carbimazole dosage - Question and Answer Forum - Elaine Moore Graves' Disease and Autoimmune Disease Education

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Wednesday, February 08, 2012

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THE Q & A

Welcome to The Q&A with Elaine Moore. Registered members are invited to ask any question of Elaine Moore on autoimmune diseases, Graves' disease, other thyroid diseases and subconditions, laboratory work, traditional and complementary medicine, triggers and environmental influences, thyroid and immune disorders in pets and animals, and other relevant areas of inquiry.

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Questions are answered solely by Elaine Moore, a medical writer and clinical laboratory scientist, MT, CLS, with more than 30 years of experience in immunology. Moore has also authored and edited over a dozen books in the area of health sciences and is an editor for McFarland Publisher's Health Topics Series.

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The Q & A with Elaine Moore

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7/1/2010 10:32 AM

Jeremy

Joined: 5/11/2010

Posts: 12

carbimazole dosage

Elaine,

Thanks for your reply. If Ft4 and Ft3 is mid to high normal range, and there is undetectable TSH and positive for TSI antibody, is it correct that i do not have to adjust my 10mg Carbimazole medicine? My TSI is 157%.

How abt if a person have undetectable TSH and no TSI antibody, Ft4/Ft3 normal, will you up the ATD medicine to increase the TSH?

7/6/2010 12:31 PM

Elaine

Joined: 8/1/2008

Posts: 3174

Re: carbimazole dosage

Hi Jeremy,

Yes, it's correct that you wouldn't change your ATD dose if FT4 and FT3 are optimal and TSH is low unless you're on your initial starting dose of meds. If you started meds around 6-8 weeks ago and had high thyroid hormone levels when you started out, you'd now lower the dose slightly.

If TSH is low and thyroid levels are normal and there's no TSI, this would be subclinical hyperthyroidism. If you started out like this, meds wouldn't usually be used. If you've been on meds and these are your levels now, you would Not increase your dose to get TSH to rise. Your thyroid status in Graves' is dependent on your FT4 level. If it's normal you're considered euthyroid (normal thyroid function) regardless of TSH. If you increased your ATD dose, your thyroid hormone levels would likely fall too low. best, elaine

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