Silent thyroiditis medical therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S [2]

Overview

Pharmacologic medical therapies for silent thyroiditis include beta blockers for thyrotoxicosis symptoms and levothyroxine for the hypothyroidism if it follows the hyperthyroid state.

Medical Therapy

The drugs used in the treatment of silent thyroiditis are:^[1]^[2]^[3]

For thyrotoxic symptoms
- Preferred regimen (1): atenolol: 25-200mg per day orally
- Preferred regimen (2): metoprolol: 25-200mg per day orally
For hypothyroidism
Preferred regimen (1): Synthetic levothyroxine (L-T4): 1.6–1.8 μg/kg per day orally

References

↑ Samuels MH (2012). “Subacute, silent, and postpartum thyroiditis”. Med. Clin. North Am. 96 (2): 223–33. doi:10.1016/j.mcna.2012.01.003. PMID 22443972.
↑ Schubert MF, Kountz DS (1995). “Thyroiditis. A disease with many faces”. Postgrad Med. 98 (2): 101–3, 107–8, 112. PMID 7630839.
↑ Singer PA (1991). “Thyroiditis. Acute, subacute, and chronic”. Med. Clin. North Am. 75 (1): 61–77. PMID 1987447.

Overview