Central hypothyroidism with oxcarbazepine therapy

Common Questions and Answers about Central hypothyroidism with oxcarbazepine therapy

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Avatar f tn In addition, some of these inducers (anticonvulsants and barbiturates) may have additive central nervous system-depressant effects with buprenorphine. MANAGEMENT: Pharmacologic response to buprenorphine should be monitored more closely whenever a CYP450 3A4 inducer is added to or withdrawn from therapy, and the buprenorphine dosage adjusted as necessary. Ambulatory patients should be made aware of the possibility of additive effects (e.g.
Avatar n tn Central hypothyroidism is a rare cause of hypothyroidism. It's precise prevalence is unknown, but is estimated as 0.005% in the general population. Numbers wise, estimated prevalence of approximately 1 in 80,000 to 1 in 120,000. This is the most frequent cause of central hypothyroidism is a pituitary adenoma (benign tumour) accounting for more than 50% of cases in most of the studies.
Avatar n tn Since you are dealing with a serious form of hypothyroidism, that being central hypothyroidism, you need to be very careful on what feedback you take in. The best intended information on hypothyroidism might not be what you need for your own situation. I know it's awful to continue to have symptoms and not feel well. But, honestly, I think your own drs are probably going to be your best guides.
Avatar m tn This makes me suspicious of Central Hypothyroidism. I have also self-ordered blood cortisol and ACTH tests and they also show low-normal which makes me even more suspicious of central hypothyroidism and both HPT and HPA axis dysregulations. My ACTH and cortisol lab results are: ACTH = 11 (6 - 50) AM Cort = 12.7 (4 - 22) PM Cort = 4.
5133140 tn?1364525169 Just wondering if anyone in here has Central Hypothyroidism? I am a 32 year old female and I've been told I most likely have CH and need to have an MRI done, but have not done so yet. I'm currently taking synthroid to help with symptoms. Just wondering if their are others here with this disease and your experiences.
Avatar f tn Your TSH being low in the range, along with the low Free T4 and Free T3 may indicate central hypothyroidism. Central is a dysfunction in the hypothalamus/pituitary system that results in a TSH output that is too low to adequately stimulate the thyroid gland. Your doctor just followed normal practice for doctors who don't know about how to best test, diagnose and treat hypothyroidism.
Avatar n tn I have central hypothyroidism, originally diagnosed by an endocrinologist. After doing a lot of blood work, she looked at my test results and told me she had never seen this before she did a stim test which I failed and said I had secondary adrenal insufficiency----at some point in time she put central hypothyroidism on my chart.
Avatar f tn There is nothing in those results that really point to Hashi's. If anything they point toward central hypothyroidism. Central hypothyroidism is a dysfunction in the hypothalamus/pituitary system resulting in relatively low TSH and resultant low Free T4 and Free T3. I know your latest Free T3 is not low in the range, which made me think of this quote from a good thyroid doctor.
Avatar f tn I just started taking oxcarbazepine 9 days ago and I built up to 300 mg,no high not even close.Not like with other drugs like oxycontin, were with in 30 min you get a buzz.I guess you have to take higher doses if thats were you want to go,but I dont know.
222267 tn?1253302210 I just started OXCARBAZEPINE. I am really sick. I am on 600mg at night. I woke up this morning with a headache and I have felt like I have the flu all day. I cannot eat or drink anything. I'm exausted. Does anyone have experience with this med? How long will these symptoms last? I have to somehow work tomorrow. I am getting so tired of being sick and tired. I'm not depressed. I'm just coming back from hell. I had major surgery. It made me have a severe manic episode.
Avatar n tn t diagnose everyone as having central hypothyroidism, only those with such symptoms and test results, along with a relatively low TSH. Even at that, you should note that I said "indicative of the possibility of central hypothyroidism". The best way to be sure of a diagnosis of hypothyroidism is a therapeutic trial of thyroid med to adequately raise her Free T4 and Free T3 levels.
Avatar n tn TSH:1.49 (0.40-4.00) , FT4 0.9( 0.6-1.6 ), T3 88 (70-180 ). 8/16 tests: TSH 2.32 (.5-4.3), FT4 1.0 (.8-1.
Avatar m tn What are your experiences with the following drugs? I want to start with the drug that I have the best chance of maintaining my intellect, fine motor skills, hand-eye coordination and personalty.
Avatar m tn Instead the ranges are based on all test data at a given lab, excluding only data from patients with TSH exceeding its reference range. That means that sick people, people with central hypothyroidism, and patients taking thyroid hormone are all included in the data base. Accordingly Free T4 and Free T3 reference ranges are flawed at the low end and test results in the lower half of the ranges should be cause for further evaluation, not denial of treatment.
5133140 tn?1364525169 m 32 years old, have two children and was diagnosed with Central Hypothyroidism while pregnant with my second child in 2008. I take 100mcg of synthroid and will be getting an MRI done soon. I'm also going to ask about getting a TRH stimulation test. I'm curious how many others here have Central Hypothyroidism; I know it is more rare. If you have it, can you share your story/experience? Thank you!
Avatar f tn My daughter is 12 years old who has hypothyroidism has recently been diagnosed with grade 1 anterior Spondylolisthesis of the L5 and S1. There is a mild intervertebral disk bulge and there is severe stenosis of the central canal. So far, her orthopedist has said that she should have surgery to fix the problem, but we are still waiting for our second opinion from the neurosurgeon. Her right thigh will start to go numb after about 5-10 minutes when she stands up or walks.
Avatar n tn However, there is another type of hypothyroidism called Central or Secondary hypothyroidism. With Central hypothyroidism, the thyroid works fine, but there's inadequate TSH to stimulate the thyroid to produce hormones. This is caused by malfunction in the pituitary or hypothalamus glands.
Avatar f tn Levels of FT4 and FT3 in the lower half of their ranges is frequently associated with having hypo symptoms. Central hypothyroidism is thought to be much less frequent than primary so doctors are not as alert to it as you would expect. TSH with reflex to FT4 is a test that will usually identify Hashi's, but not central hypothyroidism. Because the TSH is fairly low, no further testing is done. You will have to get the doctor to test for Free T4 and Free T3, regardless of the TSH level.
Avatar f tn When your get a Free T3 test I am sure it will also be in the lower half of its range, which is also consistent with being hypothyroid for many people. Central hypothyroidism is caused by dysfunction in the hypothalamus/pituitary system that results in relatively low TSH insufficient to adequately stimulate the thyroid gland. Central hypothyroidism is overlooked quite often because of the reliance on TSH as a diagnostic.
Avatar f tn Along with that your TSH is toward the low end of its range, so it appears that you have central hypothyroidism. with central hypothyroidism there is a dysfunction in the hypothalamus/pituitary system that results in TSH levels that are too low to adequately stimulate the thyroid gland to produce hormone.
Avatar n tn ve noticed that doctors tend not to consider central hypothyroidism, which if you believe the AACE white paper is around 20% of all cases of hypothyroidism. If you have indications of central hypothyroidism, then an endocrinologist should check your other hormone levels.
Avatar f tn d suggest you talk to your doctor about the possibility of Central hypothyroidism, which is a problem with the pituitary/hypothalamus axis, in which there is not enough TSH, from the pituitary gland, to stimulate the thyroid to produce adequate thyroid hormones. Central hypothyroidism is, often, missed, because doctors only really look at the TSH and seeing it low in the range, they assume the patient is fine, when, in fact, they are not.
Avatar f tn The problem is that your TSH is also pretty low in the range, which is what we, typically, see with hyper, except in the case of Central Hypothyroidism, which is a problem with the pituitary gland, rather than the thyroid. With Central hypothyroidism, the thyroid works just fine, but the pituitary gland doesn't produce enough TSH to stimulate the thyroid to produce adequate thyroid hormones.
664366 tn?1276298653 After an MRI they found C4-5 level had mild posterior broadbased spondylitic bulge with central canal stenosis. Then at C5-6 level disk narrowing and more prominent posterior broadbased spondylitic bulge small disk protrusion moderate central canal stenosis wiht out cord indentation. some mild bilateral neural foraminal encroachment is noted. At C6-7 level mild posterior broadbased spondylitic bulge with mild central canal stenoisis.
Avatar m tn Looks a lot like mine, except mine is more prominent on the right, and less central like yours. Probably a good idea to make a trip to see your doctor. How long have you noticed that?
Avatar m tn Hello, I was wondering if anyone with a type 1 Chiari Malformation also has hypothyroidism with negative antibodies. Is there any connection with hypothyroidism and Chiari other than when it's autoimmune? Also, is there anyone with central/secondary hypothyroidism and Chiari?