Thyroid Meds, HRT, Steroids. Thyroid Meds Cretinism from childhood iodine deficiency leading to...

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Thyroid Meds, HRT, Steroids

Transcript of Thyroid Meds, HRT, Steroids. Thyroid Meds Cretinism from childhood iodine deficiency leading to...

Page 1: Thyroid Meds, HRT, Steroids. Thyroid Meds Cretinism from childhood iodine deficiency leading to underactive thyroid gland In adults, hypothyroidism common.

Thyroid Meds, HRT, Steroids

Page 2: Thyroid Meds, HRT, Steroids. Thyroid Meds Cretinism from childhood iodine deficiency leading to underactive thyroid gland In adults, hypothyroidism common.

Thyroid Meds

• Cretinism from childhood iodine deficiency leading to underactive thyroid gland

• In adults, hypothyroidism common post partum leading to weight gain, lethargy

• Low iodine in adults also leads to goiter• Graves disease is OVER active thyroid

(hyperthyroidism)

Page 3: Thyroid Meds, HRT, Steroids. Thyroid Meds Cretinism from childhood iodine deficiency leading to underactive thyroid gland In adults, hypothyroidism common.

For underactive thyroid

• Usually for females, gaining weight post partum and middle aged, slow metabolisms

• Also due to excessive radiation so guard neck areas in x rays!

• Commonly under diagnosed

Page 4: Thyroid Meds, HRT, Steroids. Thyroid Meds Cretinism from childhood iodine deficiency leading to underactive thyroid gland In adults, hypothyroidism common.

Thyroid meds

• T3 T4 tests for thyroid function for thyroxin levels

• MEDS:• Sythyroid, Thyrolar, Armour Thyroid extract• All oral and must be taken for life!

Page 5: Thyroid Meds, HRT, Steroids. Thyroid Meds Cretinism from childhood iodine deficiency leading to underactive thyroid gland In adults, hypothyroidism common.

Graves Disease (hyperthyroidism)

• Often caused by tumor• Overproduction of thyroxin• Exopthalmos (pop eyes)• Tachycardia• Meds: radioactive iodine granules

Page 6: Thyroid Meds, HRT, Steroids. Thyroid Meds Cretinism from childhood iodine deficiency leading to underactive thyroid gland In adults, hypothyroidism common.

HRT

• Estrogen replacement tx:• Post menopausal females, insomnia, sweats,

vaginal dryness, mood swings, irritibility• EX: Premarin, Prempro, Climara, tablets or

patches for all, are cyclic so use in order of packet dispensing

• All are estrogens

Page 7: Thyroid Meds, HRT, Steroids. Thyroid Meds Cretinism from childhood iodine deficiency leading to underactive thyroid gland In adults, hypothyroidism common.

Progesterone replacement

• Not for menopause like estrogens but for period problems like dysmenorrhea, irregularity, etc.

• Ex. : Norplant, Provera. Norplant is implanted to regulate period,Provera is a tablet. Also used for birth control

Page 8: Thyroid Meds, HRT, Steroids. Thyroid Meds Cretinism from childhood iodine deficiency leading to underactive thyroid gland In adults, hypothyroidism common.

BCPs

• Usually combine estrogens and progesterones• Suppress ovulation by having progesterone

present fooling body into thinking its pregnant• NO smoking, elevated thrombus risk!!! CVA,

MI, etc. weight gain, depression• Clears acne

Page 9: Thyroid Meds, HRT, Steroids. Thyroid Meds Cretinism from childhood iodine deficiency leading to underactive thyroid gland In adults, hypothyroidism common.

• Yasmin, NuvaRing, ortho Evra, Demulen,Estrostep,OrthoTricyclen,

• Interactions with other drugs common like:• Decrease effectiveness of many antibiotics or of

the birth control pills so no antibiotics with BCPs or get pregnant.

• Many other meds decrease effectiveness of BCPS like antifungals, nausea pills, cortisone

Page 10: Thyroid Meds, HRT, Steroids. Thyroid Meds Cretinism from childhood iodine deficiency leading to underactive thyroid gland In adults, hypothyroidism common.

Emergency BCPs

• Plan B (norgestrel), Ovrette, Lunellel, Depo Provera,

Page 11: Thyroid Meds, HRT, Steroids. Thyroid Meds Cretinism from childhood iodine deficiency leading to underactive thyroid gland In adults, hypothyroidism common.

Osteoporosis Meds

• Fosamax (alendronate) and Evista (Raloxifene)• Nauseating to some, should be taken with a

lot of water and don’t lie down to prevent esophageal burning, now come in inhalant forms to avoid stomach bleeding