Treating Hyperthyroidism: What Are Your Options?

" Hello and welcome to our webcast on doctor holly act -- irony in a serious hormonal and ballot which could lead to symptoms as diarrhea anxiety and weight loss treatment options are available and in most cases they involved attacking the primary cause of piper pirated and a syndrome called graves' disease would expect nearly 2% of women. Today we'll be talking about the various treatment options of -- disease and I have with me 200 chronology to expert."

" And they are doctor ballistic cat from the Weill Cornell medical college and doctor Rick -- from the mount Sinai school of medicine. There are some treatment options for great it's not one approach Melissa -- general ways we can approach -- grade Aziz. They're basically rich treatment options until which are are -- much more common -- the first one is radioactive I died in which patient will have. The drink or tablet depending on thanks -- trade it. -- radio iodine design huge antique things they hyper functioning of the tyrant -- On the second possibility is anti thyroid drugs two of them are commonly used name happens all. And -- CEO and these medications are taken for approximately a two year course. And can affect. A killer in any percentage of patients that white area bonds -- from third 1950%. And the third option is surgery which is not commonly use. They are special circumstances and that it might be recommended. Rick what are the most common approach isn't highs lows."

" That I think he gets more common in the United their way to the anti Arab drugs the route to taking medication a year to. In hopes of reducing the remission of the underlying disease. War definitively curing the disease -- basically getting rid of your thyroid -- which put the radio I had kinda what -- preponderance of which --"

" Is used now and into drugs versus. I think in the United States radio iodine is not commonly used whereas in Europe. And ten are anti Arab medication is more comments. Europeans also like his surgery -- to become popular in the United eight that it cut out without regret that I didn't go to radio iodine. -- end result the same -- quite a preference. Well how do you go about making the mission what is the right approach for a given individual someone listening to this may say. Oh my goodness I'm confused which I had in how to make that decision Melissa how do you how you go about making that decision. I made the decision with the patient and also I think it is the patient that that makes the decision as to what. -- in fact there are many things are taken into consideration. So many words you opt for. Anti harassment case and you have to think and other medication that they were on there -- certain time. There's certain side effects and at direct medication although quite rare it is such an. Those are rare but they can be quite areas there could also be found. Joints -- and sounds. -- that could -- out time TDs side effects to radio. I -- there you are predominantly. -- pirated and the majority patients treated at their prior essentially destroyed and they are. Rendered hyper thyroid requiring. Taking on never traps and for the rest of their life and temptations. Declined -- did act because they really don't want to have to take medication for the rest of their life. But I think -- an individual suspicions certainly somebody has come from mild -- isn't someone that has a smaller. -- may respond well you and to Paris medication. -- are there any patient profiles in which you would strongly recommend one or the other quirks."

" Yeah there there are. I think that when somebody a patient is older which could mean over fifty. War they've had cardiac and a two nations on thought it the narrative and such is not quite accurate -- like the first President Bush had when he became an act of parliament. In that case because it is seen the Indians he is potentially life threatening and all the -- and with our problem. I think it should be definitively end permanently cured and didn't -- to that relied on. The -- and treating with the anti average round which only sometimes it's a permanent or not those patients and I didn't say that. For all of our younger. Those were beaten milder case is smaller than the current plan will have been think I'm very rely on those people who own the best chance of being in the 35 and feature a long term remission for -- about a pregnant woman would you recommend."

" Clearly ready hijacked therapy is out of questioned her pregnant women I advise us thank you how they're hyper pirated and Stuart prior you can -- thing I think that's the ideal when he I'm doing it. Iron certainly. I there's about a nine months that I had by waiting team become pregnant after having radio iodine therapy if that is the choice anti thyroid drugs can be used can't PTA would be the -- during pregnancy. Culturally. Time and I like to not use anything in the first trimester hostile policy in the second trimester it can be used that they're trying to get -- is off and on really. -- entering -- and who do many other autoimmune and conditions during pregnancy and later can be a post -- in the the flare. I think that surgery is Iran indicated. For hurting women who may be altered you on media undergoing in vitro fertilization he just. Really -- in public -- issue behind them they don't have that time and they don't have the time -- that I."

" Requires surgery not as popular -- down I'm urgent surgery level anytime people have surgery in general anesthesia than the smaller something on there a -- right. But beyond that is a more specific problems that can occur with our -- debate you two things one is that the nerve to the vocal -- Which allows you to speak run right behind the pilot on each -- and can be damaged. During our retreat. I'm not too often but even in the best hands and occasionally occurs that can cause and on case is permanent course. The second feared complication of our country. Is damaged the Parris island and these are tiny glands right behind the thyroid which maintain the -- level in your blood. It all for permanently damage the -- in those low. Which can cause muscle spasms and -- seizures and requires lifelong treatment with large doses of -- day and tell him. So there are things that can happen without their treatment for this reason. The field with the option of radioactive iodine in addition to being the painful and could not involving a RO. -- Is there anyone you would say. Should have surgery only two options. --"

" Occasional patients with it went very very very -- collectors. And I think that in this situation you don't need teen treat them medically. And certainly nobody can go into an operating room hi there Kyra thank you very risky they would need to be rendered."

" And how to do it occasionally somebody would not without artists -- a growth from Ireland political and not so. I'll usually don't grow sometimes can be very cancers and in those cases you can kills two birds with one stone -- surgery. During my authority and getting -- of the ground."

" Thank you both very much for your comment and thank you for joining us and doctor holly act."