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– iodine
– selenium
– iron
– vitamin A
– zinc
hypothyroidism (inactive or slow working thyroid)
Hashimoto's disease (autoimmune hypothyroidism)
hyperthyroidism (overactive or fast working thyroid)
Graves' disease (autoimmune hyperthyroidism)
Graves' Dermopathy or Pretibial myxoedema (skin disease)
goitre (enlarged thyroid)
– multinodular goitre
– solitary thyroid nodules
– papillary thyroid cancer
– follicular thyroid cancer
– anaplastic thyroid cancer
– medullary thyroid cancer
– rare types: thyroid lymphoma; thyroid sarcoma
TSH (thyroid stimulating hormone; thyrotropin)
free T4 (thyroxine free; FT4)
free T3 (triiodothyronine free; FT3)
thyroid autoantibodies; antithyroid antibodies; antimicrosomal antibody; thyroid microsomal antibody; thyroperoxidase antibody (TPOAb); antithyroid peroxidase antibodies (anti-TPO); antithyroglobulin antibody (anti-Tg); thyroglobulin antibody (TGAb); TSH receptor antibody (see thyroid antibodies)
thyroid stimulating immunoglobulin (TSI); thyroid stimulating autoantibody; anti TSH antibodies; TSH receptor binding inhibitory immunoglobulin; TSH/thyrotropin receptor autoantibody; thyroid receptor antibodies (TRA); long-acting thyroid stimulator (LATS) (see: thyroid stimulating antibodies)
testing (blood)
– interference: biotin supplementation
– repeats
test results (blood)
reference ranges (intervals)
– TSH
– Free T4
– Free T3
– thyroid antibodies
– thyroid stimulating antibodies
reference ranges for pregnant women (see: specific population groups)
nuclear thyroid scan; thyroid scintigraphy; thyroid pertechnetate scan
radioactive iodine uptake (RAIU)
computed tomography scan (CT scan)
positron emission tomography scan (PET scan)
Drugs for the treatment of hypothyroidism
approved and funded brands of levothyroxine
– Synthroid
– Levothyroxine (generic)
– Elxtroxin (new formulation 2008)approved but not funded brand of levothyroxine
– Eutroxsignot approved or funded brands of levothyroxine
– Eltroxin (old formulation)
– Levothyroxine (Actavis/Almus)not approved or funded brand of liothyronine
– Liothyronine Sodium (generic)
– Thybon Henning 20
not approved or funded: desiccated porcine thyroid extract
– Whole Thyroid Extract (WTE)
Drugs for the treatment of hyperthyroidism
approved and funded brand of carbimazole
– Neo-Mercazolenot approved, but funded under Special Authority
– Propylthiouracil (PTU)
Funding, prescription and importation of thyroid drugs
– registered medical practitioner and the prescription, sale and supply of medicines
– pharmaceutical companies and the sale of medicines in NZ: consent required
– pharmacists and the manufacture, sale and supply of medicines
– unapproved medicines
importation
eligible persons
Pharmaceutical Schedule
Special Authority
exceptional circumstances
– Special Authority waiver
– Named Patient Pharmaceutical Assessment Policy (NPPA)
World Thyroid Day
International Thyroid Awareness Week
Thyroid Cancer Awareness Month
– thyroid gland and thyroid disease
– early diagnosis and adequate treatment are essential
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