Follow-up and monitoring of hyperthyroidism
Monitoring after radioactive iodine treatment
If hyperthyroidism persists after radioactive iodine treatment in adults, children and young people, consider anti-thyroid drugs until the 6-month appointment.
If hyperthyroidism persists 6 months after radioactive iodine treatment in adults, children and young people, consider further treatment
Monitoring after surgery
Offer levothyroxine to adults, children and young people after a total thyroidectomy with dosage and monitoring as per management of primary hypothyroidism
Consider measuring TSH and FT4 at 2 and 6 months after surgery, and then TSH (with cascading) once a year for adults, children and young people who have had a hemithyroidectomy
Monitoring of anti-thyroid drugs
For adults, children and young people who are taking anti-thyroid drugs for hyperthyroidism, consider measuring:
Do not monitor full blood count and liver function for adults, children and young people taking anti-thyroid drugs for hyperthyroidism unless there is a clinical suspicion of agranulocytosis or liver dysfunction.
For adults who have stopped anti-thyroid drugs, consider measuring:
For children and young people who have stopped anti-thyroid drugs, consider measuring:
Reference:
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