A 43-year-old female patient presented with excessive sweating, fatigue, irregular chest pain, weight loss and hair loss. Laboratory tests revealed hyperthyroidism with elevated T3 and low TSH levels. She was diagnosed with hyperthyroidism and treated with carbimazole, vitamin B complex and propranolol. The treatment goals were to reduce symptoms, minimize disease progression and complications, and bring TSH levels to normal. The patient was counselled on lifestyle modifications and frequent thyroid monitoring.

1. CASE PRESENTATION ON HYPERTHYROIDISM
DONE BY- DEEPAK DATTA.B.R
PHARM-D

2. HYPERTHYROIDISM
• Hyperthyroidism (overactive thyroid) occurs when your thyroid gland
produces too much of the hormone thyroxine.
• Hyperthyroidism can accelerate your body's metabolism, causing
unintentional weight loss and a rapid or irregular heartbeat.

3. PATIENT DETAILS
• NAME-XYZ
• AGE-43y
• SEX-FEMALE
• BMI-30
• IP NO-76325
• DEPT-FEMALE GENERAL WARD

4. SUBJECTIVE EVIDENCES
• REASON FOR ADMISSION-C/O EXCESSIVE SWEATING, FATIGUE,
IRREGULAR CHEST PAIN, WEIGHT LOSS, HAIRLOSS
• PAST MEDICAL HISTORY- K/C/O DIABETES MELLITUS
• PAST MEDICATION HISTORY- NIL
• SOCIAL HISTORY(TOBACCO, ALCOHOLIC, SMOKER)-NIL

5. OBJECTIVE EVIDENCE
DAYS 1 2 3 4 5 6
TEMP 98.2 98.1 98.2 98.2 98.3 98.2
B.P 140/90mmH
g
140/100mm
Hg
140/90mmH
g
140/90mmH
g
150/100mm
Hg
-
PULSE 80bpm 82bpm 78bpm 78bpm 83bpm -
LABORATORY INVESTIGATION

6. -BLOOD COUNT
• Haemoglobin- 11.6g/dl
• Platelets- 2.4 lakhs
-OTHER INVESTIGATION
• THYROID FUNCTION TEST
 T3-2.83mg/dl (0.8-2.4)
 TSH-0.01IU(0.35-5IU)

7. ASSESSMENT
• FROM THE ABOVE SUBJECTIVE AND OJECTIV
EVIDENCE THE PATIENT WAS DIAGNOISED WITH
HYPERTHYROIDISM

8. TREATMENT GOALS
• TO REDUCE THE SIGNS AND SYMPTOMS
• TO MINIMISE THE DISEASE PROGRESSION
• TO MINIMISE HOSPITALIATION
• TO PREVENT FURTHER COMPLICATION OF HYPERTHYROIDISM
• TO BRING TSH LEVEL TO NORMAL
• TO MAKE SOME LIFESTYLE CHANGES

9. DRUG CHART
SNO TRADE NAME GENERIC NAME FREQ DOSE 1 2 3 4 5 6 7 8
1 Tab. Neomerazole Carbimazole 1-0-1 5mg        
2 Tab. B complex Vitamin
supplement
1-0-1 0.8mg        
3 Tab.propranolol Propranolol 1-0-1 20mg        

10. DRUG INTERACTION
• TAB NEOMARCAZOLE + PROPRANOLOL-
DECREASE THE EFFECT OF
PROPRANOLOL

11. PATIENT COUNSELLING
• EAT NUTRIOUS AND BALANCED DIET
• SOME VEGETABLES AND BEANS INCREASE THE POTENTIAL
TO FIGHT AGINST ILLNESS
• DON’T CONSUME IODINE RICH FOOD
• DON’T CONSUME DIARY PRODUCT
• AVOID CAFFINE,ALCOHOL,CARBONATED FOODS..ETC
• DO PROPER EXERCISE, ESPECIALLY WHEN OSTEOARTHRITIS
OCCUR
• FOLLOW DASH DIET FOR HYPERTENSION
• THYROID PROFILE TEST SHOULD BE DONE FREQUENTLY

12. INTERVENTION
• TREATMENT FOR HYPERTENSION WAS NOT VERY SUCCESSFUL
• AS PATIENT WAS ALREADY DIABETIC, BLOOD SUGAR LEVEL SHOULD
HAVE BEEN CHECKED