Informational only — Not medical advice. Always consult a licensed healthcare provider.

Community data Updated 23 hours ago

Indications

Methimazole is used for people with Graves' disease who have hyperthyroidism, and for people with toxic multinodular goiter, when surgery or radioactive iodine therapy is not a suitable treatment for them. It is also used to ease the symptoms of hyperthyroidism while a patient is getting ready for a thyroidectomy or for radioactive iodine therapy.

⚠️ Always consult a registered physician before taking any medicine.

Pharmacology

Methimazole works by stopping the thyroid from making new thyroid hormones, and that is why it helps in hyperthyroidism. It has no effect on the thyroxine and triiodothyronine already stored in the thyroid or circulating in the blood. It also doesn't interfere with thyroid hormones given by mouth or by injection, which keep working as they normally would.

The body takes up methimazole readily from the gastrointestinal tract. The liver metabolizes it, and it leaves the body in the urine.

Pregnancy & Breastfeeding

Methimazole is Pregnancy Category D. Congenital malformations linked to its use are rare, but because of them other medicines may be the better choice for pregnant women who need treatment for hyperthyroidism, particularly in the first trimester.

Methimazole passes into breast milk. Even so, several studies found no effect on the clinical status of nursing infants whose mothers were taking it, especially when the infant's thyroid function was checked often (weekly or biweekly).

⚠️ Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.

Dosage Reference

⚠️ Reference ranges from official sources only. Consult your doctor for personalized dosing.

Adults: Methimazole is taken by mouth. The total daily dose is usually split into 3 doses, given about 8 hours apart. Adults: The starting daily dose is 15 mg for mild hyperthyroidism, 30 to 40 mg for moderately severe hyperthyroidism, and 60 mg for severe hyperthyroidism. Each of these is divided into 3 doses at 8 hour intervals. The maintenance dose is 5 to 15 mg daily. Children: The starting daily dose is 0.4 mg/kg of body weight, divided into 3 doses and given at 8 hour intervals. The maintenance dose is about 1/2 of the starting dose. Use in children and adolescents: Severe liver injury has been reported after marketing in pediatric patients treated with propylthiouracil. For this reason, Methimazole is the preferred choice when a child or adolescent needs an antithyroid drug.

Side Effects & Interactions

Side Effects

No side-effect data recorded yet.