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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Padmanabhan, Hema |
| Description | Country affiliation: United States Author Affiliation: Padmanabhan H ( Department of Medicine, Endocrine Section, Veterans Affairs Medical Center, 1970 Roanoke Boulevard, Salem, VA 24153, USA. ramayana48@hotmail) |
| Abstract | Amiodarone is a potent antiarrhythmic drug associated with thyroid dysfunction. Its high iodine content causes inhibition of 5'-deiodinase activity. Most patients remain euthyroid. Amiodarone-induced thyrotoxicosis (AIT) or amiodarone-induced hypothyroidism (AIH) may occur depending on the iodine status of individuals and prior thyroid disease. AIT is caused by excess iodine-induced thyroid hormone synthesis (type I AIT) or by destructive thyroiditis (type II AIT). If the medical condition allows it, discontinuation of the drug is recommended in type I AIT. Otherwise, large doses of thioamides are required. Type II AIT is treated with corticosteroids. Mixed cases require a combination of both drugs. Potassium perchlorate has been used to treat resistant cases of type I AIT but use is limited by toxicity. Thyroidectomy, plasmapheresis, lithium, and radioiodine are used in select cases of AIT. AIH is successfully treated with levothyroxine. Screening for thyroid disease before starting amiodarone and periodic monitoring of thyroid function tests are advocated. |
| File Format | HTM / HTML |
| ISSN | 00384348 |
| Issue Number | 9 |
| Volume Number | 103 |
| e-ISSN | 15418243 |
| Journal | Southern Medical Journal |
| Language | English |
| Publisher | Lippincott Williams & Wilkins (for the Southern Medical Association) |
| Publisher Date | 2010-09-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Medicine Amiodarone Adverse Effects Anti-arrhythmia Agents Hypothyroidism Chemically Induced Thyrotoxicosis Administration & Dosage Pharmacokinetics Antithyroid Agents Therapeutic Use Continuity Of Patient Care Glucocorticoids Hormone Replacement Therapy Humans Diagnosis Therapy Iodine Radioisotopes Methimazole Perchlorates Plasmapheresis Risk Factors Thyroid Gland Thyroid Hormones Blood Thyroidectomy Classification Thyroxine Ultrasonography Journal Article Review |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
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