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Posted On : 18 Mar 2021

How to monitor hypothyroidism patients after starting drugs by laboratory investigation. Patient after starting drug 6 months later, TSH normal, T3 normal, T4 slightly elevated. Patient of 10 years on 25 ug thyroxine. What should be action?

Expert Answer :

Answer Discussion :

M

M W HAQUE

0

Dose may decrease to 12.5 ug of Thyroxine and follow up after 8 weeks with report

3 years ago

D

Deepanwita Ray

0

continue same dose and follow up

3 years ago

A

Ahmed Elwan

0

continue same dose with follow up

3 years ago

E

Ebtihal Khalid

0

continue with the same dose and follow him .

3 years ago

A

Asif Memon

1

Decrease dose of thyroxin

3 years ago

Answer 1

Juvenile hypothyroid patients once stable can be invested once in 6 months. Congenital hypothyroid patients need 2-3 monthly tests in infancy and 6 monthly after the first 3 years.
The patient must have done a test after taking the tablet. From the tests that you have provided keep giving the same dose.

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