How to Treat Thyroiditis?



Medical Treatment:
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.
OR
* Atenolol, oral, 50 mg daily
  • Titrate according to symptom control up to 50 mg 12 hourly.
For painful subacute thyroiditis (De Quervains)
NSAIDs, e.g:
* Ibuprofen, oral, 800 mg 8 hourly.
PLUS
  • Prednisone, oral, 40 mg daily. Specialist consultation.