Clonazepam associated hypothyroidism: Aforethought on a concealed dilemma.

dc.contributor.authorGill, Rupam
dc.contributor.authorBhattacharjee, Dipanjan
dc.contributor.authorPatil, Navin A.
dc.contributor.authorBhat, Shripathy M.
dc.date.accessioned2016-12-26T12:15:44Z
dc.date.available2016-12-26T12:15:44Z
dc.date.issued2016-10
dc.description.abstractSubclinical hypothyroidism or mild thyroid failure is a familiar problem, with a prevalence of 3-15% in a population without any known overt thyroid disorder. The prevalence increases with age and is relatively higher among females. Subclinical hypothyroidism is defined as serum thyroid stimulating hormone (TSH) levels above the upper limit of normal (4 mU/L) while the triiodothyronine (T3) and thyroxine (T4) enduring within the normal range. Additionally, there exists a log-linear relationship between TSH and circulating T3 and T4; hence, measurement of serum TSH becomes mandatory for diagnosing mild thyroid failure when free T3and T4 are lying within normal limits. Though, autoimmune thyroid disease is the most common cause for elevated TSH; thyroid functions can be afflicted by long-term consumption of drugs like lithium, amiodarone. The causal relationship between benzodiazepine class of drugs, particularly clonazepam and subclinical hypothyroidism has never been established clinically, yet there are some pre-clinical studies to claim the effect of benzodiazepine on thyroid functions; operating at various levels – hypothalamus, thyroid gland, peripheral cells and nuclear receptors. Henceforth, we would like to report a rare occurrence of subclinical hypothyroidism in an elderly female receiving clonazepam for her underlying psychiatric illness.en_US
dc.identifier.citationGill Rupam , Bhattacharjee Dipanjan, Patil Navin A., Bhat Shripathy M. Clonazepam associated hypothyroidism: Aforethought on a concealed dilemma. Journal of Applied Pharmaceutical Science. 2016 Oct; 6(10): 222-225.en_US
dc.identifier.issn2231-3354
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/180483
dc.language.isoenen_US
dc.source.urihttps://www.japsonline.com/abstract.php?article_id=2037en_US
dc.subjectBenzodiazepineen_US
dc.subjectThyroid stimulating hormone (TSH)en_US
dc.subjectNaranjo's algorithmen_US
dc.subjectTriiodothyronine (T3)en_US
dc.subjectClonazepamen_US
dc.titleClonazepam associated hypothyroidism: Aforethought on a concealed dilemma.en_US
dc.typeArticleen_US
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