Font Size

Hashimoto's Disease (cont.)

What medications treat Hashimoto's thyroiditis?

If there is no evidence of hormone deficiency and only antibodies tests are positive, the use of medications is one that must be discussed in detail by the patient and doctor. Other medical conditions, patient preference, and the presence of symptoms are all taken into consideration in determining a treatment plan.

If thyroid hormone deficiency is noted on blood tests, the treatment involves daily dosing of a synthetic form of thyroid hormone. This is typically in the form of levothyroxine, which is synthetic T4 (Levothroid, Levoxyl, Synthroid).

Oral medications can restore hormone levels and reverse the symptoms of hypothyroidism, but they must be taken regularly and over the long term. Dosing is adjusted based on blood levels. Levels are usually checked every 6-12 weeks when the medication is actively being adjusted, and 6-12 months thereafter once stable.

What are the side effects of thyroid replacement therapy?

Side effects of thyroid replacement therapy are similar to those of hyperthyroidism, and may include

What about follow-up for Hashimoto's thyroiditis?

Thyroid hormone levels are usually checked every 6-12 weeks when the medication is actively being adjusted, and 6-12 months thereafter once stable. If side effects like those noted above are occurring, you should follow-up with your physician.

Can Hashimoto's thyroiditis be prevented?

There is nothing that can be done to prevent Hashimoto's thyroiditis from occurring.

What is the outlook for a person who has Hashimoto's thyroiditis?

The outlook for those with Hashimoto's thyroiditis is good. While long-term thyroid hormone replacement therapy will likely be needed, with regular blood tests and monitoring of symptoms, side effects are minimal and the long-term prognosis is good.

Medically reviewed by John A. Seibel, MD; Board Certified Internal Medicine with a subspecialty in Endocrinology & Metabolism

REFERENCE: Lee, S. MD. "Hashimoto Thyroiditis." Medscape. Sep 08, 2015.

Medically Reviewed by a Doctor on 12/1/2015

Must Read Articles Related to Hashimoto's Disease

Hyperthyroidism Hyperthyroidism refers to a condition in which the thyroid gland produces too much thyroid hormone. Causes of hyperthyroidism include Graves' disease, thyroid a...learn more >>
Hypothyroidism Hypothyroidism is a condition in which the thyroid gland does not produce enough thyroid hormone. Causes of hypothyroidism include Hashimotot's thyroiditis, sub...learn more >>
Myxedema Coma
Myxedema Coma The thyroid gland, located at the front part of the neck, is responsible for making substances called thyroid hormones that are important for all body cells to ...learn more >>

Patient Comments & Reviews

The eMedicineHealth doctors ask about Hashimoto's Thyroiditis:

Hashimoto's Thyroiditis - Experience

Please share your experience with Hashimoto's thyroiditis.

Hashimoto's Thyroiditis - Symptoms

The symptoms of Hashimoto's thyroiditis can vary greatly from patient to patient. What were your symptoms at the onset of your disease?

Hashimoto&#39;s Thyroiditis - Treatments

How was your Hashimoto&#39;s thyroid disease treated?

Medical Dictionary