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Registered users can submit a thread (each thread is a single question) on any autoimmune, thyroid or health-related topic – including questions about your pet! Questions will be answered by Elaine Moore.  Because this is not a community forum, members will not be able to reply to threads once questions are asked and answered. Questions may be edited for brevity and grammar. If you need technical help, contact Admin.

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 3/9/2010 11:30 AM
 
LISAD
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Joined: 7/9/2009
Posts: 6

Diagnosed with GD 10/08 & have been on methimazole since then (started at 20 mg & now down to 5 mg). Have been on 5 mg for quite awhile & have felt okay - FT4 has been in range for last several mos. I have been experiencing A LOT of stress lately & am now feeling hyper again (anxious, heart pounding, shaking hands, etc). I'm tempted to just increase my methimazole slightly (maybe go to 7.5 or 10) to see if this help me feel better. What would you suggest?

Also I've always taken my methimazole at night before I go to bed, but I read somewhere that it might be more effective to break it out & take 1/2 at night & 1/2 in morning to evenly spread it out. Do you think that makes a difference?

Thanks VERY much for your help!!!
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 3/9/2010 10:45 PM
 
Elaine
1st Level Poster

Joined: 8/1/2008
Posts: 1683

Hi Lisa,

It's better to divide your methimazole or PTU dose. When you're on a high dose usually the dose is divided into 3, taking 1/3 every 8 hours. When you're on a lower dose, like your 5 mg MMI, it's better to take 1/2 every 12 hours. Since MMI doesn't last 24 hours you end up with lower levels during the afternoon and evening when your dose is wearing off taking it only at night.

I'd call your doctor and mention new symptoms and see if you can have outpatient labs drawn before increasing your dose. You're probably right, but since anxiety and palpitations can also occur in hypothyroidism it'd be better to see what your lab results look like first. Some patients are given beta blockers to be used as needed when transient symptoms occur. Best to you, Elaine

 
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