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Treatment. There are four treatment options for feline hyperthyroidism: medication, radioactive iodine therapy, surgery, and dietary therapy. Each treatment option has its advantages and disadvantages.
3 maj 2016 · The Panel recommends treating FHT in cats with pre-existing CKD. Treat both diseases concurrently. Manage IRIS stage 1 and 2 cases as though they are non-azotemic.
Methimazole (oral and transdermal) is a safe and effective medication for the treatment of feline hyperthyroidism. Dr. Bruyette discusses drug administration and monitoring, plus 10 key points of owner education.
In affected cats, treatment of the underlying cardiac disease is required together with antithyroid medication. In many cases, on-going treatment of the cardiac disease is required even when euthyroidism is induced suggesting either irreversible thyroid hormone induced damage or pre-existing cardiac disease.
Options for treatment include oral/transdermal antithyroidal medication (such as thiamazole, methimazole and carbimazole), surgery, radioactive iodine therapy or feeding an iodine-deplete diet.
Traditional therapeutic measures include thyroidectomy, radioactive iodine therapy, and antithyroid medications. A new therapeutic option—a limited-iodine diet that helps normalize thyroid hormone concentrations and alleviate clinical signs—is now available. Hyperthyroidism is recognized as the most common endocrinopathy of older cats.
Hyperthyroid cats presenting in thyrotoxic crisis have clinical signs similar to those of human thyroid storm patients; however, thyroid storm has not yet been fully characterized in veterinary medicine. Early recognition and prompt, appropriate treatment of this life-threatening condition are essential to obtaining a favorable outcome.
