What is the recommended dose of Propylthiouracil (PTU) in thyroid storm?

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PTU Dose in Thyroid Storm

Administer propylthiouracil (PTU) at 200 mg orally every 4-6 hours (800-1200 mg/day) as the preferred first-line thionamide for thyroid storm, given its dual mechanism of blocking both thyroid hormone synthesis and peripheral T4 to T3 conversion. 1

Why PTU is Preferred Over Methimazole

  • PTU has a unique advantage in thyroid storm because it inhibits both thyroid hormone synthesis AND peripheral conversion of T4 to T3, making it the first-choice thionamide according to European Society of Cardiology guidelines 1

  • Research demonstrates that PTU produces a significantly greater acute decrease in serum T3 levels compared to methimazole when combined with iodide therapy - T3 dropped to 326 ng/100 ml on day 1 with PTU versus 568 ng/100 ml with methimazole 2

  • The serum T4/T3 ratio increased to 88-91 during days 3-5 with PTU treatment compared to only 52-54 with methimazole, confirming PTU's superior blockade of peripheral T3 production 2

Dosing Algorithm

Initial Loading Phase

  • Start PTU at 200 mg orally every 4-6 hours (total daily dose 800-1200 mg/day) 3
  • Methimazole 20-40 mg orally every 6-8 hours can be used as an alternative if PTU is unavailable 1

Critical Timing with Iodine

  • Administer saturated potassium iodide solution or sodium iodide 1-2 hours AFTER starting PTU, never before, as giving iodine first can worsen thyrotoxicosis 1

Maintenance Dosing

  • Continue full thionamide doses until free T4 and T3 levels approach the upper limit of normal 4, 5
  • Once thyroid hormones normalize, reduce PTU dose by 30-50% with monitoring of thyroid function every 2-3 weeks 5
  • Typical maintenance doses range from 150-200 mg/day of PTU 3, 6

Monitoring Requirements

  • Check free T4 and T3 levels every 2-3 weeks during the tapering phase to guide dose adjustments 4, 1

  • Monitor for agranulocytosis with complete blood counts, particularly during the first 3 months of therapy 1

  • Watch for acute hepatitis, which is a rare but potentially fatal complication of PTU - monitor liver function tests (ALT, bilirubin, alkaline phosphatase) regularly 3

Critical Pitfalls to Avoid

  • Never administer iodine before thionamides - this can paradoxically worsen thyrotoxicosis by providing substrate for additional hormone synthesis 1

  • Do not taper PTU too early - maintain full doses until thyroid hormones approach normal range, as premature reduction increases relapse risk 4, 5

  • Be vigilant for hepatotoxicity - a case report documented ALT rising to 852 U/L with bilirubin of 46 μmol/L requiring immediate PTU discontinuation and supportive care 3

  • TSH may remain suppressed for weeks to months after clinical improvement, so do not rely solely on TSH for dose adjustments 5

Special Considerations

Pregnancy

  • PTU use should be restricted to the first trimester of pregnancy at doses of 150-200 mg/day, then switch to methimazole in the second trimester 6

When PTU Fails or Cannot Be Tolerated

  • Consider therapeutic plasma exchange (TPE) if PTU causes severe hepatotoxicity or treatment fails - TPE can remove T3, T4, autoantibodies, and catecholamines 7
  • One case report showed T3 decreasing from 2.27 to 0.81 ng/mL after 4 daily TPE sessions when conventional therapy failed 7

References

Guideline

Thyroid Storm Treatment

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

A case of thyroid storm complicated by acute hepatitis due to propylthiouracil treatment.

Endocrinology, diabetes & metabolism case reports, 2015

Guideline

Titrating Down Medications for Thyroid Storm

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Titrating Down Medications for Thyroid Storm

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

Treatment of Graves' hyperthyroidism with thionamides-derived drugs: review.

Medicinal chemistry (Shariqah (United Arab Emirates)), 2010

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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