Acute management of hypothyroidism
Attempts to treat hypothyroidism before the other causes of a hypopituitary coma have been corrected is likely to exacerbate the coma.
With this proviso, the acute treatment of hypothyroidism should be:
- tri-iodothyroxine (T3) 0.01 mg 8-hourly for three doses
- then 0.02 mg T3 12-hourly for 2 doses
- then 0.1 mg twice daily thereafter
Administration is either via a nasogastric tube or intravenously.
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