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Endocrinology: goiter and acid reflux drug
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Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.

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Endocrinology: goiter and acid reflux drug

Hi
I have Diabetes and a goiter that is being followed by a terrific endocrinologist. I foolishly was taking metformin on an empty stomach and gave myself acid reflux causing stomach pain. I went to my internist and he gave me prevacid 30 mg and I was told to take it two times a day then linger off to one time a day. The last few days I had an extremely dry mouth no matter how much water I drank.  I looked at the prescription insert. I read that in addition to dry mouth possibly being a reaction, a goiter was also listed. The goiter and dry mouth was seen in less than 1% of the population.  ( that would naturally be). Since I already have a goiter and it did not grow on my last ultrasound, I'm a bit concerned about the prevacid interfering with the goiter causing the goiter to grow in size. Do you know of an acid reflux drug of choice that would not list "goiter" as a possible adverse reaction?  Or, it is just the nature of the drug type?
I found the info at the following:
http://pitap.abbott.com/prevacid.pdf?noCache=
page 29 of 36
Thank you!!!!
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I would not worry about prevacid and goiter -- this is not likely to aggravate your goiter and the likely cause of goiter in the study was an increase in goiter size due to a previously unrecognized need for increase in thyroid replacement meds in some people on prevacid-like meds.  So, if you are on thyroid meds, would recheck TSH in 6-8 weeks to see if the dose needs to be changed due to the prevacid.
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