Saturday, January 12, 2019

B-Blocker after Thyroid storm

Q: Beta-Blocker (BB) should be discontinued as soon as thyroid storm is clinically improved? (select one)

A) True
B) False


Answer: B

Although BB is used to control the acute symptoms of thyroid storm, it should be discontinued only after the thyroid function tests (TFTs) have returned to normal. This is due to the fact that BB, particularly Propranolol may continue to help in reducing the serum T3 levels.


#endocrine

#pharmacology 



References:


Cooper DS, Daniels GH, Ladenson PW, Ridgway EC. Hyperthyroxinemia in patients treated with high-dose propranolol. Am J Med 1982; 73:867.

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