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Thiamazole, also known as methimazole, is a medication used to treat hyperthyroidism. [2] This includes Graves disease, toxic multinodular goiter, and thyrotoxic crisis. [2] It is taken by mouth. [2] Full effects may take a few weeks to occur. [3] Common side effects include itchiness, hair loss, nausea, muscle pain, swelling, and abdominal ...
A randomized control trial testing single dose treatment for Graves' found methimazole achieved euthyroidism (normal thyroid function that occurs within normal serum levels of TSH and T4 [23]) more effectively after 12 weeks than did propylthiouracil (77.1% on methimazole 15 mg vs 19.4% in the propylthiouracil 150 mg groups). [24]
A systematic review from 2016 found that metamizole significantly increased the relative risk of upper gastrointestinal bleeding, by a factor of 1.4–2.7 times. [31] A study by one of the manufacturers of the drug found the risk of agranulocytosis within the first week of treatment to be a 1.1 in a million, versus 5.9 in a million for diclofenac.
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Drug therapy is the least expensive option, even though the drug must be administered daily for the remainder of the cat's life. Carbimazole is only available as a once daily tablet. Methimazole is available as an oral solution, a tablet, and compounded as a topical gel that is applied using a finger cot to the hairless skin inside a cat's ear.
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Propylthiouracil is preferred over methimazole due to its additional effects on reducing peripheral conversion of T4 to T3, [5] however both are commonly used. If the etiology involves subacute thyroiditis, antithyroid medications are not always used, and its use is "controversial". [23] [24]
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