Help please, not sure what to do - graves - Thyroid UK

Thyroid UK

140,931 members166,056 posts

Help please, not sure what to do - graves

Joy333 profile image
6 Replies

Hi everyone, I went down from 40mg carbi to 20mg carbi at the end of August. Since then I've felt absolutely horrendous. I got bloods taken on 4th sept which showed my levels had come down nicely t4 21.2.(9.8-18.8) With advice from this site I got more blood taken on 17th sept which showed my t4 had risen again to 28.

I've just had a call from my Gp who spoke to another endo who has said he normally keeps people on 40mg for 6 weeks not 4 as I had been advised. So, I've to go back up to 40mg for 2weeks and that this would be fine due to the lag with carbi.

I'd really really appreciate any thoughts or advice please x

Written by
Joy333 profile image
Joy333
To view profiles and participate in discussions please or .
Read more about...
6 Replies

You want my honest opinion? I think 40mg is too high a dose for a T4 of 28, which isn't that much above the normal range, is it? If they're playing the block and replace game then maybe it's different, but if you're just on carbi I'm not so sure. The maximum dose I have ever been on is 15mg, and my T4 was over 50 by the time I started the drugs.

Such big changes in dose all in one go as well. You could try going up 5mg at a time, leaving a few days or a week between each increase. Keep a symptom diary and you'll have a better idea of how the changes in dose are affecting you, good or bad. It's such a strong drug, what an assault on your system to be going up and down and up again like that. And what are they going to do when the 2 weeks is up? Plonk you back down to 20mg? Ridiculous, you're not a yo-yo. Perhaps discuss with your GP if it's OK to go up slowly and see what happens.

Hampster

Joy333 profile image
Joy333 in reply to

Exactly what I've been thinking Hampster, 40mg seems a lot, just wasn't sure though. When my t4 was 40, I was on 20mg for 10wks and my levels didn't budge so the endo put up to 40mg for 4weeks.

Yes, I'm worried about after the 2weeks as their plan is to plonk me back down to 20 so does that mean I'd go through all the symptoms I've been having this last while, just feeling so in the dark with all this but one thing for sure is, I really don't want to have this reaction again x

in reply toJoy333

What's so magic about 20 and 40? You're an individual and, lets face it, your perfect dose might be 25, or 35. I just think you'd feel much better with proper titration. x

Joy333 profile image
Joy333

Thank you so much for your help Hampster, it helps to speak to others x

Nathalie70 profile image
Nathalie70

How high were your T4 when you were diagnosed?

Joy333 profile image
Joy333

Hi Nathalie, when I was first diagnosed in May t4 was 41.3 (9.8-18.8) , t3 was 24.2 (3.3-6.1) and tsh 0.01 (0.4-4.0). It's been a wee bit of a struggle as my levels just won't behave x

Not what you're looking for?

You may also like...

Hyper / Graves, Help please with 3rd blood test results

Hi everyone, I'd really appreciate a bit of advice on my latest blood results. Since reducing carbo...
Joy333 profile image

Not sure what to do. Help please!

Hi I'm Sue . I'm 55, menopausal, have depression and an under active thyroid. Unfortunately all 3...
sueoathall profile image

Help with test results and what to do next...

Hi everyone, I have been trying to get a diagnosis/treatment since 2010, but no luck so far......
Sheepcoat profile image

Will there be a silver lining to the graves grey cloud :-(

Just a quick recap jan 14 told over active thyroid put on propanol and refered to Endo given...
Binkynoo profile image

HYPER Carbimazole Dosage

Just wondering... What is a usual dose of Carbi? I know that it all depends on levels... I was...
wildpoppy profile image

Moderation team

See all
PurpleNails profile image
PurpleNailsAdministrator
RedApple profile image
RedAppleAdministrator
helvella profile image
helvellaAdministrator

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.