General measures
- Review of permanent medication due topossible effect on existing disease.
Acute thyroiditis
Therapeutic goal
Elimination of the pathogens
Therapy recommendations
- Antibiosis (antibiotic therapy), adjusting antibiosis if necessary after obtaining the resistogram.
Thyroiditis de Quervain (subacute thyroiditis)
Therapeutic targets
- Analgesia (pain relief)
- Restoration of euthyroidism, if necessary
Therapy recommendations
- Anti-inflammation (anti-inflammation).
- Nonsteroidal anti-inflammatory drugs (NSAIDs) – analgesia (analgesics/painkillers) as needed for acute symptoms.
- Glucocorticoids (in acute relapses for a few weeks to month; if necessary, as long-term therapy low-dose).
- If necessary, beta blockers [thyrostatic drugs (drugs that inhibit thyroid function) are not indicated].
- If necessary, L-thyroxine substitution because of persistent hypothyroidism (hypothyroidism) in the long term (2-5 (-15% % of cases); see hypothyroidism/medical therapy for details.
Hashimoto’s thyroiditis
Therapy target
- Restoration of a euthyroid metabolic state (normal thyroid function).
Therapy recommendations
- See below the clinical picture “Hashimoto’s thyroiditis“.
Postpartum thyroiditis (PPT; postpartum thyroiditis)
- If symptoms are pronounced, symptomatic treatment of hyperthyroidism (overactive thyroid) with beta-blockers
- Levothyroxine, i.e. thyroxine (T4) in manifest hypothyroidism / hypothyroidism (very rare) (for more information, see hypothyroidism).
