I am severely hyperthyroid and have acute thyrotoxicosis (I carry a note with me regarding the possibility of thyroid storm should I present at the ER). My endo says I am the worst case he's seen in 3 yrs plus. I was prescribed 1 x Inderal 40 (beta blocker) and 5 x Neo Mercazole (25mg) three times per day. I was on this regime for 6 weeks in total and my blood test results haven't changed beyond the normal fluctutations. My endo has suggested I try adding Prednizone 30mg per day and Nexium (which he assures me will help the reflux and heartburn that has been causing me to throw up 30-odd percent of the previous regime). He suggested Lithium as another option but ultimately decided on the Prednizone because he wasn't sure what effect the Lithium might create when added to Neo Mercazole. He tells me that he has had great results with Lithium (apparently recently tried as a replacement for Neo Mercazole in a patient who was allergic - Manic Depressives who are prescribed Lithium sometimes end up with Hypo apparently and so the connection was made, yes?)
Anyhow, what I rerally want to know is: given the massive side-effects (kidney failure - scary!) associated with Prednizone, should I be nervous about taking it? Does this approach really have a decent success rate, and how does that work if so?
I am also nervous at the sheer amount of pills required here - 30 per day!!!