Foot and Ankle International
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presents
Wheeless' Textbook of Orthopaedics

Hyperthyroidism



- See:
    - Thyroid Panel
    - Ortho Changes
    - Thyroid Storm:

- Hyperthyroidism, Chronic Rx:
    - Long term Rx:
          - PTU: initially: 150mg PO q8hr; (max 1200mg/day)
          - Methimazole (Tapazole) in PO form;
              - starting dose for Methimazole (5-10mg tabs) is 10mg PO q8hr
                    w/ doses upto 90mg/day sometimes needed;
              - because they work by inhibiting synthesis, may take upto
                    2-3wks for effects, & normalization in 6 wks;



Original Text by Clifford R. Wheeless, III, MD.