MedPharm || طبصيدلة

T.R is 32 years old patient with history of Hashimoto's disease, she is maintained on thyraxin 75 mcg daily, she was presented to the emergency department with hypothermia, reduced level of consciousness, bradycardia and periorbital puffiness What is the best management plan?

Elderly female patient with a history of Grave's disease, treated with radioactive lodine previously, presented with symptoms of heat intolerance and weight loss. Her laboratory values show a reduction in TSH and an abnormally high T4. What is the best treatment recommendation right now?

R.P is 45 years old female with History of Hypertension and Arrhythmia and she is now maintained on Valsartan and Amiodarone with bisoprolol, she is now experiencing new symptoms like cold intolerance, weight gain, fatigue and hair loss. Her doctor told her that she may have thyroid issue due to amiodarone. What is the most likely effect of amiodarone on thyroid gland?

A 45-year-old woman has received a diagnosis of Graves' disease. She is reluctant to try ablative therapy and wants to attempt oral pharmacotherapy first. Her thyroid laboratory values today include TSH 0.25 mlU/L. (normal 0.5-4.5 mlU/L) and a free T4 concentration of 3.6 ng/dl. (normal 0.8-1.9 ng/dl), She is anxious and always feels warm when others say it is too cold. Which would be considered the best drug for initial treatment of her condition?