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Thyroid

Dear members
My mother over 60 years is taking following medicine
Neo-Mercazole and Concor
for about two years. Now doctors are saying to take a liquid medicine that will remove the thyroid over-activity but she will need to take a tablet for her whole life without any skipping in the dose. Our family is concerned if she should take that liquid medicine. In doctors opinion, one should not take the medicine for more than two years what she is taking now She is also a patient of blood pressure. Please advice. She lives in Pakistan. Thanks for your advice and suggestions.

Best regards,
Tahir
Best Answer
649848 tn?1534633700
COMMUNITY LEADER
No, I didn't have to have RAI, because even though I went hyper a few times over the years, it wasn't so drastic as what your mother experiences.

The medications used to treat hypothyroidism, which is what your mother will have after the RAI, usually come in pill/tablet form.  Some of them have fillers or binders that can cause problems for some people, but most people do well, once levels are adjusted properly.  

I was diagnosed with hypothyroidism in early 2008, so have been on medication for over 3 yrs.  I do take thyroid hormone replacement medication, because my thyroid doesn't produce hormones anymore.  I'm on a new T4 med that just came out in the US last May; I've been on it since August.  It's called Tirosint, is a gel cap, versus a tablet, so does not have the fillers/binders that can cause some people problems.  I'm also on a low dose of generic T3 - Liiothyronine.  Before the Tirosint, I was on generic levothyroxine; before that I was on synthroid.

I'm not sure what thyroid replacement hormones are available in Pakistan, but I'm sure your mother would be put on a T4 medication to start with, then have blood tests in about 6 weeks to see what her levels are.  When she has blood tests, please "insist" that they do TSH, Free T3 and Free T4 -- the Free T's are the actual thyroid hormones and it's absolutely  necessary to know what they are, each time she has blood work done, because those levels will help determine whether or not she will feel well.  



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Avatar universal
Hi Barb and other great forum friends.
Thank you again Barb135. What are the side effects of T4 and can someone buy it without prescription? I am not sure if these medicine are available in Pakistan. I live in Canada and want to know if I can buy for my mother if required. I spoke with mother a few days before and she is very concerned of the side effects of medicine that patients take for life after RAI.

One of the side effects she is concerned is that person start becoming fat. What is the likely hood and rate of becoming fat? As the patient has to take the hormone replacement medicine for life so what is the likelihood of person becoming fatter and fatter? This could be a troubling situation for a patient who does not want to be dependent on others for daily activities in her old age. Is there any remedy for that?
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Avatar universal
hi dear doctor i m seached 4 thyriod profile  my docctor had advised me for neomercazole tablets but it is difficult in our market plz arrange for me n more my e-mail is malik_ikram2006***@****   plz inform me
Helpful - 0
Avatar universal
Thanks again Barb135. You said that you never had to take RAI. Are you taking any of the  medicine for thyroid and for how long? What is that and are there any side effects of that?
Helpful - 0
649848 tn?1534633700
COMMUNITY LEADER
There are lots of websites that can give information on RAI.  I've never had to take it, so I can't answer if she "should" or not; it seems apparent that she needs to do something to get her hyperthyroidism under control.  

It's important to take replacement hormones daily in order to keep levels stable; however, if one forgot now and then, it wouldn't be the end of the world, so long as she doesn't make a habit of it.  
Helpful - 0
Avatar universal
Hi menu52 and Barb135,
Thanks for your replies. Mother has been a advised to take radioactive iodine but she is hesitant. Should she take it in your opinion? What are the side effects? Can replacement hormones medicine be skipped if patient forgets it once in a while?
Helpful - 0
649848 tn?1534633700
COMMUNITY LEADER
Neo-mercazole is an antithyroid medicine, used to control hyperthyroidism.  Concor is used to control hypertension (high blood pressure).  What is the liquid they are telling her to take that will remove thyroid over-activity?  

Often patients of hyperthyroidism are given radioactive iodine (RAI) to make the thyroid stop producing hormones, then put on thyroid replacement hormones (such as synthroid or levothyroxine) to give enough hormones, but not too much.  It's these replacement hormones that she must take daily, for life, in order to provide adequate adequate hormones to and keep levels stable.  Many of us are on daily thyroid replacement hormones; it's not so bad once we get them regulated.  

You should find out what the liquid medication is, that her doctor wants her to take, and how long she will be taking it.    
Helpful - 0
1573758 tn?1299965037
hello tsiddiq23
if your mother is taking mercazole and concor Im taking synthroid for my throid what is she taking for her high blood pressure.get a second opion
be safe
Helpful - 0
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