E06.0-5/E06.9
Toxic phase lasts up to 3 months.
MEDICINE TREATMENT
ß–blockers
Used to counteract excessive sympathetic symptoms, e.g. palpitations.
Dose is titrated according to the heart rate.
Give for 2–4 weeks.
- ß–blocker, e.g.:
- Atenolol, oral, 50 mg daily
- Titrate according to symptom control up to 100 mg daily.
For painful subacute thyroiditis (De Quervain’s): E06.1
- NSAID, e.g.:
- Ibuprofen, oral, 400 mg 8 hourly with meals.
AND
- Corticosteroids (intermediate-acting) e.g.:
- Prednisone, oral, 40 mg daily (Specialist consultation).