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  • Gabe
    Participant
    Post count: 182

    Glad I found this forum. 54 year old female with fairly recent Graves DX. TX with methimazole that’s just been bumped up. Also a beta blocker (metoprolol) for racing heart beat. Endo wants to wait another 3 months with intermittent blood work to titrate the methimazole before making further TX decisions. However, my weepy eyes and swelling all around the eyes is bothersome, nevermind ugly! I’m within normal eye range and don’t seem to have the bulging eye thing (yet!). So I’m wondering if there is any treatment other than steroids for the eyes. The ophthalmologist says treat the underlying issue and the other MAY or may not go away. Can’t imagine dealing with the eye issues long term or getting worse. Any suggestions?

    Kimberly
    Keymaster
    Post count: 4294

    Hello – Unfortunately, steroids are the primary option for controlling swelling during the active phase. Some patients do notice a link between swelling, and consuming certain foods (alcohol, high sodium foods, etc.) or with exposure to second-hand smoke. One doc who presented at our 2012 conference noted that an anti-inflammatory diet might also be of some help.

    As for the “weeping”, ironically, sometimes that can be caused by eyes that are too dry. Preservative-free eye drops can help with dryness issues. There is also a prescription drug called Restasis that helps with dryness, but I’ve heard mixed reviews from patients who have used this. It’s worth a discussion with your doctor, though.

    The latest medical guidance recommends monitoring of anti-thyroid drugs every 4-8 weeks. (You can find this document in the “Treatment Options” thread in the announcements section of this forum.) However, some patients can respond *very* quickly to ATDs, and it’s important to get the dosage adjusted accordingly. I would suggest calling your doctor’s office to ask for a quicker follow up. Also, be on the alert for symptoms of hypo, which can include fatigue, joint pain, unexplained weight gain, constipation, dry skin, cold intolerance, and slow pulse. If this happens, definitely tell your doctor’s office that you need new labs ASAP.

    Take care – and please check back to let us know how you are doing!

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