Drug Study (Tapazole)
Drug Study (Tapazole)
Dose: 5 mg/tab QD
Route: PO
CLASSIFICATION OF DRUG Pharmacologic classification:
thyroid hormone antagonist
Therapeutic classification:
anti-thyroid drug
Pregnancy risk category D
MECHANISM OF ACTION It prevents thyroid hormone synthesis by
inhibiting the thyroid peroxidase-catalyzed
reactions & blocking iodine organification.
INDICATIONS It is a treatment for hyperthyroidism and
used when thyroidectomy is not advisable.
CONTRAINDICATIONS Contraindicated in patients hypersensitive
to drug and in breast-feeding women.
Used cautiously in pregnant women.
SIDE EFFECTS nausea
vomiting (may be dose-related)
upset stomach
headache
dizziness or drowsiness
rash
itching
ADVERSE EFFECTS CNS: vertigo, paresthesia, neuritis,
neuropathies, CNS stimulation,
depression, fever
GI: diarrhea, salivary gland
enlargement, loss of taste,
epigastric distress.
GU: nephritis
Hematologic: agranulocytosis,
leukopenia, thrombocytopenia,
aplastic anemia
Hepatic: jaundice, hepatic
dysfunction, hepatitis
Metabolic: hypothyroidism
Musculoskeletal: arthralgia,
myalgia.
Skin: urticaria, pruritus, erythema
nodosum, exfoliative dermatitis,
lupus-like syndrome
Other: lymphadenopathy
NURSING RESPONSIBILITIES Monitor CBC of the patient
Monitor patient’s vital signs
Monitor liver function test values,
especially if hepatic dysfunction is
suspected
Periodically monitor thyroid function
tests to monitor progress
Advise the patient to take drug after
meals
Advise patient not to store drug in
bathroom since heat and humidity
causes it to deteriorate
Educate the patient to not take
extra medicine to make up the
missed dose.
Tell the patient to that while using
the drug, do not start, stop, or
change the dosage of any other
medicines without the doctor's
approval
Tell patient to promptly report fever,
sore throat, malaise, unusual
bleeding, yellowing of eyes,
nausea, or vomiting
Inform the patient to avoid driving or
engaging in potentially hazardous
activities because it may cause
dizziness and drowsiness
SOURCES:
https://www.drugs.com/mtm/methimazole.html
http://tmedweb.tulane.edu/pharmwiki/doku.php/methimazole
https://www.glowm.com/resources/glowm/cd/pages/drugs/m030.html