Clonazepam Associated Hypothyroidism: Aforethought on a Concealed Dilemma

Gill, Rupam and Bhattacharjee, Dipanjan and Patil, Navin and Bhat, Sripathy M (2016) Clonazepam Associated Hypothyroidism: Aforethought on a Concealed Dilemma. Journal of Applied Pharmaceutical Science, 6 (10). pp. 222-225. ISSN 2231-3354

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Abstract

Subclinical 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.

Item Type: Article
Uncontrolled Keywords: Benzodiazepine; Thyroid stimulating hormone (TSH); Naranjo’s algorithm; Triiodothyronine (T3); Clonazepam
Subjects: Medicine > KMC Manipal > Psychiatry
Depositing User: KMC Library
Date Deposited: 07 Nov 2016 08:47
Last Modified: 07 Nov 2016 08:47
URI: http://eprints.manipal.edu/id/eprint/147477

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