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Thyroid medicines

Thiamazole

Also sold as: Tapazole, Thyrozol

Prescription neededThyroid medicines
Comes as:Tablet

Usual adult dose

Dose is set by your doctor; a usual starting dose is 10 to 30 mg a day, then lowered to 5 to 10 mg a day once thyroid levels are normal. Regular blood tests are needed.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • nausea
  • headache
  • itching or rash
  • joint pain
  • change in taste

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • sore throat
  • fever or mouth ulcers (stop and get a blood test urgently — may be low white cells)
  • yellow eyes or skin

Do not take it, or take care, if

  • Previous serious blood or liver reaction to thiamazole or carbimazole
  • First 3 months of pregnancy (propylthiouracil is usually preferred)
  • Breastfeeding (use only the lowest dose with a doctor)

Interactions

Medicines that can react with this one.

Moderate1 medicineTake together only with care. Ask your doctor or pharmacist.
  • Warfarin

    As the thyroid returns to normal, the effect of warfarin can change; INR should be checked.

Minor1 medicineUsually not a problem, but tell your doctor.
  • Digoxin

    Digoxin levels can rise as thyroid levels fall; the dose may need adjusting.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category D

There is evidence of risk to the baby. Used only in serious situations when safer medicines do not work.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • Carbimazole
  • Propylthiouracil
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.