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Suffering From Hyperthyroidism. Not Cured By Carbimazole And Propananol 40mg. Proper Treatment?

Posted on Fri, 30 Nov 2012

Question: Email: YYYY@YYYY ,
Query: treating Hyperthyroidism for over 2yrs with carbimazole n propananol 40mg. the T3 & T4 had being fluctuation but the TSH had remain constant on the lower side of 0.005 (ulU/ml 0.270 - 4.20). kindly advise on what i need to do. Result as at 12/04/2012- T3 - 2.71 (nmol/lit 1.30 - 3.10), T4 - 112.30 (nmol/lit 66 - 181) TSH - 0.005 (ulU/ml 0.270 - 4.20).
28/06/2012- T3 - 4.60 (nmol/lit 1.30 - 3.10), T4 - 188.10 (nmol/lit 66 - 181) TSH - <0.005 (ulU/ml 0.270 - 4.20)
10/11/2012- T3 - 1.86 (nmol/lit 1.30 - 3.10), T4 - 102.00 (nmol/lit 66 - 181) TSH - 0.005 (ulU/ml 0.270 - 4.20).
Thanks

Answered by Dr. Dr. Praveen Tayal (4 hours later)

Hello,
Thanks for posting your query.
The low TSH levels with almost normal T3 and T4 levels is suggestive of subclinical hyperthyroidism.
The drugs you are getting - Carbimazole and propranol can adequately control these mildly lowered levels but these medicines do need a careful dosage regulation after assessment of your clinical symptoms. You need to consult an Endocrinologist for proper dosage regulation.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Praveen Tayal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Praveen Tayal (2 hours later)

Have being on this for a long time now. The issue I had was the proper care from the specialist. This is like the second time that am having this type of result. At a point in time, it got to hypothyroidism and I was placed on thyroxine (that was late last year) no proper monitoring it degenerated back to hyperthyroidism. Hence, this present state. Because of my experiences over time, that's why I decided to sort for advice online. I might not be a doctor but with the fluctuation shown on the past results I have this feeling that it should had being normal a long time ago but like you mentioned I need a proper care. I will be very grateful if you can refer me to a good specialist here in Nigeria if you can.just to add to my earlier reply
I had being placed on the following dosage for more than a year now.
Carbimazole 10mg (twice daily)
Propranonol 40mg. (twice daily). pending when i can get to a specialist. should i still continue with the dosage as stated above.

Thank you

Answered by Dr. Dr. Praveen Tayal (9 hours later)

Hello.
Thanks for writing again.
Since your TSH level is still on the lower side, you need to continue with these medicines.
I am sorry I do not personally know of any endocrinologists in Nigeria.
You will have to search for a specialist nearest to your place online.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Praveen Tayal (11 minutes later)

okay, thanks

Answered by Dr. Dr. Praveen Tayal (6 minutes later)

Hi.
You are most welcome.
You can consult me again directly through my profile URL http://bit.ly/Dr-Praveen-Tayal
Please accept my answer in case there are no further queries and recommend our services to your friends too if you have found it helpful.
I wish you the very best in whatever you do.
Warm regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar