Re: Dosage reduction advice required

[Guest guest]

Hi ,

Great quote.

Yes, your plan to reduce to 15 mg carb sounds good. You should be noticing

the maximum effects of the meds 6-8 weeks after starting meds. The dose should

then be slowly reduced. Eventually, you'll want to be on a maintenance dose in

the range of 2.5-10.0 mg daily. And keeping your FT4 somewhere around 18 is a

good plan. With your next labs, and before reducing your dose again, ask for

the FT3 test. Sometimes, FT3 can be much higher than FT4 and it can also take

longer to fall. If it's normal, you wouldn't need it done everytime you have

labs. Take care, Elaine

[Guest guest]

Hi ,

I personally think that you shouldn't reduce your dose until you are in the

normal range--but you're moving fast towards it, so should check your levels

frequently.

Terry

>

> Reply-To: graves_support

> Date: Thu, 30 Oct 2003 11:56:51 +0200 (SAST)

> To: graves_support

> Subject: Dosage reduction advice required

>

> Hi listmates,

>

> I am sooo pleased, I have just had the results from my latest blood test.

> This is the history:

>

> Mid September Free T4 76.9 (normal 8.0 - 20.0)

> TSH <0.01

> October 5th Free T4 59.7

>

> October 29th Free T4 30.2 (yipeee!)

> TSH <0.01

>

> When I had the blood test yesterday and looked over my notes I realised that

> I have never had my Free T3 tested. I will speak to my doctor about whether

> this is necessary but as my doctor and I are " feeling our way around " my GD

> and is letting *me* decide how I handle the ATDs, I would like opinions

> from the helpful people on the list.

>

> I think I am probably due for a dose reduction. I am currently taking 20mg a

> day of Carbimazole (10mg in the morning and 10mg at night) as well as

> beta-blockers (sorry I don't know the dosage as the print has worn off the

> label). Based on what I have read on this list, I think I should reduce the

> dose to 15mg of Carbimazole a day (5mg 3 times a day) then wait another

> month to see what happens with my Free T4. Does this dose seem OK? Not too

> high?

>

> Because I am feeling so extremely well and full of life, I plan to try and

> keep my Free T4 levels around the 15-20 mark (my path lab says 8.0 - 20.0 is

> the norm) and stay there (optimistic eh? *G*).

>

> Any advice would be most welcome.

>

> (in an extremely good mood since I heard the results)

>

>

>

>

> Only when the last tree has died and the last river has been poisoned and

> the last fish has been caught will we realise that we cannot eat money.

>

>

>

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> Please consult your doctor before changing or trying new treatments.

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