synthetic thyroid hormone drugs
levothyroxine, liothyronine
levothyroxine mechanism of action
synthetic T4
levothyroxine clinical uses
hypothyroidism, myxedema coma, weight loss
levothyroxine side effects
toxicity (overdose) –> hyperthyroidism
liothyronine mechanism of action
synthetic T3
liothyronine clinical uses
hypothyroidism, myxedema coma, weight loss
DOCs for hypothyroidism
levothyroxine, liothyronine
thioamides
methimazole, propylthiouracil (PTU)
methimazole mechanism of action
inhibits thyroid peroxidase and iodide organification
methimazole and propylthiouracil mechanism of action
inhibits thyroid peroxidase and iodide organification, inhibits converstion of T4 to T3
methimazole clinical use
hyperthyroidism (DOC in pregnant pts after first trimester)
propylthiouracil clinical use
hyperthyroidism (DOC in first trimester pregnant pts)
methimazole side effects
teratogen*, rash, agranulocytosis, aplastic anemia
propylthiouracil side effects
severe hepatitis*, rash, agranulocytosis, aplastic anemia
beta-blocker
propranolol
propranolol mechanism of action
inhibits conversion of T4 to T3
propranolol clinical uses
hyperthyroidism, thyroid storm
corticosteroid drugs
glucocorticoids
glucocorticoids mechanism of action
modulate conversion of T4 to T3
glucocorticoids clinical uses
thyroid storm, opthalmopathy associated with hyperthyroidism
drugs used for hypothyroidism
levothyroxine, liothyronine
drugs used for hyperthyroidism
methimazole (1st DOC), propylthiouracil, propranolol, glucocorticoids
drugs used for thyroid storm
propranolol (1st DOC), glucocorticoids
increased dose of levothyroxine is required in ____
pregnancy (b/c TBG is high in pregnant = less free T4)