Klinička farmakologija levotiroksina i antitiroidnih lekova
Sažetak
Najčešća oboljenja štitaste žlezde su autoimune bolesti praćene razvojem hipotiroidizma (Hašimotov tiroiditis) i hipertiroidizma (Grejvsova bolest). Hipotiroidizam je klinički sindrom koji nastaje kao posledica deficita tiroidnih hormona. Hipertiroidizam je preterana aktivnost tiroidne žlezde praćena hipersekrecijom tiroidnih hormona. Pojednostavljeno, za postizanje eutiroidnog stanja u oba klinička sindroma se koriste (najčešće) dva leka – levotiroksin (hipotiroidizam) i tioamid (hipertiroidizam). Naizgled je jednostavno, ali zapravo tokom lečenja, koje je u slučaju hipotiroidizma doživotno, treba pažljivo pratiti pacijente uz prilagođavanje doze leka i uključivanje drugih lekova za lečenje komorbiditeta.
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