Single daily dose short term carbimazole therapy for hyperthyroid Graves' disease.

Abstract:

:Twenty-one patients with hyperthyroid Graves' disease were treated with carbimazole 30 mg daily, given as a single dose. Propranolol was also given for the first 3 weeks. All became clinically euthyroid with normal serum thyroxine (T4) levels, usually within 1-3 months. Patients with large goitres and raised serum alkaline phosphatase concentrations took longer to respond. In 19 patients a positive thyroid stimulating hormone (TSH) response to intravenous thyrotrophin releasing hormone (TRH) developed. Carbimazole was stopped soon after (median time of treatment 18 weeks, range 9-41 weeks) and 18 patients have been followed. Seven of these (39%) have remained in remission from hyperthyroidism for more than one year (median 77 weeks). Carbimazole 30 mg once daily is a convenient and effective treatment for hyperthyroid Graves' disease. Many patients will achieve prolonged remissions if treatment is stopped when serum T3 and T4 levels are in the low-normal range, usually 2-4 months after clinical euthyroidism has been reached.

journal_name

Clin Endocrinol (Oxf)

journal_title

Clinical endocrinology

authors

MacFarlane IA,Davies D,Longson D,Shalet SM,Beardwell CG

doi

10.1111/j.1365-2265.1983.tb00593.x

subject

Has Abstract

pub_date

1983-06-01 00:00:00

pages

557-61

issue

6

eissn

0300-0664

issn

1365-2265

journal_volume

18

pub_type

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