Smaller nodules are best managed with radio-active iodine while larger nodules may require surgery. Beta-blockers
Used to counteract Excessive sympathetic symptoms, e.g. palpitations. Dose is titrated according to the heart rate.
Give for 2-4 weeks.
* Propranolol, oral, 40-80 mg 8 hourly.
- Titrate dose upwards as needed.
* Atenolol,oral, 50 mg daily.
- Titrate according to symptom control up to 50 mg 12 hourly.