Carbimazole mild neutropenia

[Belgianwaffle]

Dear all,

I had a relapse of Graves a week ago. My endocrinologist prescribed 40 mg of Carbimazol daily and Propanolol. I started the prescribed treatment. However, after a week on Friday evening I felt a mild sore throat. Remembering the instructions,I skipped Saturday morning Carbimazole dose and did blood test at 10AM, which showed neutrophil count of 1.19 (was 3.6 only a week ago). GP suggested I go to ER to be on the safe side.

ER doctor repeated my full blood count test at 6PM and the neutrophil count was already 1.8. I was discharged with instruction not to take Carbimazole for now and to consult Endocrinologist. Except very mild sore throat that I barely felt, I had no other symptoms. I continue with Propranolol.

Could I please ask if I still will be able to take anti-thyroid medication (maybe a different one or a lower dose?) or is this mild neutropenia (1.5 to 1 threshold) is an absolute contraindication? My remission lasted seven years after the initial ATD course and I was hoping I can achieve it again. Many thanks for any comments!

[pennyannie]

Hello Belgianwaffle and welcome to the forum :

There is a different Anti Thyroid drug - Propylthiouracil ( PTU ) - maybe this will be suitable - so ask if you can take this alternative - ?

Can you please complete your Profile page as to thyroid journey, age sex etc.