Concluded Case

hyperthyroidism

52 yrs /F having complaints of Dry cough and Palpitation since 4 months. Was on tab. Neomercazole 10 mg OD and then tappered to 5 mg, Tab. Inderal 10 mg OD but stopped on her own as Symptoms relieved. Now her TFT as below. Suggest further management and investigation required.

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Concluded answer

Thanks to all respected Doctors started Neomercazole 10 mg BD Tab.Inderal 10 mg OD will F/U after 1 month

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Restart medication - Neomercazole 10mg BID or Methimazole 5mg BID Inderal /Ciplar 10mg BID Calcium +Calcitriol +D3 2000iu OD Repeat TFT after 2months as FT3, FT4 n TSH Adjust the dose as per the investigation report obtained. For dry cough - CXR & CoViD-19 test

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As she is kco hyperthyrodism and discontinued treatment Fresh TFT suggest pt is certainly a c/o hyperthyrodism Adv ft3 ft4 and anti TPO Start tab neomercazole 10mg 1od Tab indiral sustained release 60mg

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C/o hyperthyroidism Get Chest Xray done for dry cough Neomerconazole 10 od Inderal 20 bd Levocet m hs

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Restart medication Neomercazole 10mg BID & Inderal/Ciplar 10mg BID Calcium +Calcitriol +D3 2000iu OD Repeat TFT after 2months as FT3, FT4 n TSH

Low TSH, and high T4 is certainly a case of hyperthyroidism. You have started the correct treatment once again. Ask the patient to follow up 2 monthly with you to ensure compliance and to repeat TFT.

Recent report shows hyperthroidism Tab neomercazole 2 tabs TDS Tab inderal 10mg. Bd

Thank you doctor
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Thanks to all respected Doctors started Neomercazole 10 mg BD Tab.Inderal 10 mg OD will F/U after 1 month

Great job

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