Thyroid diseases have become more and more common in recent years. Not to mention thyroid cancer, even some benign thyroid diseases, such as hyperthyroidism, hypothyroidism, nodular goiter or thyroiditis, are enough to make us depressed for a long time.
If the doctor says, “You don’t need to take medicine for this disease, just observe it regularly!” ] We may feel like we have a time bomb in our body, desperately trying to find some medicine to take.
If the doctor says, “You can’t cure this disease with the existing treatment methods, you can only take medicine for a long time to control the disease.” We may not give up and ask around for a cure.
It is precisely by taking advantage of people’s eagerness after illness that various informal hospitals take advantage of the situation and shout [there is no disease that cannot be cured here] and sell various [specific drugs] to cheat money.
In fact, there are only a few regular drugs for thyroid diseases. Today we will talk about which drugs should be taken to help everyone avoid traps and recover as soon as possible.
Benign nodules do not require medicine.
Definitely diffuse nodular goiter caused by iodine deficiency can be treated by iodine supplement. In addition, other types of benign thyroid nodules have no specific drug treatment.
Some patients may hear that oral administration of levothyroxine can reduce nodules, but in fact the curative effect is not good, and for patients with normal thyroid function, oral administration of levothyroxine will increase the heart burden and have the risk of causing heart disease.
Therefore, benign thyroid nodules do not need to take medicine, only need regular review. If a friend or doctor recommends you a specific drug to eliminate thyroid nodules, please think twice before [taking].
In fact, benign nodules are almost harmless to the body, why can’t you try to get along with them?
Malignant nodules usually require surgery.
Malignant thyroid nodules generally need surgical treatment and cannot be cured by oral drugs at present.
If it is a thyroid malignant tumor with high malignant degree and complicated condition, it needs to undergo special chemotherapy or combined radiotherapy first, and then decide whether to operate according to the specific situation. At present, the commonly used chemotherapy drugs are mostly targeted drugs, such as sorafinib, pazotinib, vandertanyl, carbotinib, etc.
Of course, most thyroid cancers belong to the type with low malignancy and relatively good prognosis. There is only one regular drug recommended to such patients, which is levothyroxine, which is taken after operation.
If complications such as hypocalcemia or voice changes occur after operation, calcium, vitamin D, vitamin B, etc. can be supplemented according to specific symptoms.
Hypothyroidism Please Identify Thyroxine
Thyroxine is the only recommended drug for hypothyroidism. Among them, levothyroxine tablets are the most commonly used, and dry thyroid tablets can also be selected.
A few patients with levothyroxine have poor curative effect and can be treated with thyroid hormone or thyroid hormone analogues.
Hyperthyroidism mainly depends on MMI and PTU
There are two main drugs for the treatment of hyperthyroidism-methimazole (MMI) and propylthiouracil (PTU). In addition, there are some commonly used auxiliary drugs, such as iodine, lithium preparation, glucocorticoid, receptor blocker (such as propranolol), etc.
If liver function damage, leukopenia, drug allergy and other conditions occur, liver protection, leukocytosis and antiallergic drugs can be added according to the specific conditions.
Due to the long course of treatment, side effects and easy recurrence of oral drugs, the acceptance of iodine 131 therapy is getting higher and higher.
Friends of hyperthyroidism had better decide whether to choose drugs, iodine 131 or surgical treatment under the guidance of doctors and according to their specific conditions.
Hashimoto’s thyroiditis does not have to take medicine.
Hashimoto’s thyroiditis is the most common cause of hypothyroidism, but not every Hashimoto patient will develop hypothyroidism.
If there is no hypothyroidism, Hashimoto’s thyroiditis does not need to take medicine, but only needs to review thyroid function every 6-12 months.
After hypothyroidism occurs, thyroxine is recommended according to the treatment principle of hypothyroidism.
Subacute thyroiditis may require hormone
Subacute thyroiditis (subacute thyroiditis) is a self-limited disease, which means that it can improve itself even if it is not treated. Most people can completely recover, and very few people will become permanent hypothyroidism.
Although subthyroidism is self-limited, the process of illness is relatively painful. Severe cases may have fever, neck pain, even toothache, ear pain, headache, and hyperthyroidism symptoms such as palpitation, hand shaking and fear of heat.
Therefore, the treatment of subarthritis is mainly to diminish inflammation, relieve pain, reduce fever, control heartbeat and relieve pain.
- Patients with mild symptoms do not need treatment. Patients with severe symptoms can take anti-inflammatory and analgesic drugs (such as aspirin, ibuprofen, naproxen, etc.); Glucocorticoids (such as prednisone) can be used for patients who fail to take anti-inflammatory and analgesic drugs. Patients with palpitations and shaking hands can take receptor blockers (such as propranolol).
Finally, the relevant drugs are summarized into a table for your reference and reference:
The above-mentioned drugs are the best therapeutic drugs confirmed by a large number of scientific studies at present, and are the drugs certified and recommended by the thyroid disease diagnosis and treatment guidelines of various countries.
There are certainly more thyroid-related drugs on the market, but whether it is necessary to eat them and whether they are eating them correctly, we still need to keep our eyes open.
In addition, some patients feel comfortable and in a good mood after taking certain drugs or health care products, so they can continue to take them. However, the premise must be not to delay the illness or harm the body! Of course, it is best to consult a professional and regular doctor before taking these drugs.