I am having surgery in June to have thyroid removed due to goiter. Dr. wants me to take Tapazole, to bring my TSH numbers up before surgery. My TSH is currently .09. I am very nervous to take this medication due to all the bad side effects I have been told about, I just wanted to know what other peoples experience has been on this medication. I was also prescribed metoprolol, not really sure what that is for. Any help would be much appreciated.
Many people on this board, and in general go on tapazole for hyperthyroid conditions. As long as you are monitored, you should be good. You can't have surgery on your thyroid if you are hyperthyroid---it would make the surgery dangerous, that's why the doctor prescribed it.
They did take T3 and T4 levels as well and I think the T4 was a little off. I will try to get back with you on what they were. The endo and ENT also want me to take metoprolol tartrate 25mg. I dont really know what this is for. They say it is a blood pressure medicine. But my BP runs very low already. Can you tell me what it is for?
I hope they are checking the FREE T4 and FREE T3 levels....there's a big difference between those and the "plain" T4/T3 tests.
Metoprolol is a beta-blocker that helps reduce hyper symptoms (and can also lower the FreeT3 level). I'd be concerned about taking it in light of your low BP issues.
It will be to your benefit to maintain hard copies of all thyroid lab results and learn how to interpret them.
Each of us has his/her own optimal thyroid levels within the ranges of normal. Do you know what your optimal levels are?
This is a vital fact to know/learn so that you can make sure that you are medicated properly after surgery. Since you will no longer have a thyroid, your body will be completely dependent on a dose of thyroid hormone replacement to meet every system's needs for proper function.
If your levels aren't optimized to meet your needs, you will suffer with symptoms and be at risk for other health issues.
We can show you how to interpret your labs so you can rally for the proper care.
I will get a hold of my labs and put them up, thank you so much for the information. How do I figure out what my optimal levels are? I have been hyperthyroid since 97, but never enough symptoms that I needed to go on medication, however my goiter has become so large, it needs to come out. My levels for TSH over these many years would range from .09 to .026, usually T3 and T4 normal.
Most people feel best with FreeT4 and FreeT4 levels around 60-80% of range.
If you were properly managed for your hyperthyroidism, you wouldn't have any symptoms and you wouldn't have developed a goiter.
In fact, it's very, very unusual for *true* (over-range FreeT4/T3 levels) hyperthyroidism to not require treatment. Hyperthyroidism usually escalates over time and can become quite dangerous if left untreated.
I wonder if you've been truly hyperthyroid all along.
It's entirely possible that you might have started out mildly hyperthyroid and moved into hypothyroidism (this happens).
Or, you might have had hyPOthyroidism all along (evidenced by low normal FreeT4/T3)..... and your low TSH was confusing your doctors.
If you are hyPOthyroid now, taking Tapazole will just worsen it.
I think you can now appreciate why I'm suggesting that you take a good, hard look at your actual thyroid hormone levels (FreeT4/T3) since pituitary hormone TSH just doesn't tell it all.
This fact is confirmed in "Thyroid for Dummies" and "The Complete Idiot's Guide to Thyroid Disease".
Unfortunately, just as both these books mention, many doctors drop the ball when it comes to thyroid disease...and patients suffer needlessly.
I am so confused. I have never had any Dr. tell my that I am hypothyroid. I have seen over 5 Endo Dr.'s over the last 14 years, and not one of them have said I am hypothyroid.
Not sure where to go from here. Make it very difficult when I have been told this for so long. So you think I should be on Synthroid? And because of the size of the multinodular goiter, it still needs to come out. Soooo confused!!!!!! I really appreciate all your input.
Unfortunately, many MD's were taught in medical school that the TSH test is the gold standard for diagnosis and treatment.
Those who have kept up with things now realize that the FreeT4 and FreeT3 levels are more accurate.
Endos seem to be the worst at keeping up with thyroid-related issues...maybe because they're so busy taking care of diabetics.
If you read "Thyroid for Dummies" (written by a thyroid-savvy endo), you will discover that he, too, says the FreeT4/T3 tests are the best tests to evaluate thyroid function. This same information can be found in countless other books, including thyroid textbooks.
Those of us on here who have achieved wellness have worked with our doctors to optimize our FreeT4/T3 levels.
Your labs indicate the need for Synthroid.
I suggest you try to find a more thyroid-savvy doctor. He/she will most likely come in the form of a "non-endo"...perhaps a DO, internist or alternative MD.
Some people have had success by getting contact info from pharmacists for doctors that Rx Armour or Cytomel. These are two types of thyroid meds that thyroid-savvy doctors Rx. Don't give up if the first pharmacist you call doesn't help...sometimes it takes a few calls.
Another option would be to check the Top Thyroid Doctors site for doctors in your area.
Once you no longer have your thyroid, you will be dependent on the right dose of thyroid hormone replacement (Synthroid, etc.) to meet your body's needs.
Since every single cell in the body needs thyroid hormone for proper function, you will suffer needlessly if your doctor doesn't prescribe the right dose.
Non-restful sleep/interrupted sleep
Pain at front of chest
Numbness or tingling
Protrusion of one or both eyeballs
Weight loss or gain
Sparse eyebrows/loss of outer third of eyebrows
Swelling of face
Wasting of tongue
I bet that your "hyper" symptoms that weren't so bad as to require treatment were actually hypo symptoms. Yes, some hyper/hypo symptoms overlap (like fatigue, palps, muscle aches) but others are usually one or the other.
thanks so much for the information. I plan to go back to the Dr. and ask these questions. I have been reading the Thyroid for dummies book. And I still find it all confusing. On page 50 it states (Your Dr. cant and shouldnt use TSH test to determine thyroid function in hperthyroidism that is under tx. Similarly, many patients have a low TSH and normal FT4 score. If the TSH is the only test a doctor looks at, the dr. incorrectly labels the pt hyperthyroid. Pts with a low TSH and normal FT4 score actually have pre-hyperthyroidism (euthyroid Graves disease and dont need treatment as long as their free T4 remains normal. So that sounds like Im pre-hyperthyroid, if Im reading it right. Any input?