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A male of East Asian background in his 30s presented to the emergency department with acute onset global muscle weakness, elevated creatine kinase, profound hypokalaemia and hyperthyroidism. A diagnosis of thyrotoxic periodic paralysis was made and the myopathy resolved promptly with potassium replacement. However, 3 months after being commenced on carbimazole for hyperthyroidism, the patient developed myalgias without weakness associated with an elevated creatine kinase.

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Article Synopsis
  • Most studies on carbimazole-induced testicular injury have been conducted on healthy animals, limiting their relevance to humans.
  • Metformin was tested alongside carbimazole in a rat study to assess its effects on testicular health and thyroid function, showing that higher doses of Metformin helped improve various testicular functions.
  • The findings suggest that Metformin can provide protective benefits to testicular health in conditions with thyroid issues, indicating a need for further research on this relationship in diabetic patients.
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Abrupt normalization of hyperthyroid state with antithyroid drugs is reported to precipitate psychosis. We report the development of acute psychosis in a 20-year-old woman, following 30 days use of tablet carbimazole 10 mg for hyperthyroidism due to the multinodular goiter. At the time of presentation, she was euthyroid with a resolution of hyperthyroid status both clinically and biochemically.

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Carbimazole-induced acute cholestatic hepatitis.

J Clin Gastroenterol

February 1989

Clinique Thérapeutique, C.H.U. de Rouen, France.

A case of carbimazole-induced cholestatic hepatitis is presented. A woman received carbimazole for hyperthyroidism for 3 months. Five months later, she had prompt recurrence of cholestasis parameters after rechallenge (2 days of treatment).

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