Antithyroid drugs, which have been in use for more than halfa century, remain cornerstones in the management of hyperthyroidism,especially for patients with Graves' disease. Surveys of thyroidologistsfrom the early 1990s indicate that most practitioners considerantithyroid drugs the treatment of choice for most young peoplewith Graves' disease, both in the United States and in the restof the world.1,2 A substantial amount of new information, muchof it evidence-based,3 has become available since the topicwas last summarized in the Journal in 1984.4 The present reviewconsiders recent pharmacologic and clinical data related tothe use . . . [Full Text of this Article]
Pharmacology
Mechanism of Action
Clinical Pharmacology
Clinical Use of Drugs
Choice of Drugs
Practical Considerations
Remission
Discontinuation of Drug Treatment
Side Effects
Use of Antithyroid Drugs during Pregnancy and Lactation
Thyroid Storm
Summary
Source Information
From the Division of Endocrinology, Sinai Hospital of Baltimore, the Johns Hopkins University School of Medicine, Baltimore.
Address reprint requests to Dr. Cooper at the Division of Endocrinology, Sinai Hospital of Baltimore, 2401 W. Belvedere Ave., Baltimore, MD 21215, or at dcooper@lifebridgehealth.org.
Related Letters:
Antithyroid Drugs
Goichot B., Vinzio S., Lubin E., Nebesio T. D., Eugster E. A., Admiraal P. J.J., Cooper D. S.
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N Engl J Med 2005;
352:2246-2247, May 26, 2005.
Correspondence
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