Thyroid Cancer / Nodules & Hyperthyroidism Expert Forum
Tapdin etc
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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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Tapdin etc

Dear Doctor,

I started undergoing treatment for hyperthyroidism last june2012 and my endo initially gave me 20 mg Tapdin for about a month and it reacted well although my thyroid tests (TSH,T3 and T4) are not yet normal. Then in my 2nd check-up, she lowered the doses and added inderal for my tremors and fast heartbeat. On my 3rd checkup, TSH lowered up to <0.10 while T3  and T4 are near normal. She advised me to return to 20 mg dosage. I observed acne on my face and it irritated me. Could it be caused by the meds? And is it okay to return to 20mg Tapdin again? Thanks.
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Acne is not common w/ Tapdin but is common w/ hyperthyroidism due to increased oily skin seen in some patients.  With antithyroid treatment the initial goal is to normalize T4 and T3; it may take several months to see the TSH begin to come up and it cannot be used to titrate medication until it comes up.
2 Comments
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Thank you very much for the answer. So I have to watch for T3 and T4. I have two more 20mg Tapdin and four pcs of Inderal. I planned to stop my medication already since I am becoming sleepy always? Is it a sign that my TSH is normal already? I will be back to my endo on the 18th? Is it a right decision?

Thanks and God bless...
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Mark Lupo, M.D.Blank
Thyroid & Endocrine Center of Florida
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