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...
at Liberty Mountain Medical Group I believe the most recent guidelines from the ATA ...
at Johns Hopkins Outpatient Endocrinology Good question! Yes, it is my belief that there is ...
at Liberty Mountain Medical Group Thank you for your response. Very helpful. Unfortu...
at Liberty Mountain Medical Group If using Trab as an assay, can you comment on the ...
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...
I believe the most recent guidelines from the ATA ...
Good question! Yes, it is my belief that there is ...
Thank you for your response. Very helpful. Unfortu...
If using Trab as an assay, can you comment on the ...