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This drug stops your thyroid from making too much thyroid hormone.

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Adverse reactions: You may experience swelling or changes in your skin (like a rash or itchy skin or changes in color), severe muscle or joint pain, or weight loss or stomach pain.

Serious:  Your provider may discontinue this medication if you start to have flu-like symptoms, a fever, or a sore throat.  Also let us know if you have a new rash, stomach pain, nausea or vomiting, or dark-colored urine.

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- onset: 12-18 hours
- peak: 1-2 hours
- duration: 36-72 hours
- half-life: 4-6 hours
- absorption: almost complete
- distribution: mostly in thyroid gland
- Metabolization: Liver
- Excretion: urine

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Educate patient on importance of Iodine consumption.

Advise patient to report any symptoms of a sore throat, fever, chills, headache, malaise, weakness, or yellowing of eyes.

Thyroid Function tests - monitor for improvement in hyperthyroid symptoms

CBC with differential - for signs of infection

Monitor patient for:

bleeding or bruising

infection

fever, sore throat, skin eruptions or rash, malaise, GI upset, anemia, and arthralgia

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Methimazole is used to control the amount of thyroid hormone your thyroid is making and can be used to help with symptoms of too much thyroid hormone in advance of surgery or other therapy.

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A patient is started on Methimazole (Tapazole) for treatment of hyperthyroidism. Which statement by the patient indicates the need for further teaching?

A. If I plan to get pregnant or am pregnant I will let my doctor know right away.
B. I may have hair loss related to taking this medication
C. If I miss my dose of medication I can just double up on the next dose
D. I will store this drug at room temperature in a dry place.

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Lexicomp (2022). Methimazole: Monograph. Lexi-Drugs. Retrieved September 26, 2022, from https://online.lexi.com/lco/action/doc/retrieve/docid/patch_f/7267?cesid=4JR8e1BpX6d&searchUrl=%2Flco%2Faction%2Fsearch%3Fq%3DmethIMAzole%26t%3Dname%26acs%3Dtrue%26acq%3Dmethi#