Recently, after a six month stint of being in the normal range, my bloodwork indicated I was hyper. It bounced around .53 to .25 then .50 again but never above. Could you be swinging back into hyperthyroid? I am weaning off methimazole i was only taking 10 mg a day down to 7.5 mg for 2 weeks feeling lightheaded and was wondering if anyone knew of any side effects? 2. Hashimoto patients do better on the Regular L-Carnitine. So I would gradually reduce until you think you can go cold turkey. Verywell Health's content is for informational and educational purposes only. Endocrine causes of dangerous Fever. my dr. didnt warn me about any of this I am having a hard time working without panicking and having to leave. Because I thought they might be responsible for lowering TSH. I do have Hashitoxicosis so I remember you saying that I won't respond as well to methimazole. When I asked if my numbers should have been closer to hypo range if I was a candidate for remission, she said yes but wanted to see if I could wean off anyway. Good luck!!! When your lab tests are like yours (low TSH and high Free T4) you are hyper. nausea, vomiting, upset stomach; headache, dizziness, drowsiness; numbness or tingly feeling; rash, itching, skin discoloration; muscle or joint pain; hair loss; or. Is there some other underlying issue that is taking place? Serious and sometimes fatal infections may occur during treatment with methimazole. 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. Ok. Vancomycin Loading Doses in Pediatric Patients: A Missed Opportunity? Methimazole Uses, Side Effects & Warnings - Drugs.com She has a past medical history of hypertension and she has been compliant with her medications. 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. Side Effects of Stopping Thyroid Medication Abruptly We went to the ER. Each time I reduce, my TSH elevates- but my T3 stays within range which is what my endo focuses onand it does take about six weeks for my body to adjust to the lower dosebut it does adjust. If you want to get notified by every reply to your post, please register. Im going to ask to go back to my old dose because my numbers were exactly in the middle at 2.13 but now theyre probably a mess. I am at 15 MG per weekI take 5 mg on M/W/F and my body is getting used to it but I have passed the two year mark and no signs of it abating. It does not stay in the body for 2-3 weeks, this is just not true. You will be able to stop your methimazole or PTU immediately. 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. We offer this Site AS IS and without any warranties. I am not so familiar with hyper as I am hypothyroidism; however, since Methimazole only has a half life of 4-6 hours, it clearly is a fast acting med, similar to a T3 med for hypo. The third type of carnitine is Proprionyl-L-Carnitine recommended for heart disease. Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome): Change in taste. 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. I feel wonderful now. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. 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. He naturally handcuffed me and searched my car in which I had marijuwana and had already told him. I'm not on meds yet but I agree with AnnLW. Her overall presentation does not seem to add up in being secondary to urosepsis. As far as symptoms go, I have been gassy (for no reason), fatigued more than usual, depressed, short tempered,and I'm either too cold or too hot. Always speak to your doctor before acting and in cases of emergency seek My TSH plunged this year after Tom's death and all my health scares (the eye bleeds - occular migraines - vertigo - stroke scare which turned out to be migraine aura - ugh) This must have tipped me into real hyper maybe graves. Same as sudden weather changes, we get headaches etc. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. 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. STIs are the most common cause of genital sores. My Endocrinologist has started weaning me off of Methimazole. yes. I was taken to jail where I was geld for two weeks without my medicine and let me tell you I got sick with peripheral edema, vasculitis. Thyroid medications usually do not work right away. Not taking your hypothyroid or hyperthyroid medication can cause undesirable, dangerous, and even life-threatening conditions, ranging from fatigue and changes in blood pressure to death. Avoid being near people who are sick or have infections. Herpes sores blister, then burst, scab and heal. I don't believe our bodies respond well to abrupt changes. The dose is taken in 3 divided doses every 8 hours. But he also closely monitored my levels after weaning off, bloodwork once a week for a while to make sure things stayed normal. HI, I was diagnosed with Graves Disease last fall (2016). Methimazole - StatPearls - NCBI Bookshelf If the hyperthyroidism returns, the antithyroid drugs are re-started. "Can I take 5mg methimazole for Graves Disease for life" Do not give this medicine to a child without medical advice. Dosage form: oral tablet (10 mg; 5 mg) 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. I'm on 2.5mg sun, we'd, Friday I was stressed about some things before. Medically reviewed by Drugs.com on Feb 20, 2023. I was on 5 mg daily and now my dr halved it to 2.5 daily. Serious and sometimes fatal infections may occur during treatment with methimazole. Instructions for Women Pregnant women cannot receive the therapeutic radioactive iodine, since it will harm the fetus. My GP suggestd similar action as my TSH levels started rising (only just out of range)and my FT4 dropped. They were always very high. Yes, hair loss (alopecia) is listed as a side effect of methimazole (brand name: Tapazole) and other thyroid medications. Posted Was there any tapering of the dose at all? Dizziness. IS THERE A WEIGHT LOSS PLAN THAT ADDRESSES THYROIDECTOMY - what do you do to lose weight? Use of the forums is subject to our Terms of Use I have very receintly been taken off Methimazole cold turkey atfter 6 years. I am also trying to wean off and am having really really really bad anxiety is this normal???? Level at 14. You pituitary is trying to tell your thyroid to produce more hormones, but the Methimazole (anti-thyroid med) is preventing your thyroid from working. 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. 7 Tips To Manage Heavy, Painful Or Irregular Periods When You Have Hypothyroidism. Some thyroid medications can also cause hair loss, which most people find frustrating and undesirable. So I now went to Winthrop Hospital and am off 5 mg of methimazole since I'm taking the nuclear test this week. When I started getting hyper symptoms from armour I tapered slowly and went off but my TSH never sprang back. I should have listened to him. All of this has been a real struggle for me since I have a huge phobia of taking meds. I'm not in hypo yet I don't think the doctors just think that I'm going into hypo..? Mine endo only did it once every 6mo and within that time my tsh was no longer detectable and I got super super sick. Best, Rachel. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. 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. Levels of hormone can swing up quickly. Worsening memory function. 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 Stop using methimazole and call your doctor right away if you have signs of infection such as: 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. But the symptoms and side effects associated with thyroid disease can make it difficult to know whether you feel better overall with or without your thyroid medication. pale skin, easy bruising, unusual bleeding. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. It is not really safe to stop it suddenly. Methimazole is used to treat hyperthyroidism, a condition where the thyroid gland produces too much thyroid hormone. If you need surgery, tell the surgeon ahead of time that you are using methimazole. Ive been on the 5 mg daily for a few years now. I'd get night sweats and have trouble sleeping. 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. I am feeling ok just scared that I will be back to where I was 2 years ago, but with Gods help and my awesome doctor I hope that it will be all good. first cutting the 5mg tablet in half then in 1/4's. You can think of the mainstay treatment strategies of thyroid storm based on three main goals (what I like to call the 3 Bs of thyroid storm soccer): The agents are discussed below along with some EM pharmacy pearls that may be beneficial to those of you practicing in the emergency department. 0.84 t4 sounds pretty low so maybe that was part of the decision? Were the tests TRab or TSI run to make sure your Graves antibodies were low before it was stopped? Herpes sores blister, then burst, scab and heal.