how to wean off methimazole

Again, be sure to discuss any concerns with your doctor and do not stop taking your medication without consulting with them first. Yes I know it's dumb and it's something I struggle with daily. So this is a surprise to me that I migh have Graves or toxic nodules as I feel I'm bouncing back with no symptoms of hyper. Was there any tapering of the dose at all? respect of any healthcare matters. Methimazole side effects. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Shaky? Use methimazole regularly to get the most benefit, even if you feel fine or have no symptoms of hyperthyroidism. Most people who have thyroid disease feel better with the appropriate medication. decreased sense of taste. Radioiodine in the treatment of hyperthyroidism. I do have Hashitoxicosis so I remember you saying that I won't respond as well to methimazole. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Stop using methimazole and call your doctor right away if you have signs of infection such as: sudden weakness or ill feeling, fever, chills, sore throat, cold or flu symptoms; painful mouth sores, pain when swallowing, red or swollen gums; or. I told my endo. But don't tapper too much and too fast. It can also increase the risk of developing a dangerous condition known asthyroid storm, which has a high fatality rate. 19 users are following. There may be two explanations for this benefit of long-term therapy, according . 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 have plenty of lab slips on hand and get checked if you feel like hurting someone. If your levels start to drop toward the lower end of the scale, you'll be able to taper the dose down a bit - to 20 mg a day. I'm not in hypo yet I don't think the doctors just think that I'm going into hypo..? over a year ago, peace2theworld 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. i teally feel I have late stage chronic lime. A strategy of high MMI doses plus T4 was not used in these patients. However, since starting to wean off, my numbers have gotten closer to the Hyper T side again. Being short tempered can go along with being fatigued and/or depressed or not feeling well in general. And other symptoms of hypothyroidism. The third type of carnitine is Proprionyl-L-Carnitine recommended for heart disease. It flared up my GERD do now taking Prevacid and going to go to the counselor.. I am a 52 year old female and I had been on 15MG Methimazole for the over 2 months and Endo lower the dosage to 10MG when my Triio Hi, Worsening of constipation or GI issues. Hello, what you think of my lab results & should I see another doctor? Sounds like your doctor wants to work with you though if he gave you that choice. RMMB, how much methimazole were you on before you stopped cold turkey? Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome): Change in taste. When I say all is good, my TSH level is still less than .01 but that takes longer to bounce back. But I was stressing about some dumb things before. 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. And then see if you need the beta blocker if what you're experiencing is heart palpitations/shakiness. 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. 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. Sulfamethoxazole-Trimethoprim for Skin and Soft Tissue Infections: 1 or 2 Tablets BID? We recommend using methimazole (MMI; 0.25 to 1.0 mg/kg per day). DID YOU NOTICE ANXIETY OR RAPID HEARTBEAT OR COULD I BE ANXIOUS ABOUT GETTING OFF THE MEDICATION. I am also trying to wean off and am having really really really bad anxiety is this normal???? However, there are a lot of side effects from taking it and stop taking it (especially, without tapering). I'm on 2.5mg sun, we'd, Friday I was stressed about some things before. 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 Paying for medications can be stressful. Anxiety is a major symptom of hyperthyroidism. I was on 5 mg once a day. I hope you go into remission and you dont have to keep taking those god forsaken meds. I just wanted to tell everyone DON'T GIVE UP and DON'T TAKE THE RADIATED IODINE or have your thyroid removed (unless there is a growth of course). It bounced around .53 to .25 then .50 again but never above. One thing my Endo and I agree on is that he will not stop a patient's medication entirely unless their antibody levels are within the normal range even if all their thyroid labs are normal. I'm very upset because I figure he's the doctor and shouldn't have left that choice up to me. But didnt feel any on the 5 mg. How long were you on Methimazole before weaning off? It is also taken before thyroid surgery or radioactive iodine therapy. I have hyper numbers - very low TSH and high/normal T4 and I have the same kind of symptoms you have: freezing cold and sometimes achy legs. My plan is to try to get down to 10MG per week by May..then 5mg per week by summer and then nothing after that. Other than that, he said that they didn't find anything, such as pneumonia. even my hair started falling out and to me to be a woman and have your hair fall out is the worst thing in the world. His goal is to wean me off very slowly. My levels are going into the hypo range and so my gp told me to stop taking methimazole. yes. Slowly weaning off or tapering to the right dose is the best method. 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. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. nausea, vomiting, upset stomach; headache, dizziness, drowsiness; numbness or tingly feeling; rash, itching, skin discoloration; muscle or joint pain; hair loss; or. 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. So I don't think there is one size fits all but I do believe you need the information from the tests your doc does as well as learning about your body and its symptoms and what works and what doesn't in order to get well. Thyroid Problems: Extremes Are Never Good. When I started getting hyper symptoms from armour I tapered slowly and went off but my TSH never sprang back. Tell your doctor about all your current medicines and any you start or stop using, especially: a blood thinner--warfarin, Coumadin, Jantoven; or. I retired in 2015 because I was unable to work. Been on Tapazole for 13 months after being diagnosed with graves disease. I have the L Carnitine to start taking but have not yet. Thanks, THANKS FOR YOUR HELP LET ME KNOW IF YOU THINK OF ANYTHING. As soon as they see that youre going hyper again, they should put you back on your regular dose. You should not shock your body that way. Management of severe thyrotoxicosis when the gastrointestinal tract is compromised. Are you losing weight? Your healthcare provider will check your thyroid levels and adjust your dose as needed. Recently, after a six month stint of being in the normal range, my bloodwork indicated I was hyper. Sowiski J, Junik R, Gembicki M. [Effectiveness of intravenous administration of methimazole in patients with thyroid crisis]. All rights reserved. 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. Also did the same with Vitamin D and Magnesium. Patient does not provide medical advice, diagnosis or treatment. But since then I have very gradually been reducing. You pituitary is trying to tell your thyroid to produce more hormones, but the Methimazole (anti-thyroid med) is preventing your thyroid from working. Always speak to your doctor before acting and in cases of emergency seek Herpes spreads by oral, vaginal and anal sex. A previous ALiEM blog post further discusses some of the nuances associated with the diagnosis of thyroid storm. STIs are the most common cause of genital sores. Diagnosis of thyroid storm can be somewhat of a challenge because of this, but a scoring system developed by Burch and Wartofsky 1 can assist in determining the likelihood of thyroid storm in patients based on presenting signs and symptoms. Anterior cervical discectomy, no fusion - what to expect? Methimazole may also be used for purposes not listed in this medication guide. We offer this Site AS IS and without any warranties. What Do Herpes Sores Look Like at Different Stages. I should have listened to him. 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? ALiEM by ALiEM.com is copyrighted as "All Rights Reserved" except for our Paucis Verbis cards and MEdIC Series, which are Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License. Not all possible interactions are listed in this medication guide. 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. [4] Be sure to check with your doctor before you stop taking these medicines. Coming off of Klonopin after 8 monthswhat to expect and how to do so, Graves Disease/hyperthyroid & I experience Hypnagogic hallucinations-anyone with similar experie, Thyroid Removal Effects and Graves Disease. You must tell us if you are pregnant, even if you Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. Before Tom died, I felt amazingly well off the armor even with low TSH. Anthing would be helpful. Tenner AG, Halvorson KM. I have very receintly been taken off Methimazole cold turkey atfter 6 years. When I go back in May, he will probably wean down to 25 mg a week.