Thiamazole - Oral

Thiamazole is used to treat hyperthyroidism (overactive thyroid gland).

This medicine is also used to improve symptoms of hyperthyroidism before surgical removal of the thyroid or treatment with radioactive iodine.

Take Thiamazole exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.

Take it together with food or immediately after a meal. Try to take it at the same time each day.

Swallow the tablet whole with a glass of water.

The dose of this medicine will be decided by your doctor. Your doctor will advise you on the treatment timeframe depending on the type and severity of your condition.

Thiamazole must be taken regularly for it to be effective. Continue taking this medicine even when you feel better. Do not stop taking it unless instructed by the doctor.

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.

DO NOT double a dose under any circumstances.

If you often forget to take your medicine, let your doctor and pharmacist know.

Alert your doctor if you have a history of acute pancreatitis (inflammation of the pancreas) due to previous treatment with Thiamazole or similar medicines such as carbimazole.

Inform your doctor if you have the following conditions:

• bone marrow depression (a condition in which the blood cells are low)
• liver disease
• kidney disease

Let your doctor know if you are pregnant or breastfeeding.

It is important that you do not get pregnant while being treated with this medicine. You may wish to discuss birth control methods with your doctor or pharmacist.

Be sure to check with your doctor or pharmacist before giving Thiamazole to a child. Children may be more sensitive to the side effects.

Why is it important to keep my appointments with the doctor?

Keep your appointments with your doctor. Your doctor needs to monitor your condition and check your response to the medication regularly.

• Routine tests (e.g. complete blood count, thyroid and liver function) may be done while you are being treated with this medicine. Your doctor will advise you about how often you need to have these tests.
• Regular monitoring for signs and symptoms of liver problem (e.g. yellowing of the skin or eyes, abdominal pain) and infection (e.g. fever, sore throat) may also be needed.

Thiamazole may cause any of the following side effects: headache, drowsiness, nausea, vomiting, loss of taste, hair loss, skin rash, and itching.

Some side effects may need immediate medical help. Alert your doctor quickly if you experience any of the following:

• yellowing of the skin or eyes, abdominal pain, dark coloured urine, tiredness, swelling in the legs and ankles
• severe stomach pain that radiates to the back
• muscle or joint pain, rash on the cheeks, chest pain, shortness of breath

This medicine may cause the level of your red blood cells, white blood cells and platelets to drop.

Red blood cells carry oxygen around your body. A fall in the level of red blood cells may make you feel tired and worn out.

White blood cells help your body to fight infections. A fall in the level of your white blood cells may put you at higher risk for infections, such as coughs, colds and flu, which may lead to more serious infections. Avoid crowded places and people who are sick. Alert your doctor if you have a fever, or a cough or flu that does not go away.

Platelets help your blood to clot when there is a cut in the skin. A fall in the level of your platelets may put you at risk of bleeding more than usual. Do not take part in activities where you may fall or get injured, such as contact sports. Inform your doctor if you get any unusual bruising (large bruises or several bruises, especially if the bruises appeared on their own) or bleeding that takes a long time to stop (for example, too much bleeding when you floss or brush your teeth).

Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.

Inform your doctor and pharmacist if you are taking any of these medicines:

• blood-thinning medicines e.g. warfarin
• medicines for heart disease e.g. digoxin
• theophylline (asthma medicine)

This list does not include all medicines that may interact with Thiamazole.

Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics, such as traditional Chinese medicines, supplements, and medicines you buy without a prescription.

Avoid alcohol.

Store in a cool, dry place away from the reach of children.

Protect from light.

Medicines must not be used past the expiry date.