Treatments for Hashimoto's Thyroiditis
Treatments for Hashimoto's Thyroiditis
The list of treatments mentioned in various sources
for Hashimoto's Thyroiditis
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
Hashimoto's Thyroiditis: Is the Diagnosis Correct?
The first step in getting correct treatment is
to get a correct diagnosis.
Differential diagnosis list for Hashimoto's Thyroiditis may include:
- Lymphoma - lymphoma may be initially misdiagnosed as Hashimoto's but subsequent tests usually cause the doctor to correct this.
- more diagnoses...»
Hidden causes of Hashimoto's Thyroiditis may be incorrectly diagnosed:
- Family history of thyroid disorders is common, with HLA-DR5 gene most strongly implicated
- The incidence is increased in patients with chromosomal disorders, including Turner's syndrome, Down's syndrome and Klinefelter's syndrome
- more causes...»
Hashimoto's Thyroiditis: Marketplace Products, Discounts & Offers
Products, offers and promotion categories available for Hashimoto's Thyroiditis:
Hashimoto's Thyroiditis: Research Doctors & Specialists
- Diabetes & Endocrinology Specialists:
- Pregnancy & Fertility Health Specialists:
- Womens Health Specialists:
- Immune-Related Disease Specialists (Immunology):
- Senior Health Specialists (Geriatrics):
- more specialists...»
Research all specialists including ratings, affiliations, and sanctions.
Drugs and Medications used to treat Hashimoto's Thyroiditis:
Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment
or change in treatment plans.
Some of the different medications used in the treatment of Hashimoto's Thyroiditis include:
- Liothyronine
- Armour Thyroid
- Cyronine
- Cytomel
- Euthroid
- Proloid
- Thyroid USP
- Thyrolar
- Thyrolar 1, ¼, ½, 2, 3
- Triostat
Latest treatments for Hashimoto's Thyroiditis:
The following are some of the latest treatments for Hashimoto's Thyroiditis:
Hospitals & Medical Clinics: Hashimoto's Thyroiditis
Research quality ratings and patient incidents/safety measures
for hospitals and medical facilities in specialties related to Hashimoto's Thyroiditis:
Hospital & Clinic quality ratings » »
Choosing the Best Treatment Hospital:
More general information, not necessarily in relation to Hashimoto's Thyroiditis,
on hospital and medical facility performance and surgical care quality:
Medical news summaries about treatments for Hashimoto's Thyroiditis:
The following medical news items
are relevant to treatment of Hashimoto's Thyroiditis:
Discussion of treatments for Hashimoto's Thyroiditis:
Hashimoto's Thyroiditis can usually be treated with thyroid hormone
replacement. A small pill taken once a day should be able to regulate the
thyroid hormone in the body to normal levels. This medication will, in
most cases, need to be taken for the rest of the patient's life. When
trying to determine the correct hormone dosage, you may have to return to
your doctor several times for adjustments in medication. A yearly visit to
your health care provider will help keep your levels normal and help
maintain normal health. Be aware of the symptoms. If you note any changes
or the return of symptoms, return to your doctor to see if you need to
have your medication changed. (Source: excerpt from
Hashimoto's Thyroiditis: NWHIC)
Buy Products Related to Treatments for Hashimoto's Thyroiditis
Book Excerpts: Treatment of Hashimoto's Thyroiditis
Treatments of Hashimoto's Thyroiditis: Online Medical Books
16 MEDICAL BOOKS ONLINE!
Review excerpts from medical books online, free, without registration,
for more information about the treatments of Hashimoto's Thyroiditis.
Proptosis/Exophthalmos:
Treatment
(In a Page: Signs and Symptoms)
-
Treat the underlying cause, although treatment of Graves’ disease does not always improve ophthalmopathy, and radioactive iodine may make it worse; systemic steroids for acute flareups only
-
Prevent eye injury and discomfort with artificial tears and sunglasses; may patch eye while sleeping
-
Surgical decompression (in TAO and retrobulbar hemorrhage with acute optic neuropathy by direct compression or by increased intraocular pressure)
-
If due to infectious causes, appropriate directed systemic intravenous antibiotic therapy and/or surgical debridement
-
If due to noninfectious inflammation, administer systemic steroids or immunomodulating therapy, particularly if there is acute optic neuropathy
-
Incisional or excisional biopsy of orbital tumors
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Proptosis/Exophthalmos:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Ophthalmology consultation is always warranted
-
Daily vision testing and optic nerve function evaluation
-
Lubrication for exposure
-
Cellulitis: Inpatient admission, drainage of abscess, IV antibiotics, close observation for visual detrioration
-
Systemic steroids for thyroid disease, capillary hemangioma
-
Orbital decompression if optic nerve compression
-
Surgical removal of tumors if appropriate
-
Irradiation (Graves disease, lymphoid tumors, lacrimal gland tumors)
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Exophthalmos:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Eye trauma may require cold compresses for the first 24 hours, followed by warm compresses, and prophylactic antibiotic therapy. After edema subsides, surgery may be necessary in a small percentage of cases. Eye infection requires treatment with broad-spectrum antibiotics during the 24 hours preceding positive identification of the organism, followed by specific antibiotics. A patient with exophthalmos resulting from an orbital tumor may initially benefit from antibiotic or corticosteroid therapy. Eventually, surgical exploration of the orbit and excision of the tumor, enucleation, or exenteration may be necessary. Radiation and chemotherapy may be used when primary orbital tumors can’t be fully excised as encapsulated lesions, such as in rhabdomyosarcoma lesions.
Treatment for Graves’ disease may include antithyroid drug therapy or partial or total thyroidectomy to control hyperthyroidism; initial high doses of systemic corticosteroids, such as prednisone, for optic neuropathy and, if lid retraction is severe, protective lubricants.
Surgery may include orbital decompression (removal of the superior and lateral orbital walls) if vision is threatened, followed by lid (blepharoplasty) and muscle surgery.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Non-Hodgkin's lymphoma:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Radiation therapy is used mainly in the early localized stage of the disease. Total nodal irradiation is generally effective for both nodular and diffuse histologies.
Chemotherapy is most effective with multiple combinations of antineoplastic agents. For example, cyclophosphamide, vincristine, Adriamycin, and prednisone can induce a complete remission in 70% to 80% of patients with nodular histology and in 20% to 55% of patients with diffuse histology. Other combinations — such as methotrexate, bleomycin, Adriamycin, Cytoxan, Oncovin, and prednisone (M-BACOP) — induce prolonged remission and sometimes cure the diffuse form.
In recent years, the development of monoclonal antibodies, specifically rituximab, has provided additional options for the treatment of non-Hodgkin's lymphomas either alone or in combination with traditional chemotherapy regimens. Additionally, radioimmunotherapy for the treatment of these lymphomas has shown promise. Monoclonal antibodies are labeled with beta-emitting isotopes. Currently, ibritumomab tiuxetan is being used alone and in combination with rituximab.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Thyroiditis:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Appropriate treatment varies with the type of thyroiditis. Drug therapy includes levothyroxine for accompanying hypothyroidism, analgesics and anti-inflammatory drugs for mild subacute granulomatous thyroiditis, propranolol for transient hyperthyroidism, and steroids for severe episodes of acute inflammation. Suppurative thyroiditis requires antibiotic therapy. A partial thyroidectomy may be necessary to relieve tracheal or esophageal compression in Riedel’s thyroiditis.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Thyroid cancer:
Treatment
(Professional Guide to Diseases (Eighth Edition))
❑Total or subtotal thyroidectomy, with modified node dissection (bilateral or unilateral) on the side of the primary cancer (papillary or follicular cancer)
❑Total thyroidectomy and radical neck excision (for medullary, giant, or spindle cell cancer)
❑Radiation (131I) with external radiation (for inoperable cancer and sometimes postoperatively in lieu of radical neck excision) or alone (for metastasis)
❑Adjunctive thyroid suppression, with exogenous thyroid hormones suppressing TSH production, and simultaneous administration of an adrenergic blocking agent such as propranolol, increasing tolerance to surgery and radiation
❑Chemotherapy for symptom-producing, widespread metastasis is limited, but doxorubicin is sometimes beneficial.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Simple goiter:
Treatment
(Professional Guide to Diseases (Eighth Edition))
The goal of treatment is to reduce thyroid hyperplasia. Exogenous thyroid hormone replacement with levothyroxine is the treatment of choice; it inhibits TSH secretion and allows the gland to rest. Small doses of iodide (Lugol’s or potassium iodide solution) commonly relieve goiter that’s due to iodine deficiency. Sporadic goiter requires avoidance of known goitrogenic drugs and foods. A large goiter that’s unresponsive to treatment may require subtotal thyroidectomy.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Thyroid enlargement:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Instruct the patient to watch for signs and symptoms of hypothyroidism, such as lethargy, restlessness, dry skin, and sensitivity to cold. Advise the patient with Graves’disease to use artificial tears frequently if proptosis causes his eyes to become dry. If the hyperthyroid patient is receiving therapy with radioactive iodine, tell him not to expectorate or cough freely after treatment because his saliva is radioactive for 24 hours.
Inform the patient that lifelong thyroid hormone replacement therapy is necessary after thyroidectomy or radioactive destruction of the thyroid gland. Tell him to watch for signs of an overdose, such as nervousness and palpitations.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Thyroiditis:
Treatment
(Handbook of Diseases)
Appropriate treatment varies with the type of thyroiditis. Drug therapy includes levothyroxine for accompanying hypothyroidism, analgesics and anti-inflammatory drugs for mild subacute granulomatous thyroiditis, propranolol for transient thyrotoxicosis, and ster-oids for severe episodes of acute inflammation. Suppurative thyroiditis requires antibiotic therapy.
A partial thyroidectomy may be necessary to relieve tracheal or esophageal compression in Riedel’s thyroiditis.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Thyroid cancer:
Treatment
(Handbook of Diseases)
❑ Total or subtotal thyroidectomy, with modified node dissection (bilateral or unilateral) on the side of the primary cancer (papillary or follicular cancer)
❑ Total thyroidectomy and radical neck excision (for medullary, giant, or spindle cell cancer)
❑ Radiation (with or without surgery)
❑ Adjunctive thyroid suppression, with exogenous thyroid hormones suppressing thyrotropin production, and simultaneous administration of an adrenergic blocking agent such as propranolol, increasing tolerance to surgery and radiation
❑ Chemotherapy for symptomatic, widespread metastasis is limited, but doxorubicin is sometimes beneficial.
UNDER STUDY: Researchers are excited about recent advancements in the treatment of thyroid cancer:
❑ Researchers have identified the genetic cause of medullary thyroid carcinoma, which makes it possible to identify carriers of the abnormal gene.
❑ Improvements in imaging studies have proven helpful in the treatment of patients who present with clinically challenging conditions such as the presence of antithyroglobulin antibodies.
❑ New treatments such as the use of agents to improve iodine uptake in follicular cell tumors are in early investigation.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Chronic fatigue and immune dysfunction syndrome:
Treatment
(Handbook of Diseases)
Treatment is aimed at the cause, if one can be found. Supportive therapy includes an anti-inflammatory, an antihistamine, and rest.
Treatment of symptoms may include a tricyclic antidepressant (doxepin), a histamine2-blocker (cimetidine), and an anxiolytic (alprazolam). In some patients, avoidance of environmental irritants and certain foods may help to relieve symptoms.
Experimental treatments include the antiviral acyclovir and selected immunomodulators, such as I.V. gamma globulin, ampligen, and transfer factor.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Goiter:
Treatment
(Handbook of Diseases)
The goal of treatment is to reduce thyroid hyperplasia. The following measures are used:
❑ Exogenous thyroid hormone replacement with levothyroxine is the treatment of choice; it decreases TSH secretion and allows the gland to rest. (See Patient instructions in goiter.)
❑ Small doses of iodine (Lugol’s or potassium iodide solution) commonly relieve goiter caused by iodine deficiency. Sporadic goiter requires avoidance of known goitrogenic drugs and foods.
❑ A large goiter that’s unresponsive to treatment may require subtotal thyroidectomy.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Exophthalmos:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Teach the patient to protect his eyes from trauma and to avoid exposure to wind and dust. Demonstrate how to apply lubricants to prevent corneal drying. Encourage the patient to verbalize his feelings about changes in body image.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Thyroid enlargement:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Instruct the patient to watch for signs and symptoms of hypothyroidism, such as lethargy, restlessness, dry skin, and sensitivity to cold. If the patient has Graves’disease, proptosis may cause his eyes to become dry, so advise him to use artificial tears frequently. If the hyperthyroid patient is receiving therapy with radioactive iodine, tell him not to expectorate or cough freely after treatment because his saliva is radioactive for 24 hours. If the patient has a goiter, support him as he expresses his feelings related to his appearance.
After thyroidectomy or radioactive destruction of the thyroid gland, explain to the patient that lifelong thyroid hormone replacement therapy is necessary. Tell him to watch for signs of overdose, such as nervousness and palpitations.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Thyroid enlargement:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Prepare the patient for diagnostic tests, which may include needle aspiration, ultrasound, and radioactive thyroid scanning.
▪ Prepare the patient for surgery or radiation therapy, if necessary.
▪ Provide specific interventions, depending on whether the patient is hypothyroid or has thyroiditis.
▪ Provide postoperative care for the patient who has undergone thyroidectomy.
Patient teaching
▪ Explain the underlying disorder and treatment plan.
▪ Explain the signs and symptoms of hypothyroidism to report.
▪ Explain posttreatment precautions to the patient undergoing radioactive iodine therapy.
▪ Teach thyroid hormone replacement therapy and signs of thyroid hormone overdose to report.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Exophthalmos [Proptosis]:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Because exophthalmos usually makes the patient self-conscious, provide privacy and emotional support.
▪ Protect the affected eye from trauma, especially drying of the cornea.
▪ Don't place a gauze eye pad or other object over the affected eye; removal could damage the corneal epithelium.
▪ If necessary, refer him to an ophthalmologist for a complete examination.
▪ Prepare the patient for blood tests, such as a thyroid panel and a white blood cell count.
Patient teaching
▪ Teach ways to protect the eye from trauma, wind, and dust.
▪ Discuss the proper application of lubricants to the eye.
▪ Explain the underlying cause of the patient's exophthalmos and its treatment.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Goiter:
Goiter - TREATMENT
(The 5-Minute Pediatric Consult)
Possible conflicts: In manic-depressive patients on lithium and cardiac patients on amiodarone, medication-induced thyroid abnormalities can be a significant problem that should be addressed by the endocrinologist and appropriate subspecialist.
» READ BOOK EXCERPT ONLINE »
Source: The 5-Minute Pediatric Consult, 2008
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