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Treatment in a patient with toxic hyperthyroidism

Thionamides

Thyroidectomy

Iodine 131

Symptomatic treatment

Metamizole

Propylthiouracil

Carbamizole

-Starting dose: 50-150 mg.

-Maintenance dose: 50 mg

-Starting dose: 10-20 mg per 6 months

-Maintenance dose: 5-10mg per 12-24 months

20-40 mg per day

Calcium antagonists

B-blockers

Propanolol: 10-40 mg per day

Metoprolol: 25-50 mg per day

Atenolol: 25-100 mg per day

Nadolol 40-100 mg per day

Diltiazem: 60-120 per day

Verapamilo: 80-120 mg per day

Stop antithyroid treatment 3 to 5 days before

10-15 µC

Indications

-Allergies o antithyroid

-Lack of response to treatment

-Toxic goiter