What is the best medicine for hyperthyroidism

Hyperthyroidism is a very disturbing disease that not only affects our emotions, but also has a huge impact on our daily lives. We should pay enough attention to the treatment of hyperthyroidism and go to the endocrinology department for diagnosis and reexamination in time to avoid physical abnormalities. You should also pay attention to a light diet and avoid spicy and greasy foods. So, what is the best medicine for hyperthyroidism?

There are three methods for the treatment of hyperthyroidism: antithyroid drug therapy, radioactive iodine therapy and surgical treatment.

1. There are two types of antithyroid drugs - imidazoles and thiouracils. The representative drugs are methimazole (also known as "thimazole") and propylthiouracil (also known as "propylthiouracil").

2. Drug treatment is suitable for pregnant women with hyperthyroidism, children, and patients with mild thyroid enlargement. Treatment generally takes 1 to 2 years, and the drug dosage needs to be increased or decreased during treatment according to the thyroid function. Drug treatment has some side effects, including granulocytopenia, drug allergy, impaired liver function, joint pain and vasculitis. The side effects of drugs need to be closely monitored in the early stage of drug treatment, especially granulocytopenia. Patients need to be warned that if they have fever and/or sore throat, they need to check their granulocytes immediately to determine whether granulocytopenia occurs. Once it occurs. Immediately discontinue emergency medication. Another disadvantage of drug treatment is the high relapse rate after discontinuation of medication.

Both radioactive iodine therapy and surgical treatment are destructive treatments, and hyperthyroidism is not likely to recur. Radioactive iodine is suitable for patients with moderate thyroid enlargement or recurrence of hyperthyroidism. Doctors calculate the radiation dose required for each patient based on the patient's thyroid gland's uptake rate of radioactive iodine. Radioactive iodine is absolutely contraindicated in pregnant and lactating women. Because radioactive iodine has a delayed effect, the incidence of hypothyroidism is 3% to 5% per year over time. Radioactive iodine therapy is not suitable for hyperthyroid patients with thyroid eye disease because the eye disease may worsen after treatment.

3. Surgical treatment is suitable for those with significant thyroid enlargement, or those who are highly suspected of thyroid malignancy, or those whose thyroid enlargement compresses the trachea and causes breathing difficulties. Before surgery, medication is needed to control thyroid function within the normal range, and oral compound iodine solution is also required as preoperative preparation.