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Effect of pretreatment with carbimazole on early outcome following radio-iodine (131I) therapy

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Abstract

Of a group of 55 thyrotoxic patients given therapeutic radio-iodine (131I), 24 were made euthyroid with carbimazole before131I: the remainder were given131I alone. Carbimazole was discontinued 5 days before131I was administered. By 3 months after131I treatment there was a greater incidence of hypothyroidism in the group given131I alone (42% vs 25%), but a lower incidence of persistent thyrotoxicosis (16% vs 46%), (P>0.05). One year after treatment a similar proportion of each group had persistent thyrotoxicosis (21% vs 23%), but there remained a lower incidence of hypothyroidism in the group pretreated with carbimazole (25% vs 45%). It is suggested that pretreatment with carbimazole reduces the degree of radiation induced thyroid damage.

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References

  • Aro A, Huttenen JK, Lamberg BA, Pelkonen R, Ikkala E, Kuusisto A, Rissanen V, Salmi J, Tervonen S (1981) Comparison of propranolol and carbimazole as adjuncts to iodine—131I therapy of hyperthyroidism. Acta Endocrinol 96:321–327

    Google Scholar 

  • Beierwaltes WH (1978) The treatment of hyperthyroidism with iodine—131I. Semin Nucl Med 8:95–103

    Google Scholar 

  • Bliddal H Hansen JM, Rogowski P, Johansen K, Friis T, Siersbaek-Neilsen K (1982)131I treatment of diffuse and nodular toxic goitre with or without antithyroid agents. Acta Endocrinol 99:517–521

    Google Scholar 

  • Brown MC, Spencer R (1978) Thyroid gland volume estimated by use of ultrasound in addition to scintigraphy. Acta Radiol 17:337–341

    Google Scholar 

  • Buchanan WW, Koutras DA, Crooks J, Harden RM (1965) A comparison of pretreatment with potassium perchlorate and methylthiouracil on results of131I therapy. Br J Radiol 38:536–540

    Google Scholar 

  • Connell JMC, McCruden D, Hilditch TE, Alexander WD (1983) Transient hypothyroidism following radioiodine therapy. Br J Radiol 56:309–313

    Google Scholar 

  • Crooks J, Buchanan WW, Wayne EJ, McDonald E (1960) Effect of pretreatment with methylthiouracil on results of131I therapy. Br Med J 1:157–154

    Google Scholar 

  • Goolden AWG, Fraser TR (1969) Effect of pretreatment with carbimazole in patients with thyrotoxicosis subsequently treated with radioactive iodine. Br Med J 3:443–444

    Google Scholar 

  • Harden RM, Alexander WD, Koutras DA, Harrison MT, Wayne E (1966) Quantitative studies of iodine metabolism after long term treatment of thyrotoxicosis with antithyroid drugs. J Clin Endocrinol Metab 26:397–401

    Google Scholar 

  • Marchant B, Lees JH, Alexander WD (1978) Antithyroid drugs. Pharmacol Ther 3:305–348

    Google Scholar 

  • McGregor AM, Peterson MM McLachlan SM, Roolxe PR, Rees-Smith B, Hall R (1980) Carbimazole and the autoimmune response in Graves' diseases. N Engl J Med 303:302–307

    Google Scholar 

  • Phil A, Eldjarn L (1958) Pharmacological aspects of ionising radiation and of chemical protection in mammals. Pharmacol Rev 10:437–474

    Google Scholar 

  • Steinbach JJ, Donoghue GD, Goldman JK (1979) Simultaneous treatment of toxic diffuse goitre with131I and antithyroid drugs: A prospective study.J Nucl Med 20:1263–1267

    Google Scholar 

  • Wilson GM (1976) The treatment of thyrotoxicosis by radioiodine. Pharmacol Ther 1:101–118

    Google Scholar 

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Connell, J.M.C., Hilditch, T.E., McCruden, D.C. et al. Effect of pretreatment with carbimazole on early outcome following radio-iodine (131I) therapy. Eur J Nucl Med 9, 464–466 (1984). https://doi.org/10.1007/BF00563170

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  • DOI: https://doi.org/10.1007/BF00563170

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