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What is the recommended treatment for hyperthyroidism?

Answer

The recommended treatment for hyperthyroidism depends on the underlying cause and the patient's specific circumstances. The main treatment options include antithyroid drugs, radioactive iodine therapy, and surgery
2
Guidelines

2.

Management of Graves' disease

Pathway
ATA 2016
.

Antithyroid drugs

Radioactive iodine therapy

Surgery

Other considerations

  • Subclinical hyperthyroidism: Treatment is recommended for subclinical hyperthyroidism when TSH is persistently < 0.1 mU/L in certain clinical settings, such as patients ≥ 65 years of age, patients with cardiac risk factors, heart disease or osteoporosis, postmenopausal women who are not on estrogens or bisphosphonates, and patients with symptoms
  • Potassium iodide: There is insufficient evidence to recommend potassium iodide for the treatment of hyperthyroidism. However, it may be of benefit in select patients with hyperthyroidism due to Graves' disease, those who have adverse reactions to antithyroid drugs, and those who have a contraindication or aversion to radioactive iodine therapy or surgery

In summary, the recommended treatment for hyperthyroidism involves a tailored approach based on the underlying cause and the patient's individual circumstances. The main treatment options—antithyroid drugs, radioactive iodine therapy, and surgery—are selected considering factors such as the type of hyperthyroidism, patient age, comorbidities, and preferences.

References

1

Thyroid storm

Medical management

Guidelines

Pharmacotherapy, antithyroid drugs

Pathway
JES/.../JTA 2016