Suggest Medication For Low TSH Count

Posted on Thu, 24 Jul 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 24 Jul 2014 Answered on

Thu, 14 Aug 2014 Last reviewed on

Question : I have thyroid problem I dont know I need take thyroid pill or not My Free T3 good T4 good but TSH 0.1 low

Answered by Dr. Vaddadi Suresh (15 minutes later)

Brief Answer:
more information please..

Detailed Answer:
Hi Homes,
WELCOME TO HCM.
First, please tell me whether you are presently using any thyroid hormone ??
Did you undergo the test while on thyroid tablet??
How long since have you been having thyroid problem?
waiting for the answer.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vaddadi Suresh (30 minutes later)

I did not used any thyroid hormone.
I have the blood test My T3 is....good number My Free T4 good number but TSH 0.1 low
year I have problem but look like worse 4 month age My TSH 0.2 now is worse
I have thyroid nude both thyroid. Ultrasuede and
my family Dr think I don't need pills but I have heart bite so fast and my blood pressure height I never have this problem before. I freezing, I lost 4 month 75 pound
Thank you

Answered by Dr. Vaddadi Suresh (6 hours later)

Brief Answer:
reference values plesse.

Detailed Answer:
Hi,
low TSH and normal thyroid hormone is most difficult to evaluate.
Please post your total results of T3 t4 and TSH, free T3 and free t4 including the reference values given by the lab as there are variations between the labs which only make things complex.
Please also mention if you are on drugs like steroids.
All the best.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vaddadi Suresh (19 minutes later)

No I'm not on drag I don't take only Bade blacker
Free T4 1.8 freeT43.310. TSH 0.1

Answered by Dr. Vaddadi Suresh (18 minutes later)

Brief Answer:
subclinical hyperthyroidism

Detailed Answer:
Hi,
In my opinion, you seem to be suffering from "endogenous subclinical hyperthyroidism".
1. You may need a radionuclide scan of thyroid
2. You may respond to drugs called beta blockers which reduces your symptoms.
3. Repeated testing for follow up is required, and if still not responed properly, anti thyroid drugs may be the last option.
Don't worry, you will be fine soon as these are manageable problems. All you need is a good endocrinologist consultation. .
all the best.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vaddadi Suresh (5 hours later)

I did radionuclide scan and I have nude both thyroid
What you recommended
Bade blacker and thyroid pill
Or only bade blacker
Thank you

Answered by Dr. Vaddadi Suresh (1 hour later)

Brief Answer:
only a beta blocker

Detailed Answer:
Hi,
Since your scan is normal, I would recommend only a beta blocker (not bade blackr) like propranolol. At the moment, you don't require anti thyroid drugs.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vaddadi Suresh (1 hour later)

Metroprolol Er succinate 25mg it is good 1 time day

Answered by Dr. Vaddadi Suresh (1 hour later)

Brief Answer:
yes

Detailed Answer:
Yes,
A good drug. Should be sufficient. You can increase the dose if needed.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar