The problem can be changing your diet, as you don't know how the thyroid will react to this. ACMT Toxicology Visual Pearl: Is the Silver Bullet for Refractory Vasoplegia Really Blue? Try our Symptom Checker Got any other symptoms? Is there side effects from stopping or withdrawal symptoms? thanks for letting us know what you have gone through. I agree, doctor should have told you this. All lab work has come back in normal ranges. Moderately severe hyperthyroidism: 30 to 40 mg orally per day. My T3 and T4 are at mid to lower end of the range. Im so confused. This is perfect for me. I got pulled over for speeding on Christmas eve last year. Why would she try to wean me off the medicine if my numbers didnt indicate remission? They do better controlling their thyroid hormones using Regular L-Carnitine. Posted Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome): Change in taste. Gimel is right, it only has a 6 hour half life. Make sure you get tested monthly while getting weaned off. It is also used before thyroid surgery or radioactive iodine treatment. Methimazole is an antithyroid medicine. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. Doctor did not tell me this , it was my naturopath, but I am glad I listened to her. Written by Cerner Multum. Mary Shomon is a writer and hormonal health and thyroid advocate. Methimazole is used to treat hyperthyroidism, a condition where the thyroid gland produces too much thyroid hormone. But it can also cause weight loss and a reduced need for sleep, which some people actually welcome. Your email address will not be published. I started out at 30mg a day. Could the anxiety be stemming from you actually still needing the methimazole? (unknowingly had covid at the time of last bloodwork). It seems to me that I still am feeling more hyper, with some new symptoms, the worst being the high blood pressure, and the "gassiness". Anthing would be helpful. Thyroid Problems: Extremes Are Never Good. Methimazole may cause serious side effects. 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. 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. Your story is exactly like mine. Talk to your doctor about these issues, as they can be the effects of your thyroid hormone levels getting back to normal. Do not give this medicine to a child without medical advice. Burch H, Wartofsky L. Life-threatening thyrotoxicosis. 7 Tips To Manage Heavy, Painful Or Irregular Periods When You Have Hypothyroidism. This was very irresponsible of them and I was not able to be well enough to work for a year after that. What many people don't realize is that there are quite a few symptoms that can apply to either/both hyper and hypo. Didn't find the answer you were looking for? I did this (decided to lessen the dose) all by myself with a naturopath's advice (my "specialist" seems to have forgotten about me and never did the follow up in mid-March, and I am not disappointed =;) The biggest help has been to deal with my stress. The maintenance dose is 5 to 15 mg per day. Some of the effects of skipping or stopping your thyroid medication are obvious, while others are so subtle they can go undiagnosed for years. 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. PMID: 24176474. Bridge to EM: Senior Medical Student Curriculum, GroundED in EM: A Third-Year Student Curriculum. 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). Being short tempered can go along with being fatigued and/or depressed or not feeling well in general. i am afraid of going hyper again, they told me to wean off i tried just quiting then had major panic attack and went back on the medication I feel off balance and am having anxiety my eyes hurt and I dont know if its me making myself feel that way or it is my thyroid, I will get my labs next week to see if i am still normal i only had post partum hyprethyroid, and i probably really nevre needed the medication because my tsh was low but had normal t3 t4. You should not use methimazole if you are allergic to it, or: To make sure methimazole is safe for you, tell your doctor if you have: Using methimazole during pregnancy could harm the unborn baby. A relatively low dose of Methimazole was prescribed, along with Lisinopril, and Metoprolol. Okay I didn't know you had completely stopped the Methimazole, but I think you misread what I wrote. Some clinicians recommend discontinuing methimazole 2-7 days before radioactive iodine; may restart methimazole 3-7 days after radioactive iodine, then generally taper over 4-6 weeks as thyroid function normalizes and radioactive iodine becomes effective. It works by making it harder for the body to make thyroid hormone. Clearly, there are sensible health reasons to take your prescribed thyroid medication. Anthing would be helpful. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Now I have to start all over again. Before Tom died, I felt amazingly well off the armor even with low TSH. Herpes sores blister, then burst, scab and heal. unusual weight gain. If you want to get notified by every reply to your post, please register. They are still really active so she changed her mind and I am staying on the medication. Please get back to me.. Twice, I got worried because my hand and arm were deep red from the tightness of the cuff. why does this happen? Get your prescription refilled before you run out of medicine completely. If you need surgery, tell the surgeon ahead of time that you are using methimazole. unusual tiredness or weakness. and he said that it could not be my thyroid because the Methimazole will be in my blood for 2-3 weeks. I started off with relatively normal levels but my doc found nodules. Was there any tapering of the dose at all? I have been having anxiety attacks and I have only been off it a week. This list is not complete. An EKG is ordered, revealing an irregularly irregular rhythm, and an urinalysis is conducted, showing many bacteria. 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. We want the forums to be a useful resource for our users but it is important to remember that the forums are And I am still could thins be a side affect of relapse or not taking my meds? Many people prefer natural remedies or don't think their medication is helping. I DONT KNOW IF I COULD STILL BE HYPER.MY LAB RESULTS HAAVE BEEN NORMAL FOR 1 YEAR. The anxiety and the eye problem could be symptoms of Hyperthyroid, or it might be unrelated. Read our, Effects of Skipping Thyroid Hormone Replacement, Effects of Skipping Antithyroid Medication, It's Difficult to Remember to Take Your Dose, You Like How Hyperthyroidism Makes You Feel. It is also used before thyroid surgery or radioactive iodine treatment. It bounced around .53 to .25 then .50 again but never above. Some people have Graves alone, some have Hashi's alone and some people have both Graves and Hashi's at the same time. Common side effects of methimazole may include: This is not a complete list of side effects and others may occur. DID YOU NOTICE ANXIETY OR RAPID HEARTBEAT OR COULD I BE ANXIOUS ABOUT GETTING OFF THE MEDICATION. Seemed like it got stuck or something. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. She is the author of "The Thyroid Diet Revolution.". But yet they tell me I'm hyper. 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. (PTU), Methimazole, or Tapazole thyroid medicine 4 days before their tests. 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. Metroprolol is a beta blocker that slows the heart rate. 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. Create an account to follow your favorite communities and start taking part in conversations. As soon as they see that youre going hyper again, they should put you back on your regular dose. We went to the ER. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. I don't believe our bodies respond well to abrupt changes. By using this Site you agree to the following, By using this Site you agree to the following, The Best IOL for 2022 RXSight Light Adjusted Lens, Will refractive surgery such as LASIK keep me out of glasses all my life. :), The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. 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. This medicine is available only with your doctor's . Thats what Im saying. 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. over a year ago. Your blood may need to be tested often. However, since starting to wean off, my numbers have gotten closer to the Hyper T side again. If a child is using this medicine, tell your doctor if the child has any changes in weight. Anterior cervical discectomy, no fusion - what to expect? 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. Other than that, he said that they didn't find anything, such as pneumonia. Have been on it for 18 months. 2012 Aug;86(3):244-251. My tsh leve as of yesterday dropped down to 3.65 so I'm in range again ref range is 0.34-4.82. To me, it really is the missed mimic of several disease states, as described above in our possibly uroseptic patient. You should not shock your body that way. Yet to you, something does not seem right. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. I'd never stop any medication cold turkey. When did you start going off it? ALiEM is not endorsed by, sponsored by, or affiliated with the University of California San Francisco or any institution. When your lab tests are like yours (low TSH and high Free T4) you are hyper. Vancomycin Loading Doses in Pediatric Patients: A Missed Opportunity? The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. 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. 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. 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. Hello, what you think of my lab results & should I see another doctor? 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. Skip the missed dose if it is almost time for your next scheduled dose. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. So instead of quitting the methimazole cold turkey I should have just lowered the dose to maybe half? 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 Hi, By using this Site you agree to the following, By using this Site you agree to the following, The Best IOL for 2022 RXSight Light Adjusted Lens, Will refractive surgery such as LASIK keep me out of glasses all my life. 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. Methimazole is used to treat hyperthyroidism, a condition where the thyroid gland produces too much thyroid hormone. Diabetes Tests And Diagnosis: What To Expect During Your Medical And Physical Examinations? I don't get it. However, thyroid disease is complicated, and you can develop new symptoms when you begin your treatment, either due to the wrong medication dose or the way that your body responds to the medication. There are experiences, however, that may cause you to question the benefits of your medications and not stick with your treatment plan. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. yellow eyes or skin. 2013 Nov;31(4):969-86. This exact thing happened to me and then my endo put me back on it and my body couldnt tolerate it I was passing out and my symptoms were so much worse,. HI, I was diagnosed with Graves Disease last fall (2016). 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. The question is now . over a year ago, Glorrie JayValle, I don't remember your thyroid history whether you have Hashimoto's and you started off hyper? You must tell us if you are pregnant, even if you Then I took 1,000 mg of Regular L-Carnitine and 1,000 mg of Acetyl-L-Carnitine and my TSH just shot right up well into the normal range. ALiEM is your digital connection to the cooperative world of EM. How Are Thyroid Disorders Linked To An Increased Risk Of Developing Osteoporosis? Thyroid level saga continuespart 20. I feel like lying on a hot beach would cure me for life lol but I live on a mountain! Methimazole can lower blood cells that help your body fight infections and help your blood to clot. 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. Sowiski J, Junik R, Gembicki M. [Effectiveness of intravenous administration of methimazole in patients with thyroid crisis]. Tell your doctor if you are pregnant or if you become pregnant while using this medicine. Should I stop Methimazole over a high TSH? Hair loss. my dr. didnt warn me about any of this I am having a hard time working without panicking and having to leave. 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. 2. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. no one will listen. Methimazole side effects. Levels of hormone can swing up quickly. 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. But he also closely monitored my levels after weaning off, bloodwork once a week for a while to make sure things stayed normal. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information. Some my symptoms inc My thyroid was stable for about 4 years, then suddenly, after my Mom's death, my thyroid went into hypothyroid. I am currently in a hospital bed recovering from a bilateral thyroidectomy. How should this medicine be used? Thank you so much! Swollen hands, feet, and face. How long were you on Methimazole before weaning off? I doubt yours would be near that. 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. You pituitary is trying to tell your thyroid to produce more hormones, but the Methimazole (anti-thyroid med) is preventing your thyroid from working. Brand names: Tapazole, Northyx 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. My GP suggestd similar action as my TSH levels started rising (only just out of range)and my FT4 dropped. I read somewhere that ALA can work on TSH. 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. 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? 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. 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 . Furthermore, you should fully understand the consequences of untreated thyroid disease. Nabil N, Miner D, Amatruda J. Methimazole: an alternative route of administration. My Endocrinologist has started weaning me off of Methimazole. I don't want to shock my body which has already had too many emotional and physical shocks. Serious and sometimes fatal infections may occur during treatment with methimazole. If you skip or stop your medicine entirely, you can experience a number of short-term and long-term consequences, including: Untreated hyperthyroidism can increase your risk of stroke or heart attack. HyperT77 My Endocrinologist has started weaning me off of Methimazole. Other drugs may interact with methimazole, including prescription and over-the-counter medicines, vitamins, and herbal products. [4] Do Thyroid Problems Always Have To Be Treated? Im feeling exactly those symptoms minus the weight loss because that hasnt changed on 2.5. Yes, Ive had doctors try to wean me off twice. 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. It becomes too easy to label them as septic, and we may forget that endocrinologic emergencies, specifically thyroid storm, can present in very much the same way. Take your doses at regular intervals to keep a steady amount of the drug in your body at all times. Methimazole prevents the thyroid gland from producing too much thyroid hormone. If the hyperthyroidism returns, the antithyroid drugs are re-started. It got to the point where I could barely eat. i teally feel I have late stage chronic lime. Endometriosis And Thyroid disease: Is There Really A Connection? I feel wonderful now. Sometimes though if your levels are too far out of range (hypo) it is necessary to stop the meds temporarily and then restart them. 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. If you don't feel better after taking your medication for several months, you may need a dose adjustment or a different medicationnot a complete stop of your regimen. fatigue and hyperthyroidism and Graves' Disease. So I now went to Winthrop Hospital and am off 5 mg of methimazole since I'm taking the nuclear test this week. Press question mark to learn the rest of the keyboard shortcuts. But I'm wondering now if it could be missing dosses? MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. tightness in the chest. Hair loss. I think its common to wean off after being in normal range for 12-18 months to see if its gone into remission, thats what my endocrinologist did the first time my graves was diagnosed. But it started about Monday its about five days and the whole week my anxiety is through the roof! I am so overwhelmed and only end up having a few days out of a month. It can take a few days to a few weeks for you to even start noticing a difference in how you feel. Gaitonde DY, Rowley K, Sweeney L. Hypothyroidism: An update. Continue reading. Your hair loss or hair thinning may also be a symptom of hyperthyroidism, when your thyroid gland is overactive and makes too much thyroid hormone. I havent tried to wean off before. 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. Call your doctor for medical advice about side effects. If you are feeling conflicted about your thyroid medication, discuss your concerns with your doctor. You can keep your medicine in an obvious place, such as your bedroom or kitchen, or you can use a pill organizer to keep you on track. rachelemacd STIs are the most common cause of genital sores. You should not breast-feed while using this medicine. Same as sudden weather changes, we get headaches etc. 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. It flared up my GERD do now taking Prevacid and going to go to the counselor..