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carbimazole : ウィキペディア英語版
carbimazole

Carbimazole is used to treat hyperthyroidism. Carbimazole is a pro-drug as after absorption it is converted to the active form, methimazole. Methimazole prevents thyroid peroxidase enzyme from coupling and iodinating the tyrosine residues on thyroglobulin, hence reducing the production of the thyroid hormones T3 and T4 (thyroxine).
==Clinical use==
Therapy for hyperthyroidism generally starts at a high daily dose of continued until the patient has normal thyroid function, and then reduced to a maintenance dose of . Treatment is usually given for 18 months followed by a trial withdraw.
The onset of anti-thyroid effect is rapid but the onset of clinical effects on thyroid hormone levels in the blood is much slower. This is because the large store of pre-formed T3 and T4 in the thyroid gland and bound to thyroid binding globulin (99% bound) has to be depleted before any beneficial clinical effect occurs.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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