CASE
PRESENTATION ON
HYPERTHYROIDISM
S GNANESWAR RAO
5th PHARM D
REG NO- 20Q0578
PATIENT DETAILS
• NAME -XYZ
• AGE - 51y
• SEX - FEMALE
• DOA -20/4/2025
• IP NO - 24216
• BMI - 30
• DEPT - FEMALE GENERAL WARD
SUBJECTIVE EVIDENCES
• REASON FOR ADMISSION-C/O EXCESSIVE SWEATING, IRREGULAR
CHEST PAIN, WEIGHT LOSS, HAIRLOSS.
• PAST MEDICAL HISTORY- K/C/O DIABETES MELLITUS SINCE 5 YEARS.
• PAST MEDICATION HISTORY- ISRYL M (1mg + 500mg) (0-0-1)
• SOCIAL HISTORY(TOBACCO, ALCOHOLIC, SMOKER)-NIL
OBJECTIVE EVIDENCE
LABORATORY INVESTIGATION
DAYS 1 2 3 4
TEMP 98.2 98.1 98.2 98.2
B.P 150/90mmHg 130 /100mmHg 140/90mmHg 140/90mmHg
PULSE 80bpm 82bpm 78bpm 78bpm
BLOOD SUGAR LEVELS
• GRBS – 162 mg/dL
• HBA1C – 7.2 %
ELECTROLTES
• SODIUM - 121 (m.Eq/l)
• POTASSIUM - 3.8 (m.Eq/l)
• CHLORIDE - 97(m.Eq/l)
- BLOOD COUNT
• Haemoglobin- 11.6g/dl
• Platelets- 2.4 lakhs
- OTHER INVESTIGATION
• THYROID FUNCTION TEST
T3-5.6 Pg/ml (2.0-4.4)
TSH-0.01 mIU/L (0.35-5)
T4- 2.83 ng/dL
ASSESSMENT
• FROM THE ABOVE SUBJECTIVE AND OJECTIV
EVIDENCE THE PATIENT WAS DIAGNOISED WITH
HYPERTHYROIDISM
TREATMENT GOALS
• TO REDUCE THE SIGNS AND SYMPTOMS
• TO MINIMISE THE DISEASE PROGRESSION
• TO MINIMISE HOSPITALIATION
• TO PREVENT FURTHER COMPLICATION OF HYPERTHYROIDISM
• TO BRING TSH LEVEL TO NORMAL
• TO MAKE SOME LIFESTYLE CHANGES
DRUG CHART
SNO TRADE NAME GENERIC NAME FREQ DOSE 1 2 3 4
1 TAB. NEOMERAZOLE CARBIMAZOLE 1-0-1 5mg
2 TAB. B COMPLEX VITAMIN 1-0-1 0.8mg
SUPPLEMENT
3 TAB.PROPRANOLOL PROPRANOLOL 1-0-1 20mg
4 TAB.ISRYL M1 GLIMEPIRIDE + 1-0-1 1mg+500
METFORMIN mg
DRUG INTERACTION
• TAB NEOMARCAZOLE + PROPRANOLOL - MODERATE
DECREASE THE EFFECT OF PROPRANOLOL
INTERVENTION
• AS PATIENTS BMI WAS BIT HIGH(30) LIPID PROFILE TEST CAN BE
CONDUCTED TO DETERMINE ANY CVS DISORDER AND PATIENT HAD
COMPLAINTS OF CHEST PAIN.
PATIENT COUNSELLING
DISEASE RELATED
• HYPERTHYROIDISM IS A CONDITION WHERE YOUR THYROID GLAND
PRODUCES TOO MUCH THYROID HORMONE (T3 AND T4), WHICH
INCREASES YOUR BODY’S METABOLISM.
• UNTREATED HYPERTHYROIDISM CAN LEAD TO SERIOUS
COMPLICATIONS LIKE HEART PROBLEMS, BONE THINNING
(OSTEOPOROSIS), AND THYROID STORM (A LIFE-THREATENING
CONDITION).
• COMMON SYMPTOMS: WEIGHT LOSS, DESPITE NORMAL OR
INCREASED APPETITE, FAST OR IRREGULAR HEART BEAT,
NERVOUSNESS, ANXIETY OR IRRITABILITY TREMORS (SHAKY HANDS),
HEAT INTOLERANCE AND EXCESSIVE SWEATING, SLEEP
DISTURBANCES, AND IRREGULAR MENSTRUAL CYCLES IN WOMEN.
LIFE STYLE MODIFICATION
• EAT NUTRIOUS AND BALANCED DIET
• SOME VEGETABLES AND BEANS INCREASE THE POTENTIAL TO FIGHT
AGINST ILLNESS
• DON’T CONSUME IODINE RICH FOOD
• DON’T CONSUME DIARY PRODUCT
• AVOID CAFFINE,ALCOHOL,CARBONATED FOODS..ETC
• DO PROPER EXERCISE, ESPECIALLY WHEN OSTEOARTHRITIS OCCUR
• FOLLOW DASH DIET FOR HYPERTENSION
DRUG RELATED
• TAKE PROPRANOLOL AT THE SAME TIME EACH DAY, WITH OR WITHOUT FOOD.
• WHILE TAKING ISYRL M AVOID SKIPPING MEALS TO PREVENT LOW BLOOD SUGAR
(HYPOGLYCEMIA).WATCH FOR SIGNS OF LOW SUGAR: SWEATING, DIZZINESS,
SHAKINESS, HUNGER.
• TAKE CARBIMAZOLE WITH FULL COURSE, EVEN IF SYMPTOMS IMPROVE. MAY TAKE
A FEW WEEKS TO SEE FULL EFFECT.
• REGULAR BLOOD TESTS ARE NEEDED TO MONITOR THYROID LEVELS AND BLOOD
COUNTS.
• AVOID TAKING OTHER MEDICATIONS OR SUPPLEMENTS WITHOUT INFORMING
YOUR DOCTOR.
• DO NOT STOP SUDDENLY WITHOUT DOCTOR ADVICE. IT MAY WORSEN SYMPTOMS.
THANK YOU
