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Furthermore, reviewing their medications and possible dietary supplements is important, as several medications can affect thyroid hormone levels. [ 14 ] Levothyroxine is also used to treat subclinical hypothyroidism , which is defined by an elevated TSH level and a normal-range free T 4 level without symptoms. [ 14 ]
However, deprescribing may be considered if a patient experiences side effects like rapid heart rate, anxiety, or bone loss, or if their thyroid function tests normalize.”
In Graves' disease, treatment with antithyroid medications must be given for six months to two years, in order to be effective. Even then, upon cessation of the drugs, the hyperthyroid state may recur. Side effects of the antithyroid medications include a potentially fatal reduction in the level of white blood cells.
Desiccated thyroid extract (DTE), is thyroid gland that has been dried and powdered for medical use. [1] It is used to treat hypothyroidism, [1] but less preferred than levothyroxine. [1] It is taken by mouth. [1] Maximal effects may take up to three weeks to occur. [1] Side effects may occur from excessive doses. [1]
Other severe side effects include liver problems and low blood cell counts. [3] Use during pregnancy may harm the baby. [3] Propylthiouracil is in the antithyroid family of medications. [4] It works by decreasing the amount of thyroid hormone produced by the thyroid gland and blocking the conversion of thyroxine (T4) to triiodothyronine (T3). [3]
Liothyronine is a manufactured form of the thyroid hormone triiodothyronine (T 3). [2] It is most commonly used to treat hypothyroidism and myxedema coma. [2] It can be taken by mouth or by injection into a vein. [2] Side effects may occur from excessive doses. [2]
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