Rationale: (Gurgul & Sowinsky, 2011).
There are two thyrostatic drugs available: methimazole and propylthiouracil. They inhibit thyroid hormone synthesis and release. Usually, the initial dose for methimazole is 40-80 mg/day, while the initial dose for propylthiouracil is 300-400 mg/day. It is necessary to recheck the levels of T3 and T4 after 4-6 weeks of therapy and readjust the treatment accordingly. It is important to know that low dose of these medication is not going to achieve the desired outcome, however, the more aggressive approach can cause hypothyroidism to the point …show more content…
Once radioiodine treatment is finished, it is necessary to proceed with pharmacological treatment until the desired outcome is achieved. Failure to not initiate a pharmacological treatment after the radioiodine therapy may cause hyperthyroidism exacerbation. If a patient was on the thyrostatic treatment, it is a must to stop that treatment 10-14 days prior to the radioiodine treatment. It is necessary to check thyroid function regularly. If the hyperthyroidism is still present, it is acceptable to repeat the treatment after 4-6 months.
The radioiodine treatment could not be performed on pregnant and lactating patients, as well as patients who are 15 years old or younger.
As far as surgery treatment is concerned, individuals who are diagnosed with Graves-Basedow disease and toxic goiter, surgical removal of the thyroid is the best option for them.
Regarding the lifestyle and home remedies, it would be important to mention that a person affected by hyperthyroidism should eat more calories and add protein. In addition to that, adding some vitamin D and calcium in the diet is a must due to the fact that hyperthyroidism causes thinning of the bones (mayoclinic.org,