very confused gone from hyper to hypo?????

[seeangel]

hi can anyone help . ive just come back from my doctor who tells me today im hypothyroid yet i was diagnozed with graves diesease four months ago. my consultant told me id be on carbimazole for 18 months whille they tried to get me into remission and then wean me off medication and see iff i was cured . iff failing all that there was other treatments available .ive now been told im underactive and need thyroxine treatment for the rest of my days . but for now gp has reduced my carbimazole and cancelled the propranolol .im very worried how can i have graves one day then be hyperthyroid the next  it dont make any sense and im worried my levels will go back to overactive again . i dont want this to hapen cause ive already had one trhyroid crisis . does this sound right to you wonderfully experienced lot. he he flattery will get me anywhere . worth a try though .by the way my levels are ty =7pm/ tsu= 18 mu/ he he dont make no sense to me guys so ihope you can all help. thanks  seeeangel xxxxxxxxxxxxxxxxxxxxxx

[christineMac]

A related discussion, Graves was started.

[Mark Lupo, M.D.]

it is not uncommon to become hypo on carbimazole as it blocks thyroid function - usually this means the carbimazole dose needs to be decreased to balance it back out.  Barring that, the initial diagnosis (Graves disease) would then have to be questioned as the cause of hyper.  Stopping the beta-blocker is a good thing in the course of treating hyper - don't worry about that part - it means things are under better control.

My guess is that it will be an issue of titrating the carbimazole dose to keep things "normal" for 12-18 months.

good luck

[seeangel]

hey there , thanks for replying hun my husband says we got posh names for these conditiond lolol i have to laugh otherwise ill cry im so confused i wish my thyroid would make up its mind what it wants to do i was just getting used to the idea of having graves now hashimotos blimey , just rip it out thats what i say lol regards to ya xx

[Jimlow]

Hi SeeAngle, Autoimmune thyroid disease is sometimes just plain weird! I say that because some people can be diagnosed as both having Graves (hyper)and Hashimotos (hypo), because they have antibodies that cause both diseases. Sometimes it's just a matter of time in seeing which one ends up predominating. It looks like at this point your Hashi's antibodies are winning out. Even people with full blown Hashimoto's can go through hyperthyroidism spells.
If they believe you entered a progressive hypothyroid state, that is why they believe you will need thyroid replacement medication from now on.
Best Wishes.