Symptoms of hyperthyroidism while on medication?
I am a patient with hyperthyroidism and have been experiencing exophthalmos.
I have been controlling my symptoms with medication for the past six months.
The medications I am currently taking are 1.
PrOCIL (Propranolol) 2.
Inderal (Propranolol) 3.
Rental SR (Sustained-release medication).
Recently, I have noticed a bitter taste after taking the first medication.
In the past, I would eat candy or drink juice to alleviate this issue, but the bitterness has been increasing.
Could there be other underlying conditions affecting my body, or does the doctor have any good suggestions to address my bitter taste problem?
iris, 20~29 year old female. Ask Date: 2008/08/05
Dr. Liao Lingmei reply Pharmacology
Dear Iris: Procil is an antithyroid medication, Inderal is an adjunctive treatment for hyperthyroidism, and I am unable to determine the function of rental SR due to a possible typographical error in its name.
The active ingredient in Procil is Propylthiouracil, which is a crystalline powder with a bitter taste.
If the manufacturer produces it as a coated tablet or sugar-coated tablet, the bitter taste will not linger in the mouth.
However, if you are taking uncoated tablets, you may experience the bitterness of the medication.
If you have other health concerns, please inform your physician during your follow-up visit and inquire whether further medical examinations are necessary.
Wishing you health and happiness.
Reply Date: 2008/08/05
More Info
Managing a bitter taste from hyperthyroid medication can be quite challenging, especially when it affects your quality of life. The medications you mentioned, such as PrOCIL (Propranolol), Inderal (another brand of Propranolol), and rental SR (likely referring to a form of medication for thyroid management), can sometimes lead to side effects, including a bitter or metallic taste in the mouth. This can be particularly distressing for patients who are already dealing with the symptoms of hyperthyroidism.
Understanding the Bitter Taste
The bitter taste you are experiencing could be attributed to several factors:
1. Medication Side Effects: Many medications, including those used to manage hyperthyroidism, can alter taste perception. Propranolol, for instance, is a beta-blocker that can affect taste buds and saliva production, leading to a bitter taste.
2. Saliva Production: Some medications can reduce saliva production, which can lead to dry mouth (xerostomia). A lack of saliva can intensify the perception of bitterness, as saliva helps to wash away food particles and neutralize tastes.
3. Underlying Conditions: Hyperthyroidism itself can cause changes in taste perception. Additionally, other health issues, such as dental problems or infections, can also contribute to a bitter taste.
Tips and Solutions
Here are some strategies you might consider to manage the bitter taste:
1. Hydration: Ensure you are drinking plenty of water throughout the day. Staying hydrated can help alleviate dry mouth and may reduce the intensity of the bitter taste.
2. Oral Hygiene: Maintain good oral hygiene by brushing your teeth and tongue regularly. Using a mouthwash can also help to freshen your breath and may reduce bitterness.
3. Dietary Adjustments: Incorporate foods that are less likely to exacerbate the bitter taste. Foods that are sweet or acidic, such as citrus fruits, may help mask the bitterness. You might also try chewing sugar-free gum or sucking on mints to stimulate saliva production.
4. Taste Enhancers: Consider using flavor enhancers in your meals, such as herbs and spices, to make food more palatable. This can help distract from the bitter taste.
5. Medication Timing: If possible, discuss with your healthcare provider the timing of your medications. Taking them with food or at different times of the day may help reduce the bitter taste.
6. Consult Your Doctor: Since the bitter taste has been increasing, it’s essential to consult your healthcare provider. They may consider adjusting your medication regimen or switching to alternative medications that may not have the same side effects.
7. Taste Bud Sensitivity: Be aware that your taste buds may be more sensitive due to the medications. If the bitter taste persists, your doctor might refer you to a specialist, such as an ENT (ear, nose, and throat) doctor, for further evaluation.
Conclusion
While managing a bitter taste from hyperthyroid medication can be frustrating, there are several strategies you can employ to mitigate this side effect. It’s crucial to maintain open communication with your healthcare provider regarding any changes in your symptoms or side effects. They can provide tailored advice and may adjust your treatment plan to improve your overall experience with your medications. Remember, your comfort and quality of life are paramount, and addressing these side effects is an important part of your treatment journey.
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