Hyperthyroidism / Graves disease
- Beta blocker controls adrenergic symptoms
- Methimazole is usual antithyroid drug
- PTU favored in early pregnancy/thyroid storm
- Definitive options: radioiodine or surgery
- Choice depends on cause, goiter, eye disease
- Monitor for agranulocytosis/hepatotoxicity
- Graves eye disease can alter RAI choice
Use at a glance
- Beta blocker controls adrenergic symptoms
Treatment options
- Definitive options: radioiodine or surgery
Practical pearls
- Graves eye disease can alter RAI choice
Choosing treatment
- Methimazole is usual antithyroid drug
- PTU favored in early pregnancy/thyroid storm
- Choice depends on cause, goiter, eye disease
Monitoring / follow-up
- Monitor for agranulocytosis/hepatotoxicity
Self-check
- Which toxicities are monitored during hyperthyroidism treatment?
Agranulocytosis/hepatotoxicity. - What controls hyperthyroid adrenergic symptoms?
Beta blocker.
Drugs used for this (2)
All clinical uses · Open Hyperthyroidism / Graves disease in the interactive console ↗