Can hypothyroidism caused by taking methimazole tablets for four months be reversed?

Dec 28, 2022 Source: Cainiu Health
Disease description:

My friend has hyperthyroidism and developed hypothyroidism after taking methimazole tablets for four months. Can this be reversed?

Doctor's answer (1)
Dr. Zhang Renling
It is possible for hypothyroidism caused by taking methimazole tablets for hyperthyroidism treatment over four months to recover spontaneously. Methimazole suppresses the secretion and synthesis of thyroid hormones without fundamentally damaging the source of hormone production. The resulting hypothyroidism is due to insufficient hormone secretion, which can be reversed by discontinuing the medication as directed by a physician, allowing the restoration of normal hormone secretion function. Mild symptoms can be managed through dietary adjustments, such as consuming iodine-rich foods like kelp and nori, and vitamin-rich fruits such as pears, bananas, and kiwifruit, which help promote recovery of thyroid function. If symptoms are severe, methimazole should be discontinued immediately, and treatment with levothyroxine sodium tablets or thyroid tablets should be initiated under medical supervision. If the condition does not improve, prompt medical attention is essential. With appropriate management and treatment, hypothyroidism usually gradually returns to normal.