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SUBACUTE THYROIDITIS


 

You were diagnosed with a viral thyroid disorder. Patients with your condition experience pain in the thyroid region. It is not uncommon for the pain to spread from one side to the other. 

You may be started on high doses of aspirin (81 mg to be taken four times a day).  Some patients experience nausea, vomiting or diarrhea. If these symptoms develop please notify our office as you will be switched to prednisone.

Prednisone can have multiple side effects including worsening blood sugars (if you are diabetic),weight gain, high blood pressure, and edema. We try to avoid this therapy due to these side effects. Once your symptoms are controlled you may be asked to lower your dose by the following regimen.

20mg daily (continue until pain is controlled before proceeding to next dose)

Week           Prednisone dose

1.                15mg
2.                10mg
3.                5mg
4.                2.5mg (half tablet)

If upon lowering your dose or after discontinuing prednisone the pain in your neck returns please resume the dose that what is controlling the pain and notify our office. 

You may be prescribed propranolol. Propranolol is only used to assist with relieving symptoms of too much thyroid hormone. This medication is to be taken as instructed by your provider.

It is important that we monitor your thyroid functions closely as therapy may need to be changed. You will have labs every 2 to 4 weeks until your thyroid has normalized. We will then monitor your levels every 6-8weeks or as determined by your doctor.

Please register for a patient portal. This is the easiest way for you to communicate with our office. You will be able to notify us of symptoms that are developing or the need to obtain a new lab slip, medication refills, or ask the provider questions.

I look forward to helping you take back your health, 

Dr. Ana Silva