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Showing posts with label thyroxine. Show all posts
Showing posts with label thyroxine. Show all posts

Monday, December 21, 2009

Thyroid Hormone Testing

Rutland BE, Nachreiner RF, Kruger JM. Optimal testing for thyroid hormone concentration after treatment with methimazole in healthy and hyperthyroid cats. J Vet Intern Med 2009;23:1025-1030.

Hyperthyroidism is one of the most common endocrinopathies of cats and its prevalence is increasing in recent years. Methimazole is commonly used to treat hyperthyroidism and its action is to suppress thyroid hormone synthesis. The optimal time for blood sampling to monitor therapeutic efficacy, and the amount of variation in thyroid hormone concentrations 24 hours post administration of methimazole have not been determined. In this study, healthy cats were given steadily increasing doses of oral methimazole until a steady state of thyroid suppression was achieved. It was found that there is a significant and sustained suppression of total thyroxine (TT4), total tri-iodothyronine (TT3), free T3, and free T4 concentrations for 24 hours after a once daily methimazole administration in healthy cats. The time to thyroid gland suppression in healthy cats was 2-5 weeks. In addition, a retrospective study of 889 thyroid profiles from methimazole-treated hyperthyroid cats was reviewed. The review noted that in hyperthyroid cats, there was no significant relationship between thyroid hormone concentrations and time post-pill or dosing interval. The conclusion was timing of blood sampling after oral methimazole administration does not appear to be a significant factor when assessing response to treatment. [VT]
>> PubMed Abstract

Related articles:
Trepanier L, Hoffman S, Kroll M, et al. Efficacy and safety of once versus twice daily administration of methimazole in cats with hyperthyroidism. J Am Vet Med Assoc 2003;222:954-958.
>> PubMed Abstract

Trepanier LA. Pharmacologic management of feline hyperthyroidism. Vet Clin North Am Small Anim Pract 2007;37:775-788, vii.
>> PubMed Abstract

More on cat health: Winn Feline Foundation Library
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Rutland BE, Nachreiner RF, Kruger JM. Optimal testing for thyroid hormone concentration after treatment with methimazole in healthy and hyperthyroid cats. J Vet Intern Med 2009;23:1025-1030.

Hyperthyroidism is one of the most common endocrinopathies of cats and its prevalence is increasing in recent years. Methimazole is commonly used to treat hyperthyroidism and its action is to suppress thyroid hormone synthesis. The optimal time for blood sampling to monitor therapeutic efficacy, and the amount of variation in thyroid hormone concentrations 24 hours post administration of methimazole have not been determined. In this study, healthy cats were given steadily increasing doses of oral methimazole until a steady state of thyroid suppression was achieved. It was found that there is a significant and sustained suppression of total thyroxine (TT4), total tri-iodothyronine (TT3), free T3, and free T4 concentrations for 24 hours after a once daily methimazole administration in healthy cats. The time to thyroid gland suppression in healthy cats was 2-5 weeks. In addition, a retrospective study of 889 thyroid profiles from methimazole-treated hyperthyroid cats was reviewed. The review noted that in hyperthyroid cats, there was no significant relationship between thyroid hormone concentrations and time post-pill or dosing interval. The conclusion was timing of blood sampling after oral methimazole administration does not appear to be a significant factor when assessing response to treatment. [VT]
>> PubMed Abstract

Related articles:
Trepanier L, Hoffman S, Kroll M, et al. Efficacy and safety of once versus twice daily administration of methimazole in cats with hyperthyroidism. J Am Vet Med Assoc 2003;222:954-958.
>> PubMed Abstract

Trepanier LA. Pharmacologic management of feline hyperthyroidism. Vet Clin North Am Small Anim Pract 2007;37:775-788, vii.
>> PubMed Abstract

More on cat health: Winn Feline Foundation Library
Join us on Facebook
Follow us on Twitter
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Thursday, June 5, 2008

Diagnosis of Hyperthyroidism in Cats with Kidney Disease

Wakeling, J., K. Moore, et al. (2008). "Diagnosis of hyperthyroidism in cats with mild chronic kidney disease." Journal of Small Animal Practice 49(6): 287-294.


It is a well known phenomenon that hyperthyroid cats with concurrent non-thyroidal illness, such as chronic kidney disease (CKD), may have total thyroxine concentrations within the normal reference range. This causes a diagnostic dilemma. The objective of this study was to determine total thyroxine, free thyroxine and/or thyroid-stimulating hormone concentrations in cats with mild CKD. Three groups of cats were included: 16 cats with CKD and clinical signs compatible with hyperthyroidism but total thyroxine within the reference range (these cats were confirmed with hyperthyroidism at a later date); 20 cats with CKD and no signs of hyperthyroidism; 20 clinically healthy senior cats (over 8 years of age). Four of the 20 cats with CKD had free thyroxine concentrations that were borderline or high. Of the 16 cats with hyperthyroidism and CKD, free thyroxine was high in 15/16 cats and thyroid-stimulating hormone was low in all cats. The researchers conclude that the combined measurement of free thyroxine with total thyroxine or thyroid-stimulating hormone may be of merit in the diagnosis of hyperthyroidism in cats with chronic kidney disease.
>> PubMed abstract


Related articles:
Langston, C. E. and N. J. Reine (2006). "Hyperthyroidism and the kidney." Clin Tech Small Anim Pract 21(1): 17-21.
>> PubMed abstract


More on cat health: Winn Feline Foundation Library
Wakeling, J., K. Moore, et al. (2008). "Diagnosis of hyperthyroidism in cats with mild chronic kidney disease." Journal of Small Animal Practice 49(6): 287-294.


It is a well known phenomenon that hyperthyroid cats with concurrent non-thyroidal illness, such as chronic kidney disease (CKD), may have total thyroxine concentrations within the normal reference range. This causes a diagnostic dilemma. The objective of this study was to determine total thyroxine, free thyroxine and/or thyroid-stimulating hormone concentrations in cats with mild CKD. Three groups of cats were included: 16 cats with CKD and clinical signs compatible with hyperthyroidism but total thyroxine within the reference range (these cats were confirmed with hyperthyroidism at a later date); 20 cats with CKD and no signs of hyperthyroidism; 20 clinically healthy senior cats (over 8 years of age). Four of the 20 cats with CKD had free thyroxine concentrations that were borderline or high. Of the 16 cats with hyperthyroidism and CKD, free thyroxine was high in 15/16 cats and thyroid-stimulating hormone was low in all cats. The researchers conclude that the combined measurement of free thyroxine with total thyroxine or thyroid-stimulating hormone may be of merit in the diagnosis of hyperthyroidism in cats with chronic kidney disease.
>> PubMed abstract


Related articles:
Langston, C. E. and N. J. Reine (2006). "Hyperthyroidism and the kidney." Clin Tech Small Anim Pract 21(1): 17-21.
>> PubMed abstract


More on cat health: Winn Feline Foundation Library
Read More