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With TSH between 6 and 8.9 and FT4 of 1.3, is it justified to prescribe Timazol or Carbimazole?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

With TSH between 6 and 8.9 (today 7.5) and FT4 of 1.3 (normal), is it justified to prescribe Timazol or Carbimazole (both for hyperthyroidism cure)?
Answered by Dr. Madhan Kumar Madathupalayam Velusamy

Education:

MS General Surgery

Professional Bio:

Dr.Madhan Kumar Madathupalayam Velusamy is a skilled Surgical Gastroenterologist. He completed his MBBS at Coimbatore Medical College and his MS in General Surgery at Sri Ramachandra Medical College and Research Institute, Chennai. He received his DNB in Surgical Gastroenterology from Gem Hospital, Coimbatore, which was awarded by the National Board of Examinations in Medical Sciences (NBEMS). He has more than 25 years of clinical experience. He serves as a part of the medical reviewer team at iCliniq and brings his clinical and healthcare experience to create high-quality content. Apart from this, he is a Laparoscopic Surgeon at MNP Nursing Home, Kumarasamy Hospital Erode, Sudha Institute of Medical Sciences, Erode, and is a visiting surgeon and faculty in many hospitals in Western Tamil Nadu.

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Hi,

Welcome to icliniq.com.

With the given values, there is no need for these drugs.

But in this scenario, I do not have any idea about the current prescriptions you are taking.

So, with that information and lipid profile reports, I will be happy to guide you better.

Patient's Query

Hello doctor,

I thought TSH above 5 is indicative of hypothyroidism. But the pills given are for hyperthyroidism. Please find the test results and let us know if it is justified to take hyperthyroidism treatment. I think the doctor got confused with the high level of TSH with overproductive thyroid. Please help.

Answered by Dr. Madhan Kumar Madathupalayam Velusamy

Education:

MS General Surgery

Professional Bio:

Dr.Madhan Kumar Madathupalayam Velusamy is a skilled Surgical Gastroenterologist. He completed his MBBS at Coimbatore Medical College and his MS in General Surgery at Sri Ramachandra Medical College and Research Institute, Chennai. He received his DNB in Surgical Gastroenterology from Gem Hospital, Coimbatore, which was awarded by the National Board of Examinations in Medical Sciences (NBEMS). He has more than 25 years of clinical experience. He serves as a part of the medical reviewer team at iCliniq and brings his clinical and healthcare experience to create high-quality content. Apart from this, he is a Laparoscopic Surgeon at MNP Nursing Home, Kumarasamy Hospital Erode, Sudha Institute of Medical Sciences, Erode, and is a visiting surgeon and faculty in many hospitals in Western Tamil Nadu.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

Thank you for the information.If the FT3 and FT4 levels are normal and TSH is elevated marginally. This is known as subclinical hypothyroidism.Two approaches:

1. No drugs now - observe and recheck thyroid profile after three months and decide.2. Starting on a low dose of Eltroxin (Levothyroxine) 25 mcg once a day in the morning (empty stomach) and do thyroid profile test after three months. If found to be normal, this dosage has to be continued.

The drugs for hyperthyroidism should not be given at this moment.

Medically reviewed by iCliniq medical review team
Published At October 14, 2014
Reviewed At May 5, 2025

Education:

MS General Surgery

Professional Bio:

Dr.Madhan Kumar Madathupalayam Velusamy is a skilled Surgical Gastroenterologist. He completed his MBBS at Coimbatore Medical College and his MS in General Surgery at Sri Ramachandra Medical College and Research Institute, Chennai. He received his DNB in Surgical Gastroenterology from Gem Hospital, Coimbatore, which was awarded by the National Board of Examinations in Medical Sciences (NBEMS). He has more than 25 years of clinical experience. He serves as a part of the medical reviewer team at iCliniq and brings his clinical and healthcare experience to create high-quality content. Apart from this, he is a Laparoscopic Surgeon at MNP Nursing Home, Kumarasamy Hospital Erode, Sudha Institute of Medical Sciences, Erode, and is a visiting surgeon and faculty in many hospitals in Western Tamil Nadu.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Dr. Madhan Kumar Madathupalayam Velusamy
Dr. Madhan Kumar Madathupalayam Velusamy

Surgical Gastroenterology

Education:

MS General Surgery

Professional Bio:

Dr.Madhan Kumar Madathupalayam Velusamy is a skilled Surgical Gastroenterologist. He completed his MBBS at Coimbatore Medical College and his MS in General Surgery at Sri Ramachandra Medical College and Research Institute, Chennai. He received his DNB in Surgical Gastroenterology from Gem Hospital, Coimbatore, which was awarded by the National Board of Examinations in Medical Sciences (NBEMS). He has more than 25 years of clinical experience. He serves as a part of the medical reviewer team at iCliniq and brings his clinical and healthcare experience to create high-quality content. Apart from this, he is a Laparoscopic Surgeon at MNP Nursing Home, Kumarasamy Hospital Erode, Sudha Institute of Medical Sciences, Erode, and is a visiting surgeon and faculty in many hospitals in Western Tamil Nadu.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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