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Topical methimazole is easier to apply for owners but more expensive than oral methimazole. [2] Between 10–25% of cats receiving methimazole will have mild side effects. These usually develop within the first 4–8 weeks and rarely develop beyond this. The most common side effects are anorexia, emesis, and lethargy.
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 ]
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 ...
methimazole – used in treatment of hyperthyroidism; methocarbamol - muscle relaxant used to reduce muscle spasms associated with inflammation, injury, intervertebral disc disease, and certain toxicities; metoclopramide – potent antiemetic, secondarily as a prokinetic; metronidazole – antibiotic against anaerobic bacteria
The most common drugs in this class are thioamides, which include propylthiouracil, methimazole and its prodrug carbimazole. Additionally, propylthiouracil may reduce the de-iodination of thyroxine (T 4) into triiodothyronine (T 3) in peripheral tissues. [2] Lugol's iodine is used to temporarily block thyroid hormone synthesis before surgeries. [3]
Carbimazole is a pro-drug as after absorption it is converted to the active form, methimazole. Methimazole prevents thyroid peroxidase enzyme from iodinating and coupling the tyrosine residues on thyroglobulin, hence reducing the production of the thyroid hormones T 3 and T 4 . It is on the World Health Organization's List of Essential Medicines.
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