Endocrine

Question 1

DM

Answer 1

Rx
1.Tab. METFORMIN 500mg per oral after breakfast, once daily for 1 month
ADVICE:
 Regular Exercise
 Low calorie-Diabetic diet

Question 2

Diabetes Mellitus Type 2

Answer 2

1. Tab. METFORMIN 500mg per oral after breakfast, once daily for 1 month
2. Tab. GLIMEPIRIDE 1mg once daily in the morning before breakfast
3. Inj. INSULIN GLARGINE 14U Subcutaneously at bedtime
   ADVICE:
    Regular Exercise
    Low calorie-Diabetic diet
    Review after 1 month

Question 3

Hypothyroidism

Answer 3

1.Tab. LEVOTHYROXINE SODIUM (1.6µcg/kg/day) 25 microgram per oral to be taken on
an empty stomach once daily for one month
ADVICE:
 Avoid consuming cruciferous vegetables and foods with soy
 Review after one month
 Plasma TSH to be monitored and dose adjustments can be done after one month

Question 4

Hyperthyroidism

Answer 4

Rx
1.Tab. CARBIMAZOLE 5–15 mg per oral three times a day initially for 4-8 weeks followed
by maintenance dose 2.5–10 mg once daily in 1–2 divided doses for 6 months
Advice:
 Review after one month
 Stop after 12-18 months