Journal
EUROPEAN JOURNAL OF ENDOCRINOLOGY
Volume 154, Issue 6, Pages 783-786Publisher
BIOSCIENTIFICA LTD
DOI: 10.1530/eje.1.02169
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Block-replace and titration antithyroid drug regimens both give similar rates of medium- to long-term remission of hyperthyroid Graves' disease. Recent meta-analysis. however, has suggested that titration regimens may be preferable owing to a higher rate of adverse events seen in the block-replace arms of published comparative studies. This article critically re-evaluates the evidence upon which these metaanalyses were based. We suggest that there is little objective evidence that is pertinent to current clinical practice to separate block-replace from titration antithyroid drug regimens and that both remain satisfactory approaches to the medical management of hyperthyroid Graves' disease.
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