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Management

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 Symptom control with beta‐blockers such as propranolol or nadolol may be used in the first few weeks after diagnosis

 Treatment of hyperthyroidismAntithyroid drugs – carbimazole, propylthiouracil and methimazole; the course of treatment lasts 18 months; 30–50% chance of cureRadioactive iodine – very effective/safe; treatment results in hypothyroidism with the need to take levothyroxine long‐termSurgery – considered for younger patients with large goitres and for those in whom antithyroid drugs are not effective; again results in hypothyroidism with the need to take levothyroxine long‐term; potential risk to laryngeal nerve

A Practical Approach to Special Care in Dentistry

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