A 60-year-old male presents with severe hyperthyroidism and multinodular goiter. It was decided to
treat him with 131I. The most appropriate course of
treatment would be:
A. Immediate 131I dosing with no other drug
before or after
B. Propranolol for 1 week followed by 131I
C. Propranolol + carbimazole till severe thyrotoxicosis is controlled—1 week gap—131I—
resume carbimazole after 1 week for 2-3
months
D. Propranolol + Lugol’s iodine for 2 weeks—
131I—continue Lugol’s iodine for 2-3 months
treat him with 131I. The most appropriate course of
treatment would be:
A. Immediate 131I dosing with no other drug
before or after
B. Propranolol for 1 week followed by 131I
C. Propranolol + carbimazole till severe thyrotoxicosis is controlled—1 week gap—131I—
resume carbimazole after 1 week for 2-3
months
D. Propranolol + Lugol’s iodine for 2 weeks—
131I—continue Lugol’s iodine for 2-3 months