What factors would lead you to extend the duration of antithyroid drug therapy in a patient with Graves' disease who is clinically euthyroid at 12 months but has risk factors for recurrence?
Answer from: at Community Practice
One should never discontinue methimazole after an arbitrary period of time without checking anti-TSH receptor antibody levels. If they are positive or even “normal” but not undetectable, the patient will inevitably have a recurrence of their hyperthyroidism relatively quickly (Laurberg e...
Comments
at Michigan State University College of Human Medicine In general, I agree with Dr. @Cooper. Drugs should...
at Loma Vista Endocrinology Inc Very common, I have had patients on it for decades...
at Optum Inc Yes, very common long term use of ATD. I think how...
Agree with Dr. @Doria-Medina. The patients rely on our guidance for ATD, versus RAI, and rarely surgery. It is expensive for some patients to continue to have visits and tft's several times a year on ATD, compared to patients who may have post-ablative hypothyroid on stable thyroxine treatment who c...
Comments
Agree decision is mostly patient driven but if the...
In general, I agree with Dr. @Cooper. Drugs should...
Very common, I have had patients on it for decades...
Yes, very common long term use of ATD. I think how...