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BNSSG Adult Joint Formulary
6.9 Thyroid disorders
Last edited: 01-02-2024
6.9.1 Hyperthyroidism
First line drugs |
Second line drugs |
Specialist drugs |
Secondary care drugs |
Antithyroids
Recommended: (TLS Green)
Carbimazole
Alternative: (TLS Blue)
Propylthiouracil
Specific indication:
Propranolol (TLS Blue)
- Relief of thyrotoxic symptoms
Atenolol (TLS Blue)
- Relief of thyrotoxic symptoms
Aqueous Iodine Oral Solution (Lugol's Solution) (TLS Red)
- Thyrotoxicosis (crisis and pre-operatively)
6.9.2 Hypothyroidism
Thyroid hormones
The metabolism of some drugs may be altered in hyperthyroidism - seek specialist advice
Recommended: (TLS Green)
Levothyroxine
Specialist use only (TLS Red)
Liothyronine
- Hypothyroid coma / rapid response desired
- Approved for maintenance therapy in combination with levothyroxine for patients with severe thyroid deficiency, including patients with thyroid cancer, in compliant T-4-treated patients who have persistent complaints despite reference range serum TSH, provided they have received adequate chronic disease support and associated autoimmune diseases have been ruled out
- Non-formulary as monotherapy
- NHSE Liothyronine – advice for prescribers
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