Thyroiditis: treatments

The treatments for thyroiditis depend on the cause, and clinical manifestations in the patient.

Treatments of hypothyroidism

When there is hypothyroidism, which is quite common in chronic autoimmune thyroiditis such as Hashimoto's thyroiditis, the treatment requires a substitution of the thyroid hormone missing, namely Thyroxine-Levothyrox®.

If the patient has mild insufficiency, 50 to 75 μg per day of Thyroxine are sufficient. The average dose administered in the event of a greater dysfunction is 1.6 μg / kg of body weight. Once the appropriate dosage is established, it is advisable to maintain regular clinical and biological monitoring (1-2 times per year).

For chronic hypothyroidism, hormonal treatment should be continued throughout life. In general, there is spontaneous healing during De Quervain's subacute thyroiditis but this can be long.

  • Read also: Levothyrox: The old formula of the controversial drug back in pharmacy

Treatment of hyperthyroidism

When patients experience symptoms of hyperthyroidism, synthetic antithyroid drugs, such as carbimazole (Neomercazole®) or thiamazole (Thyrozol®), are used to decrease thyroid hyperfunction.

Drugs to control the associated symptoms may also be prescribed, such as beta-blockers (as indicated in the person with asthma) in front of palpitations or anxiolytics in case of marked stress / agitation.

Rest is also prescribed. The majority of patients must take thyroxine during the phase of temporary hypothyroidism following hyperthyroidism.

Other treatments

In case of pain and severe inflammation, aspirin, anti-inflammatory drugs or corticosteroids may be prescribed for a period of two to three weeks.

For postpartum thyroiditis, transient hyperthyroidism rarely justifies treatment other than beta-blockers to reduce heart palpitations.

For acute infectious thyroiditis, antibiotic therapy is prescribed to control the bacterial infection.

Fibrous thyroiditis, on the other hand, may have only surgical treatment.

In parallel with this medical treatment, made by your doctor or an endocrinologist, there are some preventive measures. It is important to know that tobacco reduces the effectiveness of treatments for thyroid diseases and impairs the uptake of iodine by the thyroid gland. A smoking cessation is strongly recommended, do not hesitate to talk to a professional.

Understanding your illness is part of treatment and care. If you have any questions or uncertainties about your doctor.

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