Good luck, hope you go into remission! I'd get night sweats and have trouble sleeping. Im so confused. Side effects are also most likely to occur within the first three months of treatment, so keep that in mind if you are beginning a new regimen. We went to the ER. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. If you are feeling conflicted about your thyroid medication, discuss your concerns with your doctor. If you lack thyroid hormone for a long period of time, you face the risk of a very dangerous condition called myxedema coma, which can ultimately be fatal. i teally feel I have late stage chronic lime. Or, you could be experiencing over-treatment, meaning that you need a dose adjustment or a different medication. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Even while I was having a thyroid storm and my hr was way to high it took the doctor telling me I was going to die before I let him give me meds to slow my heart. Cold intolerance is a typical hypo symptom, but I've always had periods of heat intolerance as well and I've not been hyper in the past 12 yrs. I don't believe our bodies respond well to abrupt changes. Swollen hands, feet, and face. My gut feeling is that this method seems to make greater ense than the shock and confusion of going 'cold-turkey'. Good luck!!! yellow eyes or skin. Thyroid Problems: Extremes Are Never Good. It can take a few days to a few weeks for you to even start noticing a difference in how you feel. Then I tried one 500 mg capsule and saw how I felt on it beofre I raised it to the dose that was mentioned in the research article. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. Methimazole is used to treat hyperthyroidism, a condition that occurs when the thyroid gland produces too much thyroid hormone. You should go off it slowly. Sorry you're having these problems. Serious and sometimes fatal infections may occur during treatment with methimazole. How should this medicine be used? I am a 52 year old female and I had been on 15MG Methimazole for the over 2 months and my Endo lower the dosage to 10MG (took the And I vote you find another endo even if you do even out - you want someone who knows their stuff to monitor you in case you relapse in the future. What Happens When You Don't Take Your Thyroid Medication. Burch H, Wartofsky L. Life-threatening thyrotoxicosis. no one will listen. Severe hyperthyroidism: 60 mg orally per day. The article suggested hyperthyroid patients and patients who have thyroid storm benefit from taking 3,000 mg of Regular L-Carnitine. This medicine is available only with your doctor's . Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. We aim to disrupt how medical providers and trainees can gain public access to high-quality, educational content while also engaging in a dialogue about best-practices in EM and medical education. She has a past medical history of hypertension and she has been compliant with her medications. Follow all directions on your prescription label. Other than that, he said that they didn't find anything, such as pneumonia. Homeopathic remedy for overactive thyroid, Graves' Disease: Symptoms, Treatment And Complications, Graves' Disease: Symptoms, Diagnosis And Treatment, Holistic Approach to Thyroid Related Problems: Naturopathic Medicine for Thyroid Disease. If you are not taking your thyroid medication because of one or more of the following reasons, try the suggested solutions to address your concerns. But don't tapper too much and too fast. Not taking your medication also increases your risk of fatal conditions like myxedema coma if you are hypothyroid, and thyroid storm if you are hyperthyroid. Your story is exactly like mine. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. An EKG is ordered, revealing an irregularly irregular rhythm, and an urinalysis is conducted, showing many bacteria. What dose were you on to start with? But yet they tell me I'm hyper. Didn't find the answer you were looking for? They took blood work and X-rays, and this went on for over 4 hours. This . And there are no natural substitutes for antithyroid medications, either. I'm not in hypo yet I don't think the doctors just think that I'm going into hypo..? Twice, I got worried because my hand and arm were deep red from the tightness of the cuff. I am a 52 year old female and I have been on 15MG Methimazole for the over 2 months and Endo lower the dose since my result for Tr Hi, Yes, Ive had doctors try to wean me off twice. I STOPPED TAKING mathemizol on may 11, 2017 after 3 years of being sick. appropriate medical assistance immediately. I take individual vitamins and supps daily: B complex, C, D, LipoFlavinoid, potassium magnesium asparate, B2, CoQ10, (the last 3 for migraine) Flax capsules, Biotin. Said it was controversial. ALiEM is not endorsed by, sponsored by, or affiliated with the University of California San Francisco or any institution. I'll hold the cetyl L-carnitine and start with L-Carnitine then. Methimazole may also be used for purposes not listed in this medication guide. unusual weight gain. Unfortunately, there isn't a natural or herbal replacement for thyroid hormone. Center for Hormonal Health and Well-Being, Low body temperature;constantly feeling cold, Weight gain; inability to lose weight despite diet and exercise, Infertility, miscarriage, stillbirth, or premature labor, Dramatically increased appetite and thirst. I found out the hard way. i have been taking 2.5 mg of methimazole every other day for the past 3 years which is 4x a week and now she told me to just take 2.5mg once a week for 6 weeks and then just stop. Instructions for Women Pregnant women cannot receive the therapeutic radioactive iodine, since it will harm the fetus. At my last visit, my Dr suggested seeing if I could wean off my medicine. Do not take extra medicine to make up the missed dose. Yet to you, something does not seem right. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Didn't find the answer you were looking for? Methimazole is an excellent medication for Grave's disease and other forms of hyperthyroidism which works by interfering with the production of the thyroid hormones. A strategy of high MMI doses plus T4 was not used in these patients. Ive been on the 5 mg daily for a few years now. She seems relatively anxious on physical exam, and you note that she is diaphoretic. Not all possible interactions are listed in this medication guide. first cutting the 5mg tablet in half then in 1/4's. I was tested again today my gp ordered that I do will have results later today. Methimazole is used to treat hyperthyroidism (overactive thyroid). Mine endo only did it once every 6mo and within that time my tsh was no longer detectable and I got super super sick. Anthing would be helpful. You decide to pan-culture her and determining that she has no known drug allergies, you order a combination of piperacillin/tazobactam 4.5 g IV and tobramycin 500 mg IV as one-time doses for her suspected urinary tract infection (which you consider at this point to be urosepsis). Dr. Fereidoun Azizi. Am Fam Physician. Take the missed dose as soon as you remember. Dr.DanielleWeiss is the founder of the Center for Hormonal Health and Well-Being, a personalized, proactive, patient-centered medical practice with a unique focus on integrative endocrinology. ChildrenDose is based on body weight and must be determined by your doctor. I have been taking the same dosages for all those years, except my dosage for Methimazole was brought down to 1 and 1/2 pills (5 mg pills) about a year ago. Your blood may need to be tested often. (unknowingly had covid at the time of last bloodwork). Doctor did not tell me this , it was my naturopath, but I am glad I listened to her. I am currently in a hospital bed recovering from a bilateral thyroidectomy. over a year ago. It bounced around .53 to .25 then .50 again but never above. I refused to take blood pressure the whole time. This can make it easier for you to bleed from an injury or get sick from being around others who are ill. For oral dosage form (tablets): For hyperthyroidism: AdultsAt first, 15 to 60 milligrams (mg) per day, given in 3 divided doses about every 8 hours. I never was given clarity about what "the damage" entailed though:(. Endometriosis And Thyroid disease: Is There Really A Connection? I've read of people getting off Methimazole all at once and doing okay, although many do have "withdrawal" symptoms (symptoms of being hyper) as their body purges the medication. By Mary Shomon I don't remember the rest of the reading. And other symptoms of hypothyroidism. any responses appreciated thx Lauren, If you go off tapazole cold turkey you can go into a thryoid storm and possibly die it happened to me I had dry heaves bad thank god I made it through the night. Yet many hypo sufferers complain of it as well. Always speak to your doctor before acting and in cases of emergency seek My Endocrinologist has started weaning me off of Methimazole. Hashimoto patients do better on the Regular L-Carnitine. Most of us feel best with Free T4 at about the mid range point and Free T3 in the upper half to upper third of the range. There are a number of strategies you can use toremember to take your thyroid medication. I hadn't tested much in over a year- hoping this prior post link will work on this post to refresh anyone's memory who cares to 27M, 6'0, 174lb, Been on NP for about 4 months, Don't smoke or drink. I don't want to shock my body which has already had too many emotional and physical shocks. Seemed like it got stuck or something. How Are Thyroid Disorders Linked To An Increased Risk Of Developing Osteoporosis? unusual tiredness or weakness. Many people prefer natural remedies or don't think their medication is helping. We offer this Site AS IS and without any warranties. Some people get thyroiditis due to viral illnesses but it is usually short lived, like a couple of months at most. When I stopped in 2015, I went hyper againin approx 8 months, so after a lotof readingand research, I've decided to taper my dose rather than stopping. ", Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Sounds like your doctor wants to work with you though if he gave you that choice. The primary mechanism of action of methimazole is to block thyroid hormone production from the thyroid gland. But didnt feel any on the 5 mg. How long were you on Methimazole before weaning off? There may be two explanations for this benefit of long-term therapy, according . Stomach/digestive issues (gassy feeling/bloating), depression and fatigue are certainly hypo symptoms, but many people who are hyper have them as well. It depends how you're feeling bad. Have been able to come off of the beta blocker as my blood pressure and heart rate have dropped back to a low/low normal range. I have the L Carnitine to start taking but have not yet. Methods: We retrospectively studied patients with Graves' disease who were initially on MMI, in whom this drug was stopped because they had undetectable thyroid-stimulating antibodies (TSAbs) or were euthyroid after at least 24 months on MMI treatment. You have a 54-year-old female who presents to the emergency department with a chief complaint of just feeling out of it. She has felt off and on for the past 12 hours and has had an occasional cough with some sputum production along with the shakes and chills. She also feels as if her heart was going at a mile a minute and because of this, she is very much out of breath. My tsh leve as of yesterday dropped down to 3.65 so I'm in range again ref range is 0.34-4.82. Your doctor may occasionally change your dose. I think it's common to wean off after being in normal range for 12-18 months to see if it's gone into remission, that's what my endocrinologist did the first time my graves was diagnosed. Methimazole is used to treat hyperthyroidism, a condition where the thyroid gland produces too much thyroid hormone. However, there are a lot of side effects from taking it and stop taking it (especially, without tapering). I don't get it. Best, Rachel. The dose is taken in 3 divided doses every 8 hours. 19 users are following. Two weeks ago my tsh was 4.70 then on the 19 th of this month it was 5.02 ref range is 0.34-4.82. But it can also cause weight loss and a reduced need for sleep, which some people actually welcome. It is also used before thyroid surgery or radioactive iodine treatment. But he also closely monitored my levels after weaning off, bloodwork once a week for a while to make sure things stayed normal. Can You Eat Soy If You Have a Thyroid Condition? a beta blocker--atenolol, carvedilol, labetalol, metoprolol, nadolol, propranolol, sotalol, and others. But since then I have very gradually been reducing. It also offers solutions for some of the common reasons why people quit their thyroid medication, and what to consider if you feel like stopping yours. While you may experience some symptoms of overactive thyroid more than others, and you may even consider some of them beneficial, it is important to be aware of the strain this condition is putting on your heart, bones, and overall health. I just watched my diet, no red meat, no sugar, no wheat or dairy, and room temp water. I'm very upset because I figure he's the doctor and shouldn't have left that choice up to me. But I was stressing about some dumb things before. You should not breast-feed while using this medicine. Special Populations MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. HyperT77 My Endocrinologist has started weaning me off of Methimazole. You need to be involved in the decisions regarding your care, and how you feel about your medication and its effects are of great importance. Create an account to follow your favorite communities and start taking part in conversations. The antithyroid drugs methimazole (MMI) and propylthiouracil (PTU) are used as one option to treat patients with hyperthyroidism, especially those with Graves' disease. Please adjust and get your doctor to test - YOU have the right to tell your doctor/ask politely lol, because you are the one they are working for. The anxiety and the eye problem could be symptoms of Hyperthyroid, or it might be unrelated. Also you will have more definite information when you post on sites like this and we can respond better by knowing this information rather than "my levels are going into the hypo range" we will have your actual levels which makes it better for us to respond. If you have thyroid disease and don't take your prescribed medications to manage it, you can have a number of serious long-term effects. Common Methimazole side effects: Drug ineffective: 348 reports Hyperthyroidism (over activity of the thyroid gland): 336 reports Fatigue (feeling of tiredness): 320 reports Weakness: 271 reports Agranulocytosis (a deficiency of granulocytes in the blood, causing increased vulnerability to infection): 262 reports Headache (pain in head): 252 reports Comments: Daily doses are usually given in 3 divided doses at approximately 8 hour intervals. Helpful - 0 Comment leilajax Gimel is right, it only has a 6 hour half life. Were the tests TRab or TSI run to make sure your Graves antibodies were low before it was stopped? Copyright 1996-2023 Cerner Multum, Inc. Nabil N, Miner D, Amatruda J. Methimazole: an alternative route of administration. My doctor took me completely off Methimazole at 1 year with very poor resultsI was off the charts in 2 1/2 weeks and back up to 20MG a day to get me stable. This article covers the possible risks of not taking your hypothyroidism or hyperthyroidism medication. I'm not on meds yet but I agree with AnnLW. Written by Cerner Multum. Her vital signs are blood pressure of 184/106 mmHg, heart rate of 130 beats per minute, respiratory rate of 22 breaths per minute, and temperature of 102.7F. So what I did was to start slow. Tell your doctor at once if you develop signs of infection. I have my test results and I am taking 15MG Methimazole a day since 5/25 and the Endo told me to continue taking the same dosage Me again. Worsening of constipation or GI issues. Two-step method for administration: Test dose: 0.5 to 1 mg as slow IV push administered over 10 minutes Subsequent doses: 1 to 3 mg IV over 10 to 15 minutes every few hours to desired effect with monitoring of cardiac rhythm Esmolol can be considered as an alternative agent All rights reserved. Press question mark to learn the rest of the keyboard shortcuts. pale skin, easy bruising, unusual bleeding. Treatment of hyperthyroidism with a combination of methimazole and cholestyramine. I was on 10mg daily of Tapazole, went to 7.5 in the early winter but also returned to work at same time (bad idea). I was on 10mg (5mg x 2)a day Carbimazole. But have plenty of lab slips on hand and get checked if you feel like hurting someone. Methimazole can lower blood cells that help your body fight infections and help your blood to clot. My levels are all in good range so Im confused why she wants to see if I can lower the dose. Just like a person with type 1 diabetes needs insulin, you need thyroid hormonefor survival. I feel like lying on a hot beach would cure me for life lol but I live on a mountain! rachelemacd Debilitating fatigue; tiredness; pressure in head - related, Diagnosed with Graves' disease - my symptoms are high pulse, loose stools and very tired, Graves Disease - Hyperthyroid does anyone have the same symptoms. swollen, painful, or tender lymph glands in the neck, armpit, or groin. While many people understandably want to stop taking their thyroid medication immediately, the best approach is to begin the protocol and then begin to gradually wean off the thyroid medication under the supervision of a medical doctor. 2 days on, one day off and this past week my endocrinologist gave me the choice of either going right off Tapazole or going off it slowly. So hopefully youre getting bloodwork again soon to make sure things are ok? A dosage change can start to be felt for me in 3 days and reaches fullness in about a week, but if it is too big a dosage change the symptoms can last for week(s) afterward till my body adjusts. I now what bugs me, I try to avoid situations, when I can't, I do deep belly breathing (sound weird but I only ever did shallow from mouth to lung breathing, and that is NOT good -check it out, really worth it)I have tried a diet change (gluten free, dairy free) but I do not think it was necessary for me BUT it did make me focus on me and my health ( I am exercising regularly now) which WAS beneficial. If you are on a beta blocker for your heart rate (propranolol, atenolol, metoprolol, etc), your doctor may discontinue, decrease the dose, or keep the dose the same with plans to wean the medication in the weeks and . It is also used before thyroid surgery or radioactive iodine treatment. .50 was the low normal range. Diabetes Tests And Diagnosis: What To Expect During Your Medical And Physical Examinations? Herpes spreads by oral, vaginal and anal sex. It is not really safe to stop it suddenly. The doctor told me to take a Metoprolol once in the morning, then, around lunch time, take the 20 mgLisinopril, then, at dinner time, take another Metoprolol. Was there any tapering of the dose at all? Its been almost a month now on the 2.5 so Im going to get the blood work rechecked within a week or so. These side effects usually mimic the side effects of hypothyroidism, because if you stop taking your medication your body will not be able to produce it naturally for some time. Is there some other underlying issue that is taking place? Do not give this medicine to a child without medical advice. Some my symptoms inc My thyroid was stable for about 4 years, then suddenly, after my Mom's death, my thyroid went into hypothyroid.
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how to wean off methimazole