{"id":4462,"count":2,"description":"Hyperthyroidism (overactive thyroid) most commonly caused by Graves' disease (autoimmune TSH-receptor antibody-mediated), toxic multinodular goitre, or solitary toxic adenoma. Symptoms include weight loss with normal\/increased appetite, palpitations, tremor, heat intolerance, anxiety, frequent stools, and (in Graves') eye signs (proptosis, lid lag, ophthalmopathy). The MedsBase Overactive Thyroid Treatment catalogue carries the antithyroid thionamide drugs that block thyroid peroxidase and reduce hormone synthesis.\n\n<strong>Lageralternativer.<\/strong> Methimazol (det moderne foretrukne thionamid \u2014 en gang daglig dosering, mindre hepatotoksisk enn propyltiouracil bortsett fra i f\u00f8rste trimester av graviditet og thyreotoksisk krise) finnes p\u00e5 lager som <a href=\"https:\/\/medsbase.com\/nb\/methimez\/\">Methimez<\/a>. Carbimazol (prodrug for methimazol, mye brukt i Storbritannia\/Europa\/India\/Asia) som <a href=\"https:\/\/medsbase.com\/nb\/neomercazole\/\">Neomercazole<\/a>.\n\n<strong>Bruk.<\/strong> Initial dose for moderate Graves' disease: methimazole 15\u201330 mg daily or carbimazole 20\u201340 mg daily, titrated based on TSH and free T4 measured every 4\u20136 weeks. Most patients achieve euthyroid state within 6\u201312 weeks. Long-term options: continue antithyroid drug for 12\u201318 months (40% remission rate after stopping in Graves'), radioactive iodine ablation (definitive but causes permanent hypothyroidism), or surgical thyroidectomy. Beta-blockers (propranolol \u2014 see <a href=\"https:\/\/medsbase.com\/nb\/heart-blood-pressure\/\">Hjerte og blodtrykk<\/a>) for symptomatisk kontroll av hjertebank, tremor og angst mens man venter p\u00e5 antityreoid virkning.\n\n<strong>Viktig.<\/strong> <strong>Obligatorisk basisblodpr\u00f8ve (FBC) og leverfunktionstester (LFT) f\u00f8r behandling.<\/strong> Antityreoide midler for\u00e5rsaker agranulocytose hos 0,1\u20130,5 % av pasientene (vanligvis innen 90 dager, h\u00f8yere dose \u00f8ker risikoen) \u2014 plutselig feber, s\u00e5r hals, munns\u00e5r krever umiddelbar FBC og behandlingsstans ved neutropeni. Hepatotoksisitet \u2014 propyltiouracil mer enn metimazol; LFT-overv\u00e5kning tidlig i behandlingen. Graviditet: propyltiouracil foretrekkes i f\u00f8rste trimester (mindre teratogen \u2014 metimazol-indusert aplasia cutis og choanal atresi), deretter bytte til metimazol i andre trimester. Subakutt thyreoiditt presenterer seg med hyperthyreose, men responderer IKKE p\u00e5 antityreoide midler (NSAID-er og betablokkere er passende; thyreoid-skanning hjelper til \u00e5 differensiere). Alle MedsBase-produkter sendes fra <strong>WHO-GMP-sertifiserte produsenter<\/strong> og er dekket av v\u00e5r <a href=\"https:\/\/medsbase.com\/nb\/medsbase-re-shipment-assurance-policy\/\">Reshipment Assurance Policy<\/a>.","link":"https:\/\/medsbase.com\/nb\/overactive-thyroid-treatment\/","name":"Behandling av overaktiv skjoldbruskkjertel","slug":"overactive-thyroid-treatment","taxonomy":"product_cat","parent":3223,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/product_cat\/4462","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/product_cat\/3223"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/nb\/wp-json\/wp\/v2\/product?product_cat=4462"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}