How is thyroid storm treated?

Updated: Feb 18, 2018
  • Author: Madhusmita Misra, MD, MPH; Chief Editor: Robert P Hoffman, MD  more...
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Answer

The approach to treatment of thyroid storm includes the following:

  • Supportive measures
  • Antiadrenergic drugs
  • Thionamides
  • Iodine preparations
  • Glucocorticoids
  • Bile acid sequestrants
  • Treatment of the underlying condition
  • Rarely plasmapheresis

Patients with contraindications to thionamides need to be managed with supportive measures, aggressive beta blockade, iodine preparations, glucocorticoids, and bile acid sequestrants for about a week in preparation for a thyroidectomy. Plasmapheresis may be attempted if other measures are not effective. 


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