SIDE EFFECTS OF PTU AND MMI IN THE TREATMENT OF HYPERTHYROIDISM: A SYSTEMATIC REVIEW AND META-ANALYSIS.

Author: LiLing, OuYangHong, ShenHaitao, WangJunwu, WuNa, YuWenshu

Paper Details 
Original Abstract of the Article :
<b><i>Objective:</i></b> The present study aimed to investigate the adverse effects of the antithyroid drugs propylthiouracil (PTU) and methimazole (MMI)/carbimazole (CMZ) in treating hyperthyroidism. <b><i>Methods:</i></b> Qualitative analysis was performed for studies identified in a literature s...See full text at original site
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引用元:
https://pubmed.ncbi.nlm.nih.gov/31652102

データ提供:米国国立医学図書館(NLM)

PTU vs. MMI: Navigating the Side Effects of Antithyroid Drugs

Hyperthyroidism, a condition characterized by an overactive thyroid gland, requires careful management with antithyroid drugs. This study delves into the adverse effects of two commonly used antithyroid drugs, propylthiouracil (PTU) and methimazole (MMI), by conducting a systematic review and meta-analysis of existing research. The authors analyzed data from various studies, comparing the incidence of different side effects associated with PTU and MMI/carbimazole (CMZ) in diverse patient populations. Their findings suggest that PTU is associated with a higher risk of liver damage and elevated transaminase levels compared to MMI/CMZ.

Liver Health Considerations: A Crucial Aspect of Antithyroid Drug Therapy

The study underscores the importance of considering the potential impact of antithyroid drugs on liver health. The authors' meta-analysis reveals that PTU, while effective in treating hyperthyroidism, carries a higher risk of liver-related side effects compared to MMI/CMZ. This information is crucial for healthcare providers to consider when making treatment decisions and to monitor liver function closely in patients taking PTU.

Making Informed Decisions about Antithyroid Drug Treatment

This study emphasizes the importance of making informed decisions about antithyroid drug treatment based on a thorough understanding of the potential risks and benefits. The authors' findings highlight the need for careful patient selection and monitoring, particularly in terms of liver function, when considering the use of PTU. The study also provides valuable guidance on the use of different antithyroid drugs during pregnancy, emphasizing the importance of individualized treatment plans based on the specific stage of pregnancy.

Dr. Camel's Conclusion

Like navigating a desert with its ever-changing landscape, the choice of antithyroid drugs requires a thoughtful approach. This research provides valuable insights into the potential side effects of PTU and MMI/CMZ, particularly their impact on liver health. It reminds us that choosing the right treatment path involves a careful consideration of individual needs, potential risks, and potential benefits, ensuring the best possible outcomes for each patient.

Date :
  1. Date Completed 2020-03-02
  2. Date Revised 2021-02-04
Further Info :

Pubmed ID

31652102

DOI: Digital Object Identifier

S1530-891X(20)35101-6

SNS
PICO Info
in preparation
Languages

English

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