Hyperthyroidism (also known as overactive thyroid) is a medical condition where the thyroid gland makes too much thyroid hormone. The thyroid is a small gland in the front of your neck—it’s shaped like a butterfly. Thyroid hormones affect almost every organ in the body, and with too much thyroid hormone, many of the body’s functions speed up. Hyperthyroidism can be treated with various medications, radioactive iodine, or surgery. Let’s take a look at what this condition is and what can be done to treat it.
You may have some, or even multiple, symptoms of hyperthyroidism. Symptoms of overactive thyroid may include:
About one out of every 100 people in the United States age 12 years and older have hyperthyroidism.
Hyperthyroidism is treated with antithyroid drugs methimazole or propylthiouracil, radioactive iodine, or surgery. Beta-blockers are also sometimes used to control associated symptoms. We will discuss treatment in detail later in the article.
Although there are treatments available for hyperthyroidism, there is ongoing research and development on the condition. A search on clinicaltrials.gov brings up over 250 studies related to hyperthyroidism.
Common side effects of methimazole include rash/hives, muscle and joint pain, numbness, and tingling, loss of taste, hair loss, headache, drowsiness, and swelling. Stomach problems, such as nausea, vomiting, and indigestion, may occur. Serious side effects may include liver problems and life-threatening infections. People who take methimazole should avoid people who are sick or have an infection and should tell their healthcare provider right away if they develop signs of infection. Signs of an infection may include weakness, fever, chills, sore throat, mouth sores, painful swallowing, red/swollen gums, pale skin, easy bruising, or unusual bleeding.
Propylthiouracil should only be used in people who cannot take methimazole or undergo treatment with radioactive iodine therapy or have surgery. This is because propylthiouracil can cause severe liver injury and liver failure, which may require a liver transplant or can cause death.
Common side effects of propylthiouracil include rash/hives, joint pain, fever, altered taste, nausea, and vomiting. Serious side effects may include liver problems, which can cause death. Stop taking this medication and call your healthcare professional right away if you have upper stomach pain, nausea/vomiting, appetite loss, fever, itching, tiredness, dark urine, clay-colored stools, or yellowing of the skin or whites of the eyes. Propylthiouracil can also cause a life-threatening skin reaction. Get emergency medical help if you have a fever, sore throat, burning eyes, skin pain, red/purple rash, or blistering or peeling skin.
Beta-blockers block some of the effects of excess thyroid hormone but do not prevent the thyroid from making less hormone. Beta-blockers should never be stopped abruptly because doing so can worsen certain heart conditions.
Common side effects of atenolol include slow heartbeat, low blood pressure, tiredness/drowsiness, dizziness/lightheadedness, vertigo, cold extremities, depression, shortness of breath, leg pain, nausea, and diarrhea. Serious side effects of atenolol may include heart and heart rhythm problems, Raynaud’s syndrome (decreased blood flow to the extremities), and lupus.
Common side effects of propranolol include tiredness, dizziness, constipation, slow heartbeat, low blood pressure, depression, trouble sleeping, weakness, disorientation, hair loss, impotence, nausea, and diarrhea. Serious side effects of propranolol may include heart and heart rhythm problems, Raynaud’s syndrome, lupus, and severe skin reactions. Skin reactions can be life-threatening and require emergency medical help (if you have symptoms of fever, sore throat, burning eyes, skin pain, red/purple rash, or blistering or peeling skin).
Drug Name | Drug Class | Administration Route | Standard Dosage | Common Side Effects |
Methimazole (also known as the brand name Tapazole, which is no longer available) | Antithyroid medication | Oral | 5 to 120 mg daily (may be divided into smaller doses) | Rash, nausea, vomiting, indigestion, joint pain |
Propylthiouracil | Antithyroid medication | Oral | 50 to 300 mg every 8 hours | Rash, nausea, vomiting, fever, joint pain |
Atenolol | Beta-blocker | Oral | 25 to 100 mg once daily | Fatigue, dizziness, slow heart rate, low blood pressure, cold extremities, depression |
Propranolol | Beta-blocker | Oral | 10 to 40 mg every 8 hours | Fatigue, dizziness, constipation, slow heart rate, low blood pressure, depression |
Less common causes include certain tumors or growths or consuming excess iodine.
In rare cases, a thyroid storm, also known as thyrotoxic crisis, may occur when the thyroid produces and releases large amounts of thyroid hormone in a short period of time. This is a life-threatening situation that requires emergency medical attention. Symptoms of thyroid storm may include high fever (104 to 106 F), a very fast heart rate (over 140 beats per minute), agitation, irritability, anxiety, delirium, heart failure, and loss of consciousness.
After receiving her doctorate from the University of Pittsburgh School of Pharmacy, Karen Berger, Pharm.D., has worked in both chain and independent community pharmacies. She currently works at an independent pharmacy in New Jersey. Dr. Berger enjoys helping patients understand medical conditions and medications—both in person as a pharmacist, and online as a medical writer and reviewer.
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