Levotiroxine Sodium Intoxication: A Case Report

Abstract

Hypothyroidism is a common endocrine disorder. With the exception of certain conditions, the treatment of hypothyroidism levothyroxine. Daily average dose of the levothyroxine is 1.6 mcg/kg. Levothyroxine intoxication is a rare condition and it occurs more often in children. The toxication of levothyroxine in adults is usually asymptomatic. In this paper we report a 24-year-old man who attempted suicide with large amounts of levothyroxine. Diagnosing depends on history, physical examination and laboratory findings. Medical treatment includes antithyroid drugs, steroids, betablockers and drugs to prevent gastrointestinal absorption activated charcoal, cholestyramine . In follow-up close monitoritation is needed and should be at least 5-7 days

Keywords

• Levothyroxine sodium,intoxication,monitoring

Levotiroksin Sodyum İntoksikasyonu: Olgu Sunumu

Abstract

Hipotiroidizm sık görülen bir endokrin hastalıktır. Nadir görülen durumlar dışında, hipotiroidizmin tedavisi ömür boyu levotiroksin tedavisi gerektirir. Levotiroksinin günlük dozu ortalama olarak 1,6 mcg/kg’dır. Levotiroksin intoksikasyonu nadir görülen bir tablodur ve çocuklarda daha sıktır. Erişkinlerde genellikle asemptomatik seyreder. Burada suisid amacıyla çok miktarda levotiroksin almış 24 yaşında erkek hastayı sunduk. Levotiroksin intoksikasyonu tanısı hikaye, fizik muayene ve laboratuar bulguları ile konulur. Medikal tedavi antitiroid ilaçları, steroidleri, beta blokerleri ve gastrointestinal emilimi engelleyen ilaçları aktif kömür, kolestramin içerir. Takip süresince yakın monitorizasyon gereklidir ve takip en az 5-7 gün olmalıdır

Keywords

• Levotiroksin sodyum,intoksikasyon,monitörizasyon

References

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