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Thyroid

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THYROID & ANTITHYROID

Akhmad Edy Purwoko


Bagian Farmakologi & Toksikologi
FK - UMY

Drug used in thyroid disease

Hipothyroidism

Thyroxin
T4

Triidothyronin
T3

Hiperthyroidism

Thioamide
Iodide
Ipodate
131i

I-

I-

Io

MIT-DIT-T3-T4
Iodides

Proteolisis

Iodides,
Thioamides

Peripheral
Tissues
T 4 T3
T3

T4 T3
Blood
Ipodate,
Beta-blokers

Thyroid Replacemen Therapy


Levothyroxin (a sodium salt of T4) is the
most commonly used drug for thyroid
replacement therapy drug of choice for
treatmen of hypothyroidism
Liothryronin (a salt of T3)and litotrix (a
mixture of T3 and T4) have also been
used to treat hypothyroidsm

Antithyroid drugs
Propylthiourasil, Methimazole inhibit thyroid synthesis (inhibit iodinationof
tyrosin group and coupling these group to form thyroid hormon. Prohylthiourasil also inhibits the peripheral
conversion of T4 to T3)

Iodide salt and Iodide


Radioactive Iodine
Other drugs, -blockers

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