Hyperthyroidism combined with osteoporosis, such a prescription will be a big problem

*Only for medical professionals to read and refer to these "pits" to avoid! Hyperthyroidism refers to a group of diseases in which excessive secretion of thyroid hormones in the body causes increased excitability and hypermetabolism in the nervous circulation, digestion and other systems
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Hypothyroidism is a syndrome of systemic hypometabolism caused by decreased synthesis and secretion of thyroid hormones or weakened tissue function
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Hyperthyroidism can be treated with antithyroid drugs, radioactive iodine and surgery
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Antithyroid drugs are the first choice in China.
The main drug is methimazole and thiouracil, while the main treatment drug for hypothyroidism is levothyroxine sodium tablets
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For thyroid diseases combined with the following diseases, what are the points that should be paid attention to when prescribing clinically? Can compound iodine be used for prescription one hypothyroidism? [Prescription problem] The indications are inappropriate
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[Mechanism analysis] Compound iodine oral liquid is a drug for the treatment of endemic goiter, and the patient has hypothyroidism
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This prescription is not suitable for indications
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[Intervention suggestion] Discontinue compound iodine oral solution and use levothyroxine sodium tablets
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Levothyroxine sodium tablets are an alternative treatment for hypothyroidism
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What's wrong with the prescription of propylthiouracil for second subacute thyroiditis? [Prescription problem] The indications are inappropriate
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[Mechanism analysis] Subacute thyroiditis is generally considered to be related to viral infection.
The typical course of the disease is divided into early, middle and recovery periods
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In the middle stage, when the thyroid hormone in the thyroid follicle is depleted due to the destruction of tissue structure, the serum thyroid hormone concentration drops to the level of hypothyroidism before the thyroid follicle tissue is repaired, and it can be clinically converted to hypothyroidism
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For patients with transient hypothyroidism, levothyroxine can be appropriately substituted
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This prescription is not suitable for indications
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[Intervention Suggestions] It is recommended to switch to levothyroxine sodium tablets
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Is it okay to prescribe only methimazole for trithyroid cancer? [Prescription problem] The indications are inappropriate
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[Mechanism analysis] Methimazole can only inhibit the synthesis of thyroid hormones, but cannot inhibit the growth of tumor cells
.
It is inappropriate for thyroid cancer .

This prescription is not suitable for indications
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[Intervention Suggestions] It is recommended to choose reasonable treatment methods according to the condition of the disease
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Prescription 4 Can levothyroxine sodium be used for hyperthyroidism with osteoporosis? [Prescription problem] The indications are inappropriate
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[Mechanism analysis] Levothyroxine sodium tablets are suitable for replacement therapy of hypothyroidism
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This prescription is not suitable for indications
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[Intervention suggestion] Discontinue levothyroxine sodium tablets and switch to other anti-hyperthyroidism drugs
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Note: For the convenience of readers, if there are multiple problems with the same prescription, the key comments are based on the category
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Comments on other issues can be omitted here
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