life following the procedure.
  • #30 Radioactive Iodine (I-131) Therapy for Hyperthyroidism
    https://www.radiologyinfo.org/en/info/radioiodine
    Radioiodine therapy is a nuclear medicine treatment. Doctors use it to treat an overactive thyroid, a condition called hyperthyroidism. […] Radioactive Iodine I-131 (also called Radioiodine I-131) therapy is a nuclear medicine treatment. Doctors use it to treat an overactive thyroid, a condition called hyperthyroidism. […] Hyperthyroidism treatment is almost always done on an outpatient basis because the dose required is relatively small. […] The radioiodine I-131 is swallowed in a single capsule or liquid dose and is quickly absorbed into the bloodstream in the gastrointestinal (GI) tract. It is concentrated from the blood by the thyroid gland, where it begins destroying the gland’s cells. […] It is highly likely that this procedure will destroy some or most of your thyroid gland. Since hormones produced by the thyroid are essential for metabolism, most patients will need to take thyroid pills for the rest of their life following the procedure.
  • #31 Hyperthyroidism – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hyperthyroidism/diagnosis-treatment/drc-20373665
    Treatment with anti-thyroid medicine typically lasts 12 to 18 months. After that, the dose may be slowly decreased or stopped if symptoms go away and if blood test results show that thyroid hormone levels have returned to the standard range. […] Radioiodine therapy. The thyroid gland takes up radioiodine. This treatment causes the gland to shrink. This medicine is taken by mouth. With this treatment, symptoms typically lessen within several months. This treatment usually causes thyroid activity to slow enough to make the thyroid gland underactive. That condition is hypothyroidism. Because of that, over time, you may need to take medicine to replace thyroid hormones. […] Thyroidectomy. This is surgery to remove part of or all of the thyroid gland. It is not used often to treat hyperthyroidism. But it may be an option for people who are pregnant. It also may be a choice for those who can’t take anti-thyroid medicine and don’t want to or can’t take radioiodine therapy.
  • #32 A Review of Treatment Options for Graves’ Disease
    https://www.uspharmacist.com/article/a-review-of-treatment-options-for-graves-disease
    Antithyroid Medications: In Graves disease, propylthiouracil (PTU) and methimazole (MMI) are given to inhibit thyroid production. The primary objective of using antithyroid medications is to induce remission. Maximum remission rates of 30% to 50% are observed after 12 to 24 months of therapy. […] Generally, normalization of hormone levels and symptom control occur 3 to 6 weeks after therapy is initiated. […] RAI (I131): Patients whose Graves disease is more severe and those who have relapsed after antithyroid therapy are candidates for RAI treatment. RAI given as I is the preferred drug for treating Graves disease in the U.S., as it is rapidly absorbed into and concentrated in thyroid follicular cells. […] Normal thyroid function can occur as early as 6 to 8 weeks after treatment in 50% to 75% of patients. However, hypothyroidism results in more than 90% of patients within the first year after treatment, with a 2% to 3% rate each year thereafter.
  • #33 Hyperthyroidism: Diagnosis and Treatment | AAFP
    https://www.aafp.org/pubs/afp/issues/2016/0301/p363.html
    Radioactive iodine ablation of the thyroid gland is the most common treatment of Graves disease in the United States. It is contraindicated in pregnancy. […] Antithyroid medications can control hyperthyroidism, but do not induce remission of hyperthyroidism associated with toxic adenoma or toxic multinodular goiter. Therefore, radioactive iodine ablation and thyroidectomy are the main treatment options for these conditions. […] Painless thyroiditis and subacute thyroiditis are self-limiting conditions that usually resolve spontaneously within six months. There is no role for antithyroid medications or radioactive iodine ablation in the treatment of thyroiditis. Beta blockers may be used if needed to control adrenergic symptoms.
  • #34 Become a member
    https://www.btf-thyroid.org/treatment-of-an-over-active-or-enlarged-thyroid-gland-with-radioactive-iodine
    Radioactive iodine (I-131) has been used to treat overactive thyroid disorders (hyperthyroidism) since the early 1940s. It is an effective method of treatment and is now being offered as first-line definitive treatment rather than surgery. Radioactive iodine is taken up by the thyroid, and destroys the cells in the thyroid gland. This has the effect of reducing the amount of thyroxine made by the thyroid gland and may also reduce the size of the gland. […] As treatment for an overactive thyroid gland, with or without prior antithyroid drug therapy, especially in people with toxic nodular hyperthyroidism […] Radioactive iodine is also used in higher doses in the treatment of thyroid cancer. […] Large follow-up studies have been carried out for more than 70 years in many European countries and the United States. These show that there is an extremely small excess risk of cancer from treatment with radioactive iodine. For most patients the benefit of treating the overactive thyroid gland far outweighs the extremely low cancer risk.
  • #35 Hyperthyroidism: Diagnosis and Treatment | AAFP
    https://www.aafp.org/pubs/afp/issues/2016/0301/p363.html
    Radioactive iodine ablation of the thyroid gland is the most common treatment of Graves disease in the United States. It is contraindicated in pregnancy. […] Antithyroid medications can control hyperthyroidism, but do not induce remission of hyperthyroidism associated with toxic adenoma or toxic multinodular goiter. Therefore, radioactive iodine ablation and thyroidectomy are the main treatment options for these conditions. […] Painless thyroiditis and subacute thyroiditis are self-limiting conditions that usually resolve spontaneously within six months. There is no role for antithyroid medications or radioactive iodine ablation in the treatment of thyroiditis. Beta blockers may be used if needed to control adrenergic symptoms.
  • #36 Become a member
    https://www.btf-thyroid.org/treatment-of-an-over-active-or-enlarged-thyroid-gland-with-radioactive-iodine
    Radioactive iodine (I-131) has been used to treat overactive thyroid disorders (hyperthyroidism) since the early 1940s. It is an effective method of treatment and is now being offered as first-line definitive treatment rather than surgery. Radioactive iodine is taken up by the thyroid, and destroys the cells in the thyroid gland. This has the effect of reducing the amount of thyroxine made by the thyroid gland and may also reduce the size of the gland. […] As treatment for an overactive thyroid gland, with or without prior antithyroid drug therapy, especially in people with toxic nodular hyperthyroidism […] Radioactive iodine is also used in higher doses in the treatment of thyroid cancer. […] Large follow-up studies have been carried out for more than 70 years in many European countries and the United States. These show that there is an extremely small excess risk of cancer from treatment with radioactive iodine. For most patients the benefit of treating the overactive thyroid gland far outweighs the extremely low cancer risk.
  • #37 Treatment for Overactive Thyroid – North Tees and Hartlepool NHS Foundation Trust
    https://www.nth.nhs.uk/resources/treatment-for-overactive-thyroid/
    It is important that you are not pregnant when you have your treatment, as radioiodine is harmful to unborn babies. […] If you are currently breast-feeding, you will need to stop. […] You must cut out foods that are rich in iodine for 1 week before treatment (and 2 days after administration). […] There are no side effects to the capsule and you can drive yourself home as normal. […] You should arrange a thyroid function blood check 6-8 weeks after treatment and see your consultant 1 week after your blood check. […] You should start to feel some benefit within a few weeks of treatment. […] It is extremely unlikely that the radioiodine treatment would cause any ill effects. […] There is no evidence of harmful effects from the radiation. Radioiodine has been a successful treatment for overactive thyroid for over 80 years; the patients receiving this treatment are monitored carefully.
  • #38 Become a member
    https://www.btf-thyroid.org/treatment-of-an-over-active-or-enlarged-thyroid-gland-with-radioactive-iodine
    Radioactive iodine treatment is not given to: Pregnant women – radioiodine crosses the placenta and can affect the thyroid gland developing in the unborn baby […] Sometimes the thyroid gland is a bit tender after treatment. This will usually clear up after a few days. A common longer term side-effect of radioactive iodine treatment is an underactive thyroid gland (hypothyroidism), so it is very important to have regular thyroid blood tests starting from four to six weeks after the treatment to identify and treat this early, with levothyroxine. […] Follow-up after radioactive iodine treatment is essential. There is no single correct dose and about 10% of patients need a further dose. […] Over two-thirds of those who have radioactive iodine treatment will develop hypothyroidism (an underactive thyroid). This can occur anytime from one month after the treatment and is most common within the first 12 months after treatment but can occur later.
  • #39 Become a member
    https://www.btf-thyroid.org/treatment-of-an-over-active-or-enlarged-thyroid-gland-with-radioactive-iodine
    Radioactive iodine treatment is not given to: Pregnant women – radioiodine crosses the placenta and can affect the thyroid gland developing in the unborn baby […] Sometimes the thyroid gland is a bit tender after treatment. This will usually clear up after a few days. A common longer term side-effect of radioactive iodine treatment is an underactive thyroid gland (hypothyroidism), so it is very important to have regular thyroid blood tests starting from four to six weeks after the treatment to identify and treat this early, with levothyroxine. […] Follow-up after radioactive iodine treatment is essential. There is no single correct dose and about 10% of patients need a further dose. […] Over two-thirds of those who have radioactive iodine treatment will develop hypothyroidism (an underactive thyroid). This can occur anytime from one month after the treatment and is most common within the first 12 months after treatment but can occur later.
  • #40 A Review of Treatment Options for Graves’ Disease
    https://www.uspharmacist.com/article/a-review-of-treatment-options-for-graves-disease
    Antithyroid Medications: In Graves disease, propylthiouracil (PTU) and methimazole (MMI) are given to inhibit thyroid production. The primary objective of using antithyroid medications is to induce remission. Maximum remission rates of 30% to 50% are observed after 12 to 24 months of therapy. […] Generally, normalization of hormone levels and symptom control occur 3 to 6 weeks after therapy is initiated. […] RAI (I131): Patients whose Graves disease is more severe and those who have relapsed after antithyroid therapy are candidates for RAI treatment. RAI given as I is the preferred drug for treating Graves disease in the U.S., as it is rapidly absorbed into and concentrated in thyroid follicular cells. […] Normal thyroid function can occur as early as 6 to 8 weeks after treatment in 50% to 75% of patients. However, hypothyroidism results in more than 90% of patients within the first year after treatment, with a 2% to 3% rate each year thereafter.
  • #41
    https://www.nhs.uk/conditions/overactive-thyroid-hyperthyroidism/treatment/
    Radioactive iodine treatment is a type of radiotherapy used to destroy the cells in the thyroid gland, reducing the amount of hormones it can produce. It’s a highly effective treatment that can cure an overactive thyroid. […] You’re given a drink or capsule that contains iodine and a low dose of radiation, which is absorbed by your thyroid. Most people only need a single treatment. […] Occasionally, surgery to remove all or part of your thyroid may be recommended. […] Removing all of the thyroid gland is usually recommended because it stops the symptoms of hyperthyroidism coming back. […] But removing your thyroid means your body will be unable to produce thyroid hormones so you’ll need to take medicine, such as levothyroxine, for the rest of your life.
  • #42 Radioactive Iodine (I-131) Therapy for Hyperthyroidism
    https://www.radiologyinfo.org/en/info/radioiodine
    Radioiodine therapy is a nuclear medicine treatment. Doctors use it to treat an overactive thyroid, a condition called hyperthyroidism. […] Radioactive Iodine I-131 (also called Radioiodine I-131) therapy is a nuclear medicine treatment. Doctors use it to treat an overactive thyroid, a condition called hyperthyroidism. […] Hyperthyroidism treatment is almost always done on an outpatient basis because the dose required is relatively small. […] The radioiodine I-131 is swallowed in a single capsule or liquid dose and is quickly absorbed into the bloodstream in the gastrointestinal (GI) tract. It is concentrated from the blood by the thyroid gland, where it begins destroying the gland’s cells. […] It is highly likely that this procedure will destroy some or most of your thyroid gland. Since hormones produced by the thyroid are essential for metabolism, most patients will need to take thyroid pills for the rest of their life following the procedure.
  • #43 Hyperthyroidism – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hyperthyroidism/diagnosis-treatment/drc-20373665
    Treatment with anti-thyroid medicine typically lasts 12 to 18 months. After that, the dose may be slowly decreased or stopped if symptoms go away and if blood test results show that thyroid hormone levels have returned to the standard range. […] Radioiodine therapy. The thyroid gland takes up radioiodine. This treatment causes the gland to shrink. This medicine is taken by mouth. With this treatment, symptoms typically lessen within several months. This treatment usually causes thyroid activity to slow enough to make the thyroid gland underactive. That condition is hypothyroidism. Because of that, over time, you may need to take medicine to replace thyroid hormones. […] Thyroidectomy. This is surgery to remove part of or all of the thyroid gland. It is not used often to treat hyperthyroidism. But it may be an option for people who are pregnant. It also may be a choice for those who can’t take anti-thyroid medicine and don’t want to or can’t take radioiodine therapy.
  • #44 Hyperthyroidism and Thyrotoxicosis Treatment & Management: Approach Considerations, Management of Ophthalmopathy, Management of Dermopathy
    https://emedicine.medscape.com/article/121865-treatment
    Radioactive iodine therapy is the most common treatment for Graves disease in adults in the United States. Although its effect is less rapid than that of antithyroid medication or thyroidectomy, it is effective and safe and does not require hospitalization. […] Subtotal thyroidectomy is the oldest form of treatment for hyperthyroidism. Total thyroidectomy and combinations of hemithyroidectomies and contralateral subtotal thyroidectomies also have been used. […] Because of the excellent efficacy of antithyroid medications and radioactive iodine therapy in regulating thyroid function, thyroidectomy is generally reserved for special circumstances, including the following: Severe hyperthyroidism in children, Pregnant women who are noncompliant with or intolerant of antithyroid pharmacotherapy, Patients with very large goiters or severe ophthalmopathy, Patients who refuse radioactive iodine therapy, Patients with refractory amiodarone-induced hyperthyroidism, Patients who require normalization of thyroid functions quickly, such as pregnant women, women who desire pregnancy in the next 6 months, or patients with unstable cardiac conditions.
  • #45 Patient education: Hyperthyroidism (overactive thyroid) (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/hyperthyroidism-overactive-thyroid-beyond-the-basics/print
    Surgery is recommended when: a large goiter blocks the airways, making it difficult to breathe; you cannot tolerate antithyroid drugs and you do not want to use radioiodine; there is a nodule in the thyroid gland that could be cancer; you have active Graves’ eye disease; in people desiring pregnancy who want definitive treatment before conceiving. […] The follow-up after surgery includes regular appointments to test your thyroid hormone levels and monitor for signs of hypo- and hyperthyroidism. Almost everyone develops hypothyroidism after surgery and requires treatment with thyroid hormone.
  • #46 Hyperthyroidism and Thyrotoxicosis Treatment & Management: Approach Considerations, Management of Ophthalmopathy, Management of Dermopathy
    https://emedicine.medscape.com/article/121865-treatment
    Radioactive iodine therapy is the most common treatment for Graves disease in adults in the United States. Although its effect is less rapid than that of antithyroid medication or thyroidectomy, it is effective and safe and does not require hospitalization. […] Subtotal thyroidectomy is the oldest form of treatment for hyperthyroidism. Total thyroidectomy and combinations of hemithyroidectomies and contralateral subtotal thyroidectomies also have been used. […] Because of the excellent efficacy of antithyroid medications and radioactive iodine therapy in regulating thyroid function, thyroidectomy is generally reserved for special circumstances, including the following: Severe hyperthyroidism in children, Pregnant women who are noncompliant with or intolerant of antithyroid pharmacotherapy, Patients with very large goiters or severe ophthalmopathy, Patients who refuse radioactive iodine therapy, Patients with refractory amiodarone-induced hyperthyroidism, Patients who require normalization of thyroid functions quickly, such as pregnant women, women who desire pregnancy in the next 6 months, or patients with unstable cardiac conditions.
  • #47 Hyperthyroidism and Thyrotoxicosis Treatment & Management: Approach Considerations, Management of Ophthalmopathy, Management of Dermopathy
    https://emedicine.medscape.com/article/121865-treatment
    Radioactive iodine therapy is the most common treatment for Graves disease in adults in the United States. Although its effect is less rapid than that of antithyroid medication or thyroidectomy, it is effective and safe and does not require hospitalization. […] Subtotal thyroidectomy is the oldest form of treatment for hyperthyroidism. Total thyroidectomy and combinations of hemithyroidectomies and contralateral subtotal thyroidectomies also have been used. […] Because of the excellent efficacy of antithyroid medications and radioactive iodine therapy in regulating thyroid function, thyroidectomy is generally reserved for special circumstances, including the following: Severe hyperthyroidism in children, Pregnant women who are noncompliant with or intolerant of antithyroid pharmacotherapy, Patients with very large goiters or severe ophthalmopathy, Patients who refuse radioactive iodine therapy, Patients with refractory amiodarone-induced hyperthyroidism, Patients who require normalization of thyroid functions quickly, such as pregnant women, women who desire pregnancy in the next 6 months, or patients with unstable cardiac conditions.
  • #48 Tratamiento del Hipertiroidismo | PortalCLÍNIC
    https://www.clinicbarcelona.org/en/assistance/diseases/hyperthyroidism/treatment
    Once the thyroid gland has been removed, depending on whether all or part of it was taken out (partial thyroidectomy, hemithyroidectomy or isthmectomy), hypothyroidism may develop and replacement therapy may be necessary. […] The treatment consists of daily doses of levothyroxine adapted to the patient’s needs. Dosing and treatment management is performed in the same way as in the chronic treatment of hypothyroidism.
  • #49
    https://www.nhs.uk/conditions/overactive-thyroid-hyperthyroidism/treatment/
    Radioactive iodine treatment is a type of radiotherapy used to destroy the cells in the thyroid gland, reducing the amount of hormones it can produce. It’s a highly effective treatment that can cure an overactive thyroid. […] You’re given a drink or capsule that contains iodine and a low dose of radiation, which is absorbed by your thyroid. Most people only need a single treatment. […] Occasionally, surgery to remove all or part of your thyroid may be recommended. […] Removing all of the thyroid gland is usually recommended because it stops the symptoms of hyperthyroidism coming back. […] But removing your thyroid means your body will be unable to produce thyroid hormones so you’ll need to take medicine, such as levothyroxine, for the rest of your life.
  • #50 What are the treatment options for an overactive thyroid?
    https://www.informedhealth.org/what-are-the-treatment-options-for-an-overactive-thyroid.html
    The main medications used for the treatment of an overactive thyroid are known as anti-thyroid drugs. These reduce the production of thyroid hormones. Thiamazole (also called methimazole) and carbimazole are the most commonly used anti-thyroid drugs. […] If one single autonomous nodule is responsible for the thyroid being overactive, removing the nodule or the affected half of the gland is enough. […] Radioiodine therapy makes use of this: Radioactive iodine (radioiodine) is swallowed in the form of a capsule or dissolved in water. It is then absorbed by the thyroid gland, where it destroys overactive cells. This reduces the production of thyroid hormones. […] People who have thyroid surgery or radioiodine therapy often have an underactive thyroid gland (hypothyroidism) afterwards. This is particularly likely if a lot of the thyroid gland was removed or many gland cells were destroyed.
  • #51
    https://www.nhs.uk/conditions/overactive-thyroid-hyperthyroidism/treatment/
    Radioactive iodine treatment is a type of radiotherapy used to destroy the cells in the thyroid gland, reducing the amount of hormones it can produce. It’s a highly effective treatment that can cure an overactive thyroid. […] You’re given a drink or capsule that contains iodine and a low dose of radiation, which is absorbed by your thyroid. Most people only need a single treatment. […] Occasionally, surgery to remove all or part of your thyroid may be recommended. […] Removing all of the thyroid gland is usually recommended because it stops the symptoms of hyperthyroidism coming back. […] But removing your thyroid means your body will be unable to produce thyroid hormones so you’ll need to take medicine, such as levothyroxine, for the rest of your life.
  • #52 Hyperthyroidism – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hyperthyroidism/diagnosis-treatment/drc-20373665
    People who have a thyroidectomy or radioiodine therapy need lifelong treatment with the medicine levothyroxine (Levoxyl, Synthroid, others). It supplies the body with thyroid hormones. If the parathyroid glands are removed during surgery, medicine also is needed to keep blood calcium in a healthy range.
  • #53 A Review of Treatment Options for Graves’ Disease
    https://www.uspharmacist.com/article/a-review-of-treatment-options-for-graves-disease
    Graves disease is an autoimmune disorder affecting approximately 0.3% of people living in the United States and 0.5% of the world population. Graves disease may include thyroid enlargement, ophthalmopathy, dermopathy, and hyperthyroidism. […] This article will concentrate on the clinical presentation of Graves disease and currently available treatment options. […] Once a diagnosis has been made, the patients treatment plan needs to be determined. Treatment options focus on the individual, taking into consideration the patients age, comorbidities, preference, and convenience. Three treatment options currently exist: thyroidectomy, antithyroid medications, and RAI. […] Thyroidectomy: A nonpharmacologic approach rarely used in the U.S. for Graves disease is surgical removal of the thyroid gland, which produces a euthyroid or hypothyroid state. Surgery is considered in patients who have a large goiter, have severe ophthalmopathy, are young, are pregnant or lactating, or have relapsed after a trial of antithyroid medications. […] With an 80% to 90% cure rate, surgical removal is considered safe and effective when performed by an experienced surgeon.
  • #54 Hyperthyroidism Treatment: Medication, Surgery, and More
    https://www.verywellhealth.com/hyperthyroidism-treatment-7629236
    Antithyroid medication risks include: Skin rash or hives, Joint pain or swelling, Nausea, vomiting, or upset stomach. […] Radioactive iodine ablation risks include: Nausea or vomiting, Sore Throat or neck discomfort, Dry mouth. […] Thyroid surgery risks include: Pain or discomfort, Swelling or bruising around the incision area, Damage to the nerves controlling the vocal cords can lead to hoarseness or changes in voice. […] Beta-blockers help control rapid heart rate and anxiety. […] Hyperthyroidism, caused by excessive thyroid hormone production, demands immediate attention. Treatment options include antithyroid medications, radioactive iodine therapy, and thyroid surgery.
  • #55 Azthena logo with the word Azthena
    https://www.news-medical.net/health/Hyperthyroidism-Treatment.aspx
    The management of hyperthyroidism depends on several factors, including the individual patient, the severity and the cause of the condition, which must be established during the diagnostic process. […] There are three main treatment techniques used for hyperthyroidism: pharmacotherapy, radioactive iodine and surgery. […] Antithyroid agents such as carbimazole or propylthiouracil (PTU) may sometimes be used to manage hyperthyroidism by inhibiting the production of hormones in the thyroid gland. […] Both drugs are able to control the function of an overactive thyroid gland in an efficient manner, without causing permanent damage to the gland. […] Beta-blocker drugs such as propranolol, atenolol and metoprolol are often used to inhibit the action of thyroid hormones on the cardiovascular system.
  • #56 Hyperthyroidism: Symptoms, Causes, Diagnosis, Treatment
    https://www.webmd.com/a-to-z-guides/overactive-thyroid-hyperthyroidism
    Surgery. If medications aren’t a good option for you, your doctor may remove all or part of your thyroid. This is called a thyroidectomy. Afterward, you’ll need to take a daily pill that provides the right amount of thyroid hormone that your body needs to stay healthy. […] Hyperthyroidism medication Anti-thyroid drugs block your thyroid from making too many hormones. You may see your symptoms improve within a few months, although you’ll probably need to keep taking medication for at least a year. This type of treatment can be a useful, safe option if you’re pregnant, thinking about becoming pregnant, or nursing. […] Beta-blockers. These medications are usually used to treat high blood pressure. They can’t reduce high levels of thyroid hormone, but they can help with how high levels make you feel. For instance, beta-blockers can lessen symptoms such as anxiety, shaking, or a fast heartbeat. […] If you have symptoms of an overactive thyroid, talk to your doctor. Several treatments can help lower your thyroid hormone levels so your symptoms improve. If left untreated, hyperthyroidism can cause other severe health issues.
  • #57 Hyperthyroidism (Overactive Thyroid) Medication, Causes, Symptoms
    https://www.emedicinehealth.com/what_is_the_best_medication_for_hyperthyroidism/article_em.htm
    Hyperthyroidism (overactive thyroid) is a condition in which the body produces excess thyroid hormone, increasing the body’s metabolism. There are several types of hyperthyroid medication, which are prescribed depending on the person’s symptoms. […] Hyperthyroidism is treated with medications, radioiodine, or surgery. The best medication for hyperthyroidism is based on the cause of the condition and the patients symptoms and can vary depending on the patient. […] Medications used to treat hyperthyroidism include: Antithyroid drugs that work by decreasing how much thyroid hormone the body produces, Methimazole (MMI or Tapazole), Propylthiouracil (PTU), Beta-blockers to help control certain hyperthyroidism symptoms such as rapid heart rate, anxiety, tremors, and heat intolerance, Atenolol (Tenormin), Propranolol (Inderal).
  • #58 Azthena logo with the word Azthena
    https://www.news-medical.net/health/Hyperthyroidism-Treatment.aspx
    The management of hyperthyroidism depends on several factors, including the individual patient, the severity and the cause of the condition, which must be established during the diagnostic process. […] There are three main treatment techniques used for hyperthyroidism: pharmacotherapy, radioactive iodine and surgery. […] Antithyroid agents such as carbimazole or propylthiouracil (PTU) may sometimes be used to manage hyperthyroidism by inhibiting the production of hormones in the thyroid gland. […] Both drugs are able to control the function of an overactive thyroid gland in an efficient manner, without causing permanent damage to the gland. […] Beta-blocker drugs such as propranolol, atenolol and metoprolol are often used to inhibit the action of thyroid hormones on the cardiovascular system.
  • #59 Patient education: Hyperthyroidism (overactive thyroid) (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/hyperthyroidism-overactive-thyroid-beyond-the-basics/print
    Hyperthyroidism can be treated using medicine, radioiodine, or surgery. Many factors, such as your age and the severity and type of hyperthyroidism, as well as your preferences, are important in determining which treatment is best. […] The two main types of medicines used to treat hyperthyroidism are antithyroid drugs and beta blockers. […] Antithyroid drugs, such as methimazole (brand name: Tapazole) and propylthiouracil, work by decreasing how much thyroid hormone the body makes. […] Beta blockers, such as atenolol or propranolol, are often started as soon as the diagnosis of hyperthyroidism is made. […] Destroying the thyroid with radioiodine, called ablation, is a permanent way to treat hyperthyroidism. […] Although surgical removal of the thyroid is a permanent cure for hyperthyroidism, it is used far less often than antithyroid drugs because of the risks (and expense) associated with thyroid surgery.
  • #60 Become a member
    https://www.btf-thyroid.org/hyperthyroidism-leaflet
    Radioactive iodine is very effective, is safe and rarely causes side effects. […] Beta-blockers are tablets that are sometimes used in the first few weeks after diagnosing hyperthyroidism as they relieve some of the symptoms while waiting for other treatments (radioactive iodine or antithyroid drugs) to take effect. […] The hyperthyroidism associated with thyroiditis is temporary and settles down without any specific treatment. Beta-blockers are helpful to ease the symptoms. […] After a single course of antithyroid drug treatment, your hyperthyroidism may be cured if the cause of the thyroid overactivity is Graves disease. […] If you have had radioactive iodine or surgery, you should have frequent blood tests to check your thyroid function until you are stable, and once a year after that, as there is a long-term risk of developing hypothyroidism.
  • #61 Overactive thyroid (hyperthyroidism): Learn More – What are the treatment options for an overactive thyroid? – InformedHealth.org – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK499541/
    The main medications used for the treatment of an overactive thyroid are known as anti-thyroid drugs. These reduce the production of thyroid hormones. Thiamazole (also called methimazole) and carbimazole are the most commonly used anti-thyroid drugs. […] If the overactive thyroid causes a rapid or irregular heartbeat, a beta blocker (usually propranolol) can be taken too. People who have Graves’ disease are sometimes given steroids. […] When the thyroid gland produces thyroid hormones, it absorbs iodine from the blood. Radioiodine therapy makes use of this: Radioactive iodine (radioiodine) is swallowed in the form of a capsule or dissolved in water. It is then absorbed by the thyroid gland, where it destroys overactive cells. This reduces the production of thyroid hormones. […] People who have thyroid surgery or radioiodine therapy often have an underactive thyroid gland (hypothyroidism) afterwards. This is particularly likely if a lot of the thyroid gland was removed or many gland cells were destroyed.
  • #62 Hyperthyroidism (Overactive Thyroid): Symptoms and Causes
    https://patient.info/hormones/overactive-thyroid-gland-hyperthyroidism
    This involves taking a drink, or swallowing a capsule, which contains radioactive iodine. […] Following radio-iodine treatment, you should avoid prolonged contact with others for a specified time. […] This involves removing part of your thyroid gland. It may be a good option if you have a large goitre which is causing problems in your neck. […] It can be difficult for a doctor to judge just the right dose of carbimazole, or just the right amount of radio-iodine, to give in each case. […] You may need to see an eye specialist if you develop the eye problems of Graves’ disease. […] Some people are given a beta-blocker medicine (for example, propranolol, atenolol) for a few weeks whilst the level of thyroxine is reduced gradually by one of the above treatments.
  • #63 NONSURGICAL TREATMENTS IN HYPERTHYROIDISM
    https://www.thyroid-goiter.com/hyperthyroidism
    Hyperthyroidism is a clinical picture that is caused by too much secretion of thyroid hormones. Thyrotoxicosis is an exagerated form of hyperthyroidism characterized by excessively high levels of blood thyroid hormone levels. It is a life-threatening condition and must be treated urgently. […] In Graves disease, the classic treatment options are antithyroid medications, radioactive iodine and surgery. Generally, antithyroid pills are tried first. If this fails or is not sufficient, patients are treated either with radioactive iodine or surgical operation. Another option in the management of Graves disease is embolization, in which 3 out of 4 feeding vessels of thyroid gland are plugged with a simple angiography procedure. After embolization, the thyroid tissue fed by the occluded vessels becomes smaller in size and hormonally less active.
  • #64 Hyperthyroidism – Wikipedia
    https://en.wikipedia.org/wiki/Hyperthyroidism
    A common outcome following radioiodine is a swing from hyperthyroidism to the easily treatable hypothyroidism, which occurs in 78% of those treated for Graves’ thyrotoxicosis and in 40% of those with toxic multinodular goiter or solitary toxic adenoma. […] Thyroid storm presents with extreme symptoms of hyperthyroidism. It is treated aggressively with resuscitation measures along with a combination of the above modalities including: intravenous beta blockers such as propranolol, followed by a thioamide such as methimazole, an iodinated radiocontrast agent or an iodine solution if the radiocontrast agent is not available, and an intravenous steroid such as hydrocortisone.
  • #65 A Review of Treatment Options for Graves’ Disease
    https://www.uspharmacist.com/article/a-review-of-treatment-options-for-graves-disease
    Adjunctive Medications: Beta-blockers, calcium channel blockers, and centrally acting sympatholytics are used to control symptoms of hyperthyroidism such as anxiety, palpitations, heat intolerance, sweating, and tremors. […] The initial starting dose ranges from 20 mg to 40 mg four times daily, but may be up to 240 mg to 480 mg/day. […] Hyperthyroidism is suspected during pregnancy when there is persistent tachycardia along with an inability to gain weight despite a good appetite. […] The treatment of choice is antithyroid medication. In the past, MMI was not recommended during pregnancy owing to rare complications like fetal aplasia cutis and fetal GI problems. […] There are currently three main treatment strategies, with RAI preferred during relapse and more severe disease, and antithyroid medications preferred during pregnancy. It is important for patients to have lifelong thyroid-function monitoring, as levels vary with age, during pregnancy, and even with the different treatment options.
  • #66 Hyperthyroidism | Endocrine Society
    https://www.endocrine.org/patient-engagement/endocrine-library/hyperthyroidism
    Hyperthyroidism is a condition in which the thyroid gland is overactive and produces too much thyroid hormone. […] Treatment for hyperthyroidism will depend on its cause, your age and physical condition, and how serious your thyroid problem is. Sometimes, only observation is needed, but most of the time, some treatment is helpful. Available treatments include: Antithyroid medications: These drugs lower the amount of hormone the thyroid gland makes. The preferred drug is methimazole. For pregnant or breastfeeding women, propylthiouracil (PTU) may be preferred. Because PTU has been linked to greater side effects, it is not used routinely outside of pregnancy. Both of these drugs control, but may not cure, hyperthyroidism. These medications have important side effects that should be discussed with your doctor.
  • #67 A Review of Treatment Options for Graves’ Disease
    https://www.uspharmacist.com/article/a-review-of-treatment-options-for-graves-disease
    Adjunctive Medications: Beta-blockers, calcium channel blockers, and centrally acting sympatholytics are used to control symptoms of hyperthyroidism such as anxiety, palpitations, heat intolerance, sweating, and tremors. […] The initial starting dose ranges from 20 mg to 40 mg four times daily, but may be up to 240 mg to 480 mg/day. […] Hyperthyroidism is suspected during pregnancy when there is persistent tachycardia along with an inability to gain weight despite a good appetite. […] The treatment of choice is antithyroid medication. In the past, MMI was not recommended during pregnancy owing to rare complications like fetal aplasia cutis and fetal GI problems. […] There are currently three main treatment strategies, with RAI preferred during relapse and more severe disease, and antithyroid medications preferred during pregnancy. It is important for patients to have lifelong thyroid-function monitoring, as levels vary with age, during pregnancy, and even with the different treatment options.
  • #68 How to Treat Graves’ Disease: Top 3 Options
    https://www.thyroidcancer.com/blog/how-to-treat-graves-disease-top-3-options
    The goal of radioactive iodine for Graves’ disease is to give enough iodine to effectively treat the Graves’ disease and still maintain adequate, normal thyroid hormone production by the remaining thyroid cells. […] However, in most circumstances, Graves’ disease patients treated with radioactive iodine will eventually develop low thyroid hormone production (hypothyroidism) and therefore require thyroid hormone replacement long-term. […] Importantly, if you are pregnant or plan on becoming pregnant within the next 12 months, radioactive iodine therapy should not be used. […] There are three main treatment options, but expert thyroid surgery to take out the entire thyroid remains the best option for a definitive cure.
  • #69 Hyperthyroidism and Thyrotoxicosis Treatment & Management: Approach Considerations, Management of Ophthalmopathy, Management of Dermopathy
    https://emedicine.medscape.com/article/121865-treatment
    Radioactive iodine therapy is the most common treatment for Graves disease in adults in the United States. Although its effect is less rapid than that of antithyroid medication or thyroidectomy, it is effective and safe and does not require hospitalization. […] Subtotal thyroidectomy is the oldest form of treatment for hyperthyroidism. Total thyroidectomy and combinations of hemithyroidectomies and contralateral subtotal thyroidectomies also have been used. […] Because of the excellent efficacy of antithyroid medications and radioactive iodine therapy in regulating thyroid function, thyroidectomy is generally reserved for special circumstances, including the following: Severe hyperthyroidism in children, Pregnant women who are noncompliant with or intolerant of antithyroid pharmacotherapy, Patients with very large goiters or severe ophthalmopathy, Patients who refuse radioactive iodine therapy, Patients with refractory amiodarone-induced hyperthyroidism, Patients who require normalization of thyroid functions quickly, such as pregnant women, women who desire pregnancy in the next 6 months, or patients with unstable cardiac conditions.
  • #70 Hyperthyroidism: Diagnosis and Treatment | AAFP
    https://www.aafp.org/pubs/afp/issues/2016/0301/p363.html
    Radioactive iodine ablation of the thyroid gland is the most common treatment of Graves disease in the United States. It is contraindicated in pregnancy. […] Antithyroid medications can control hyperthyroidism, but do not induce remission of hyperthyroidism associated with toxic adenoma or toxic multinodular goiter. Therefore, radioactive iodine ablation and thyroidectomy are the main treatment options for these conditions. […] Painless thyroiditis and subacute thyroiditis are self-limiting conditions that usually resolve spontaneously within six months. There is no role for antithyroid medications or radioactive iodine ablation in the treatment of thyroiditis. Beta blockers may be used if needed to control adrenergic symptoms.
  • #71 Hyperthyroidism: Diagnosis and Treatment | AAFP
    https://www.aafp.org/pubs/afp/issues/2016/0301/p363.html
    Radioactive iodine ablation of the thyroid gland is the most common treatment of Graves disease in the United States. It is contraindicated in pregnancy. […] Antithyroid medications can control hyperthyroidism, but do not induce remission of hyperthyroidism associated with toxic adenoma or toxic multinodular goiter. Therefore, radioactive iodine ablation and thyroidectomy are the main treatment options for these conditions. […] Painless thyroiditis and subacute thyroiditis are self-limiting conditions that usually resolve spontaneously within six months. There is no role for antithyroid medications or radioactive iodine ablation in the treatment of thyroiditis. Beta blockers may be used if needed to control adrenergic symptoms.
  • #72 Become a member
    https://www.btf-thyroid.org/hyperthyroidism-leaflet
    Radioactive iodine is very effective, is safe and rarely causes side effects. […] Beta-blockers are tablets that are sometimes used in the first few weeks after diagnosing hyperthyroidism as they relieve some of the symptoms while waiting for other treatments (radioactive iodine or antithyroid drugs) to take effect. […] The hyperthyroidism associated with thyroiditis is temporary and settles down without any specific treatment. Beta-blockers are helpful to ease the symptoms. […] After a single course of antithyroid drug treatment, your hyperthyroidism may be cured if the cause of the thyroid overactivity is Graves disease. […] If you have had radioactive iodine or surgery, you should have frequent blood tests to check your thyroid function until you are stable, and once a year after that, as there is a long-term risk of developing hypothyroidism.
  • #73 Patient Journey Thyroid – Planning and Treatment – Hyperthyroid | American Association of Clinical Endocrinology
    https://www.aace.com/patient-journey/thyroid/planning-and-treatment/hyperthyroid-treatment
    After you receive treatment for hypothyroidism, your health care professional will monitor you to make sure the treatment worked as planned and to ensure that your thyroid hormone levels reach and remain in the normal range. […] If monitoring shows that you still have hyperthyroidism after receiving treatment, your health care professional may recommend increasing the dose of your anti-thyroid drugs or further treatment with radioactive iodine or surgery. […] Depending on the type of hyperthyroidism treatment you receive, you may require adjustments to your treatment. […] Propylthiouracil (PTU) and methimazole (Tapazole) gradually reduce your hyperthyroidism symptoms by limiting your thyroid’s ability to produce hormones. […] If you receive this treatment, your health care professional monitors your thyroid hormone levels with blood tests and takes you off it when you no longer need it.
  • #74 Patient Journey Thyroid – Planning and Treatment – Hyperthyroid | American Association of Clinical Endocrinology
    https://www.aace.com/patient-journey/thyroid/planning-and-treatment/hyperthyroid-treatment
    After you receive treatment for hypothyroidism, your health care professional will monitor you to make sure the treatment worked as planned and to ensure that your thyroid hormone levels reach and remain in the normal range. […] If monitoring shows that you still have hyperthyroidism after receiving treatment, your health care professional may recommend increasing the dose of your anti-thyroid drugs or further treatment with radioactive iodine or surgery. […] Depending on the type of hyperthyroidism treatment you receive, you may require adjustments to your treatment. […] Propylthiouracil (PTU) and methimazole (Tapazole) gradually reduce your hyperthyroidism symptoms by limiting your thyroid’s ability to produce hormones. […] If you receive this treatment, your health care professional monitors your thyroid hormone levels with blood tests and takes you off it when you no longer need it.
  • #75 Become a member
    https://www.btf-thyroid.org/hyperthyroidism-leaflet
    Radioactive iodine is very effective, is safe and rarely causes side effects. […] Beta-blockers are tablets that are sometimes used in the first few weeks after diagnosing hyperthyroidism as they relieve some of the symptoms while waiting for other treatments (radioactive iodine or antithyroid drugs) to take effect. […] The hyperthyroidism associated with thyroiditis is temporary and settles down without any specific treatment. Beta-blockers are helpful to ease the symptoms. […] After a single course of antithyroid drug treatment, your hyperthyroidism may be cured if the cause of the thyroid overactivity is Graves disease. […] If you have had radioactive iodine or surgery, you should have frequent blood tests to check your thyroid function until you are stable, and once a year after that, as there is a long-term risk of developing hypothyroidism.
  • #76 Patient Journey Thyroid – Planning and Treatment – Hyperthyroid | American Association of Clinical Endocrinology
    https://www.aace.com/patient-journey/thyroid/planning-and-treatment/hyperthyroid-treatment
    After you receive treatment for hypothyroidism, your health care professional will monitor you to make sure the treatment worked as planned and to ensure that your thyroid hormone levels reach and remain in the normal range. […] If monitoring shows that you still have hyperthyroidism after receiving treatment, your health care professional may recommend increasing the dose of your anti-thyroid drugs or further treatment with radioactive iodine or surgery. […] Depending on the type of hyperthyroidism treatment you receive, you may require adjustments to your treatment. […] Propylthiouracil (PTU) and methimazole (Tapazole) gradually reduce your hyperthyroidism symptoms by limiting your thyroid’s ability to produce hormones. […] If you receive this treatment, your health care professional monitors your thyroid hormone levels with blood tests and takes you off it when you no longer need it.
  • #77 Hyperthyroidism diet plan: Foods to eat and avoid
    https://www.medicalnewstoday.com/articles/326275
    Certain foods may help improve hyperthyroidism symptoms. However, some foods may worsen symptoms or interfere with medications. […] Hyperthyroidism, a type of thyrotoxicosis, is a condition in which the thyroid gland produces too much thyroid hormone. Some people refer to this condition as an overactive thyroid. […] Eating certain foods will not cure hyperthyroidism, but some nutrients and minerals play a role in managing the underlying condition. Diet can affect both the production of thyroid hormones and how the thyroid functions. […] Foods containing selenium, iron, calcium, and vitamin D may be beneficial for a person with hyperthyroidism. […] Healthcare professionals may recommend that people with hyperthyroidism avoid high-iodine foods, soy, gluten, and caffeine. […] Certain foods can affect the production of thyroid hormones and how the thyroid functions. However, diet alone cannot cure hyperthyroidism.
  • #78 Treatment for Overactive Thyroid – North Tees and Hartlepool NHS Foundation Trust
    https://www.nth.nhs.uk/resources/treatment-for-overactive-thyroid/
    It is important that you are not pregnant when you have your treatment, as radioiodine is harmful to unborn babies. […] If you are currently breast-feeding, you will need to stop. […] You must cut out foods that are rich in iodine for 1 week before treatment (and 2 days after administration). […] There are no side effects to the capsule and you can drive yourself home as normal. […] You should arrange a thyroid function blood check 6-8 weeks after treatment and see your consultant 1 week after your blood check. […] You should start to feel some benefit within a few weeks of treatment. […] It is extremely unlikely that the radioiodine treatment would cause any ill effects. […] There is no evidence of harmful effects from the radiation. Radioiodine has been a successful treatment for overactive thyroid for over 80 years; the patients receiving this treatment are monitored carefully.
  • #79
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=tw12217
    Hyperthyroidism occurs when the thyroid gland makes too much thyroid hormone. This speeds up your metabolismhow your body uses energy. This condition can cause you to be very active, lose weight, and have sleep problems, eye problems, and a fast heart rate. It can also cause a goiter. A goiter is an enlarged thyroid gland that you can see at the front of the neck. […] Your doctor may also give you antithyroid medicine. This medicine keeps excess thyroid hormone in check. In some cases, doctors recommend radioactive iodine or surgery to remove the thyroid. After either of these treatments, you may need to take medicine to replace thyroid hormone for the rest of your life. […] Do not eat kelp. Kelp is high in iodine, which can make hyperthyroidism worse. Kelp is commonly used in sushi and other Japanese foods. You can use iodized salt and eat bread and seafood. Try to eat a balanced diet.
  • #80 Hyperthyroidism diet plan: Foods to eat and avoid
    https://www.medicalnewstoday.com/articles/326275
    Certain foods may help improve hyperthyroidism symptoms. However, some foods may worsen symptoms or interfere with medications. […] Hyperthyroidism, a type of thyrotoxicosis, is a condition in which the thyroid gland produces too much thyroid hormone. Some people refer to this condition as an overactive thyroid. […] Eating certain foods will not cure hyperthyroidism, but some nutrients and minerals play a role in managing the underlying condition. Diet can affect both the production of thyroid hormones and how the thyroid functions. […] Foods containing selenium, iron, calcium, and vitamin D may be beneficial for a person with hyperthyroidism. […] Healthcare professionals may recommend that people with hyperthyroidism avoid high-iodine foods, soy, gluten, and caffeine. […] Certain foods can affect the production of thyroid hormones and how the thyroid functions. However, diet alone cannot cure hyperthyroidism.
  • #81 Become a member
    https://www.btf-thyroid.org/hyperthyroidism-leaflet
    If you have hyperthyroidism and are planning to become pregnant you should see your doctor. […] You may have got used to increased food intake without weight gain during the period of thyroid overactivity (increased metabolism). Once the thyroid function and metabolism is normalised by any of the forms of treatment, you may have to reduce your food intake to avoid undesirable weight gain.
  • #82 Hyperthyroidism > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/hyperthyroidism
    Some hyperthyroid treatments are considered unsafe for pregnant women or women who hope to become pregnant soon. […] Untreated hyperthyroidism can cause pregnancy complications, so it is important to treat your thyroid condition prior to pregnancy. […] The treatments described above are usually helpful in managing hyperthyroidism, regardless of its cause, to the extent that the condition is considered well controlled. […] Our team of physicians works with you to provide you with an individualized treatment plan to ensure the best possible outcome.
  • #83 What’s the Best Way to Treat Graves’ Disease? | ColumbiaDoctors
    https://www.columbiadoctors.org/news/whats-best-way-treat-graves-disease
    These are common symptoms of Graves disease, the most common cause of hyperthyroidism (excessive production of thyroid hormones) in the United States. […] Treatment of Graves’ disease involves the same medications and interventions used since the 1940s. […] The conversations we have with patients about treating Graves’ have gotten longer because there are more options for short- and long-term management, says Lowe. […] Currently, the initial treatment for Graves’ disease in the United States is medication. There are two: methimazole and propylthiouracil, both approved more than 70 years ago. […] After 12 to 18 months on medication, if the Graves disease did not go into remission, patients are often advised to have radioactive iodine or surgery to remove the overactive thyroid gland.
  • #84 What’s the Best Way to Treat Graves’ Disease? | ColumbiaDoctors
    https://www.columbiadoctors.org/news/whats-best-way-treat-graves-disease
    These treatments are considered definitive (Graves will not recur). […] Over the last few decades, doctors in the United States have shifted away from radioactive iodine as the initial treatment. But it remains effective and definitive. […] Thyroidectomy, the surgery to remove the thyroid gland completely, is quick and final. Its the preferred option for people who want or need prompt definitive treatment, including people who have poor control of severe hyperthyroidism, people who have other complications from hyperthyroidism, and people hoping to get pregnant. […] Finding the right treatment course for each individual person with Graves’ disease is key.
  • #85 Patient Journey Thyroid – Planning and Treatment – Hyperthyroid | American Association of Clinical Endocrinology
    https://www.aace.com/patient-journey/thyroid/planning-and-treatment/hyperthyroid-treatment
    After you receive treatment for hypothyroidism, your health care professional will monitor you to make sure the treatment worked as planned and to ensure that your thyroid hormone levels reach and remain in the normal range. […] If monitoring shows that you still have hyperthyroidism after receiving treatment, your health care professional may recommend increasing the dose of your anti-thyroid drugs or further treatment with radioactive iodine or surgery. […] Depending on the type of hyperthyroidism treatment you receive, you may require adjustments to your treatment. […] Propylthiouracil (PTU) and methimazole (Tapazole) gradually reduce your hyperthyroidism symptoms by limiting your thyroid’s ability to produce hormones. […] If you receive this treatment, your health care professional monitors your thyroid hormone levels with blood tests and takes you off it when you no longer need it.
  • #86