Thyroid treatment

Question 1

levothyroxine

Answer 1

LT4

• Taken on empty stomach
• Taken at least one hour away from food
• Initial therapy for individuals with no functioning thyroid or severe secondary hypothyroidism
• HL = 7 days
• In older people = titrate up to effective dose to see if it effects their other meds (it can affect other medications)
• Re-evaluation at 8 week intervals until stable

Question 2

triiodothyronine

Answer 2

T3

• Most active form of thyroid hormone - acts on nuclear receptors in most tissues
• Not commonly prescribed drug

Question 3

propylthiouracil

Answer 3

thioamine - inhibit thyroid hormone synthesis

short HL - take 3 times a day

use for hyperthyroidism

AE: can cuase lupus like syndrome, may cuase pancytopenia (dont use on patienst already on leukosupression)

Question 4

methimazole

Answer 4

thioamine - inhibition of thyroid hormone synth

longer HL - take only once a day

AE: can cuase lupus like syndrome, may cuase pancytopenia (dont use on patienst already on leukosupression)

Question 5

beta blockers

Question 6

iodide

Question 7

aspirin

Answer 7

used to treat thyroiditis (no thyroid meds)

Question 8

NSAIDS

Answer 8

used to treat thyroiditis (no thyroid meds)

Question 9

corticosteroids

Answer 9

used to treat thyroiditis (no thyroid meds)

Question 10

estrogen