

SOUTH ASIAN GUIDELINES FOR MANAGEMENT OF ENDOCRINE DISORDERS IN RAMADAN Year : 2012 | Volume : 16 | Issue : 4 | Page : 522-524

Thyroid diseases and Ramadan



Syed A Raza1, Osama Ishtiaq2, AG Unnikrishnan3, AK Azad Khan4, Jamal Ahmad5, Mohammed A Ganie6, Kishwar Azad7, Manash Baruah8, Md Faruque Pathan7

1 Shaukhat Khanum Cancer Hospital and Research Center, Lahore, Pakistan

2 Shifa International Hospital, Islamabad, Pakistan

3 Department of Endocrinology, AIMS, Kochi, India

4 President, Diabetic Association of Bangladesh, Bangladesh

5 Rajiv Gandhi Centre for Diabetes and Endocrinology, J. N. Medical College, Aligarh Muslim University, Aligarh, India

6 Department of Endocrinology, AIIMS, New Delhi, India

7 BIRDEM and Ibrahim Medical College, Dhaka, Bangladesh

8 Department of Endocrinology, Excel Hospitals, Guwahati, India



Date of Web Publication 5-Jul-2012

Correspondence Address:

Syed A Raza

Shaukhat Khanum Cancer Hospital and Research Center, Lahore

Pakistan

Source of Support: None, Conflict of Interest: None Check

DOI: 10.4103/2230-8210.98001



Abstract

In the month of Ramadan, patients with thyroid diseases, most of the time, do not need treatment adjustments and can fast safely without any health hazards. Patients with hypothyroidism taking thyroxine can take their tablets on an empty stomach at bedtime instead of half an hour before Sehr. Patients with hyperthyroidism, on methimazole/carbimazole can continue their dose in once or twice daily regimes, while those on propylthiouracil need to be switched. Hyperthyroid patients with severe symptoms should start treatment immediately and can avoid fast for few days after a consultation with their religious scholar.

Keywords: Hyperthyroidism, hypothyroidism, Ramadan, thyroid disease

How to cite this article:

Raza SA, Ishtiaq O, Unnikrishnan A G, Azad Khan A K, Ahmad J, Ganie MA, Azad K, Baruah M, Pathan M. Thyroid diseases and Ramadan. Indian J Endocr Metab 2012;16:522-4

How to cite this URL:

Raza SA, Ishtiaq O, Unnikrishnan A G, Azad Khan A K, Ahmad J, Ganie MA, Azad K, Baruah M, Pathan M. Thyroid diseases and Ramadan. Indian J Endocr Metab [serial online] 2012 [cited 2020 Sep 29];16:522-4. Available from: http://www.ijem.in/text.asp?2012/16/4/522/98001

Introduction

Hypothyroidism

Optimal Timing for the Ingestion of Thyroid Medication During Ramadan

Optimal Timing for Ingestion of Thyroid Medication after Ramadan

Investigations and Treatment of Thyrotoxicosis During the Ramadan

Conclusion

References

1. Ziaee V, Razaei M, Ahmadinejad Z, Shaikh H, Yousefi R, Yarmohammadi L, et al. The changes of metabolic profile and weight during Ramadan fasting. Singapore Med J 2006;47:409-14.

[ PUBMED ] [ FULLTEXT ] 2. Mansi K, Masalmeh A. Impact of ramadan fasting on metabolism and on serum levels of some hormones among healthy Jordanian students. J Med Sci 2007;7:755-61.

3. Ahmadinejad Z, Ziaee V, Rezaee M, Yarmohammadi L, Shaikh H, Bozorgi F, et al. The effect of ramadan fasting on thyroid hormone profile: A cohort study. Pak J Biol Sci 2006;9:1999-2002.

4. Sajid KM, Akhtar M, Malik GQ. Ramadan fasting and thyroid hormone profile. J Pak Med Assoc 1991;41:213-6.

[ PUBMED ] 5. Sherman SI, Tielens ET, Ladenson PW. Sucralfate causes malabsorption of L-thyroxine. Am J Med 1994;96:531-5.

[ PUBMED ] 6. Singh N, Singh PN, Hershman JM. Effect of calcium carbonate on the absorption of levothyroxine. JAMA 2000;283:2822-5.

[ PUBMED ] [ FULLTEXT ] 7. Campbell NR, Hasinoff BB, Stalts H, Rao B, Wong NC. Ferrous sulfate reduces thyroxine efficacy in patients with hypothyroidism. Ann Intern Med 1992;117:1010-3.

[ PUBMED ] [ FULLTEXT ] 8. Siraj ES, Gupta MK, Reddy SS. Raloxifene causing malabsorption of levothyroxine. Arch Intern Med 2003;163:1367-70.

[ PUBMED ] [ FULLTEXT ] 9. Liel Y, Harman-Boehm I, Shany S. Evidence for a clinically important adverse effect of fiber-enriched diet on the bioavailability of levothyroxine in adult hypo- thyroid patients. J Clin Endocrinol Metab 1996;81:857-7.

[ PUBMED ] [ FULLTEXT ] 10. Benvenga S, Bartolone L, Pappalardo MA, Russo A, Lapa D, Giorgianni G, et al. Altered intestinal absorption of L-thyroxine caused by coffee. Thyroid 2008;18:293-301.

[ PUBMED ] [ FULLTEXT ] 11. Fish LH, Schwartz HL, Cavanaugh J, Steffes MW, Bantle JP, Oppenheimer JH. Replacement dose, metabolism, and bioavailability of Levothyroxine in the treatment of hypothyroidism. N Engl J Med 1987;316:764-70.

[ PUBMED ] [ FULLTEXT ] 12. Bach-Huynh TG, Nayak B, Loh J, Soldin S, Jonklaas J. Timing of levothyroxine administration affects serum thyrotropin concentration. J Clin Endocrinol Metab 2009;94:3905-12.

[ PUBMED ] [ FULLTEXT ] 13. Huynh TG, Nayak B, Loh J, Soldin S, Jonklaas J. Timing of levothyroxine administration affects serum thyrotropin concentration. J Clin Endocrinol Metab 2009;94:3905-12.

[ PUBMED ] [ FULLTEXT ] 14. Bolk N, Visser TJ, Kalsbeek A, van Domburg RT, Berghout A. Effects of evening vs morning thyroxine ingestion on serum thyroid hormone profiles in hypothyroid patients. Clin Endocrinol (Oxf) 2007;66:43-8.

[ PUBMED ] [ FULLTEXT ] 15. Rajput R, Chatterjee S, Rajput M. Can levothyroxine be taken as evening dose? Comparative evaluation of morning versus evening dose of levothyroxine in treatment of hypothyroidism. J Thyroid Res 2011;2011:505239.

[ PUBMED ] [ FULLTEXT ] 16. Wilson P, Perdikis G, Hinder RA, Redmond EJ, Anselmino M, Quigley EM. Prolonged ambulatory antroduodenal manometry in humans. Am J Gastroenterol 1994;89:1489-95.

[ PUBMED ] 17. Hays MT. Localization of human thyroxine absorption. Thyroid 1991;1:241-8.

[ PUBMED ] 18. Stone E, Leiter LA, Lambert JR, Silverberg JD, Jeejeebhoy KN, Burrow GN. L-thyroxin absorption in patients with short bowel. J Clin Endocrinol Metab 1984;59:139-41.

[ PUBMED ] [ FULLTEXT ] 19. Keck ES, Wolf CF, Pfeiffer EF. The influence of circulating thyroxine serum concentration on hepatic thyroxine deiodinating activity in rats. Exp Clin Endocrinol 1990;96:269-77.

20. Okamura Y, Shigemasa C, Tatsuhara T. Pharmacokinetics of methimazole in normal subjects and hyperthyroid patients. Endocrinol Jpn 1986;33:605-15.

[ PUBMED ] [ FULLTEXT ]