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hyperactive thyroid
Hi all! My 15 year old cat has been diagnised with hyper (overactive)
thyroid. She has been taking "methimazole" pills to control this problem. The vet has told me about radiation treatment, and some people have told me that the radiation treatment is the better option, even if my cat has no trouble taking the pills. Does anyone have any advice? Thanks, lulu |
#2
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"lulu" wrote in message
om... Hi all! My 15 year old cat has been diagnised with hyper (overactive) thyroid. She has been taking "methimazole" pills to control this problem. The vet has told me about radiation treatment, and some people have told me that the radiation treatment is the better option, even if my cat has no trouble taking the pills. Does anyone have any advice? Thanks, lulu This is my own personal take. With a 15 yr. old cat who's doing well on the Tapazole/methimazole tablets, & is not a problem pilling, I'd stick w/ the pills. If she was a few years younger, or if the pills were pricey, or if she *hated* being pilled, or if she wasn't tolerating the pills well, etc. - *then* I'd consider the radiation treatment. Cathy -- "Staccato signals of constant information..." ("The Boy in the Bubble") Paul Simon |
#3
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"lulu" wrote in message
om... Hi all! My 15 year old cat has been diagnised with hyper (overactive) thyroid. She has been taking "methimazole" pills to control this problem. The vet has told me about radiation treatment, and some people have told me that the radiation treatment is the better option, even if my cat has no trouble taking the pills. Does anyone have any advice? Thanks, lulu This is my own personal take. With a 15 yr. old cat who's doing well on the Tapazole/methimazole tablets, & is not a problem pilling, I'd stick w/ the pills. If she was a few years younger, or if the pills were pricey, or if she *hated* being pilled, or if she wasn't tolerating the pills well, etc. - *then* I'd consider the radiation treatment. Cathy -- "Staccato signals of constant information..." ("The Boy in the Bubble") Paul Simon |
#4
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"lulu" wrote in message
om... Hi all! My 15 year old cat has been diagnised with hyper (overactive) thyroid. She has been taking "methimazole" pills to control this problem. The vet has told me about radiation treatment, and some people have told me that the radiation treatment is the better option, even if my cat has no trouble taking the pills. Does anyone have any advice? Thanks, lulu This is my own personal take. With a 15 yr. old cat who's doing well on the Tapazole/methimazole tablets, & is not a problem pilling, I'd stick w/ the pills. If she was a few years younger, or if the pills were pricey, or if she *hated* being pilled, or if she wasn't tolerating the pills well, etc. - *then* I'd consider the radiation treatment. Cathy -- "Staccato signals of constant information..." ("The Boy in the Bubble") Paul Simon |
#5
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"lulu" wrote in message om... Hi all! My 15 year old cat has been diagnised with hyper (overactive) thyroid. She has been taking "methimazole" pills to control this problem. The vet has told me about radiation treatment, and some people have told me that the radiation treatment is the better option, even if my cat has no trouble taking the pills. Does anyone have any advice? Thanks, lulu I don't think I'd opt for radioiodine tx for a 15 year old. The stress of 5-7 days hospitalization may have deleterious effects, but mostly because there's 30% chance that her hyperthyroidism is masking underlying chronic renal failure. If she does have, or develops CRF, her medication can be adjusted so that you can strike a balance between an "acceptable" level of hyperthyroidism and an "acceptable" level of azotemia - -- Radioiodine tx is *irreversible* and nonadjustible. If she develops adverse effects from methimazole, you can easily switch her to carbimazole which produces fewer and milder adverse effects. Carbimazole is converted to methimazole in vivo. Aside from this, there are no significant pharmacokinetic differences between the two drugs. The only disadvantage associated with carbimazole is that its only available through compounding pharmacies in the US. If she's not a problem to pill, I wouldn't even consider radioiodine tx at her age. Best of luck. Phil. |
#6
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"lulu" wrote in message om... Hi all! My 15 year old cat has been diagnised with hyper (overactive) thyroid. She has been taking "methimazole" pills to control this problem. The vet has told me about radiation treatment, and some people have told me that the radiation treatment is the better option, even if my cat has no trouble taking the pills. Does anyone have any advice? Thanks, lulu I don't think I'd opt for radioiodine tx for a 15 year old. The stress of 5-7 days hospitalization may have deleterious effects, but mostly because there's 30% chance that her hyperthyroidism is masking underlying chronic renal failure. If she does have, or develops CRF, her medication can be adjusted so that you can strike a balance between an "acceptable" level of hyperthyroidism and an "acceptable" level of azotemia - -- Radioiodine tx is *irreversible* and nonadjustible. If she develops adverse effects from methimazole, you can easily switch her to carbimazole which produces fewer and milder adverse effects. Carbimazole is converted to methimazole in vivo. Aside from this, there are no significant pharmacokinetic differences between the two drugs. The only disadvantage associated with carbimazole is that its only available through compounding pharmacies in the US. If she's not a problem to pill, I wouldn't even consider radioiodine tx at her age. Best of luck. Phil. |
#7
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"lulu" wrote in message om... Hi all! My 15 year old cat has been diagnised with hyper (overactive) thyroid. She has been taking "methimazole" pills to control this problem. The vet has told me about radiation treatment, and some people have told me that the radiation treatment is the better option, even if my cat has no trouble taking the pills. Does anyone have any advice? Thanks, lulu I don't think I'd opt for radioiodine tx for a 15 year old. The stress of 5-7 days hospitalization may have deleterious effects, but mostly because there's 30% chance that her hyperthyroidism is masking underlying chronic renal failure. If she does have, or develops CRF, her medication can be adjusted so that you can strike a balance between an "acceptable" level of hyperthyroidism and an "acceptable" level of azotemia - -- Radioiodine tx is *irreversible* and nonadjustible. If she develops adverse effects from methimazole, you can easily switch her to carbimazole which produces fewer and milder adverse effects. Carbimazole is converted to methimazole in vivo. Aside from this, there are no significant pharmacokinetic differences between the two drugs. The only disadvantage associated with carbimazole is that its only available through compounding pharmacies in the US. If she's not a problem to pill, I wouldn't even consider radioiodine tx at her age. Best of luck. Phil. |
#8
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I agree with Cathy's advice. If your cat is doing well on the medication,
you should stick with that. Sue "Cathy Friedmann" wrote in message ... "lulu" wrote in message om... Hi all! My 15 year old cat has been diagnised with hyper (overactive) thyroid. She has been taking "methimazole" pills to control this problem. The vet has told me about radiation treatment, and some people have told me that the radiation treatment is the better option, even if my cat has no trouble taking the pills. Does anyone have any advice? Thanks, lulu This is my own personal take. With a 15 yr. old cat who's doing well on the Tapazole/methimazole tablets, & is not a problem pilling, I'd stick w/ the pills. If she was a few years younger, or if the pills were pricey, or if she *hated* being pilled, or if she wasn't tolerating the pills well, etc. - *then* I'd consider the radiation treatment. Cathy -- "Staccato signals of constant information..." ("The Boy in the Bubble") Paul Simon |
#9
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I agree with Cathy's advice. If your cat is doing well on the medication,
you should stick with that. Sue "Cathy Friedmann" wrote in message ... "lulu" wrote in message om... Hi all! My 15 year old cat has been diagnised with hyper (overactive) thyroid. She has been taking "methimazole" pills to control this problem. The vet has told me about radiation treatment, and some people have told me that the radiation treatment is the better option, even if my cat has no trouble taking the pills. Does anyone have any advice? Thanks, lulu This is my own personal take. With a 15 yr. old cat who's doing well on the Tapazole/methimazole tablets, & is not a problem pilling, I'd stick w/ the pills. If she was a few years younger, or if the pills were pricey, or if she *hated* being pilled, or if she wasn't tolerating the pills well, etc. - *then* I'd consider the radiation treatment. Cathy -- "Staccato signals of constant information..." ("The Boy in the Bubble") Paul Simon |
#10
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I agree with Cathy's advice. If your cat is doing well on the medication,
you should stick with that. Sue "Cathy Friedmann" wrote in message ... "lulu" wrote in message om... Hi all! My 15 year old cat has been diagnised with hyper (overactive) thyroid. She has been taking "methimazole" pills to control this problem. The vet has told me about radiation treatment, and some people have told me that the radiation treatment is the better option, even if my cat has no trouble taking the pills. Does anyone have any advice? Thanks, lulu This is my own personal take. With a 15 yr. old cat who's doing well on the Tapazole/methimazole tablets, & is not a problem pilling, I'd stick w/ the pills. If she was a few years younger, or if the pills were pricey, or if she *hated* being pilled, or if she wasn't tolerating the pills well, etc. - *then* I'd consider the radiation treatment. Cathy -- "Staccato signals of constant information..." ("The Boy in the Bubble") Paul Simon |
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