Wesleyan University – Philippines
CONAMS
Dosage
Action/Contraindication/Side Effects
Nursing Implications/Nursing
Responsibilities
Shape: rectangle (PO)
ACTION:

Methimazole Pediatric:
 Increases
metabolic
rate, Color: orange (Q8)
cardiac output and protein
0.4mg/kg, Q8, PO
Juan Dela Cruz
synthesis
Tapazole 15mg 1 tab every 8 hrs
PO
 Useful for treating thyrotoxic

Adult:
12MN-8AM-4PM
crisis and in preparation for
mild hyperthyroidism – 15mg,
subtotal thyroidectomy
moderately severe – 30-40mg,
severe – 60mg, Q8, PO
CLASS: Anti-thyroid agents
Maintenance dosage –
5-15mg, OD
CONTRAINDICATION;
› Hypersensitivity to drug or any
of
the
other
product
components
SIDE EFFECTS:
›
›
›
›
›
›
›
›
›
Nausea/ vomiting
Skin rash
Epigastric distress
Paresthesia
Drowsiness
Edema
Abnormal loss of hair
Loss of taste
Headache
04-20-22
Tapazole
Generic
Name
Shape & Color of the Medication
Card to be Used
B1
Name of
Medication
(Brand
Name)

Advise the patient to take the
medication with meals to reduce
gastrointestinal discomfort.
Inform the patient about the
effects
of
presence
iodine
in
and
iodized
its
salt,
shellfish, and over-the-counter
cough medications.
Discuss
the
significance
medication
abruptly
of
management;
discontinuing
the
medication
may
antithyroid
result in a thyroid crisis.

Teach
the
patient
hypothyroidism's
symptoms,
about
signs
which
and
include
lethargy, puffy eyelids and face,
a thick tongue, slow speech with
hoarseness, a lack of sweating,
and
a
slow
pulse.
Wesleyan University – Philippines
CONAMS
›
›
›
Name of the Student_______________________
Block #/Group #_______
Vertigo
Jaundice
lymphadenopathy
Hypothyroidism can lead to
hyperthyroidism treatment.
______________________________
Clinical Instructor
Wesleyan University – Philippines
CONAMS
Name of
Medication
Generic Name
Dosage
Action/Contraindication/Side Effects
Shape & Color of the Medication
Card to be Used
Nursing Implications/Nursing
Responsibilities
(Brand Name)
ACTION: inhibits the synthesis of thyroid Shape: Rectangle (PO)
hormones.
PO (Adults): 100mg, Q8
Color: Orange (Q8)
Therapeutic effect: decreased signs and
PO (Children >10yr): 50symptoms of hyperthyroidism
300mg/day given once or in
Juan Dela Cruz
2-4 divided doses.
Propylthiouracil 100mg 1 tab
every 8 hrs PO
PO (Children 6 – 10yr): 50- CLASS: antithyroid agents
B1
Propylthiouracil
tablet
150/day given once daily or
in 2-4 divided doses
04-20-22
Propylthiouracil

12MN-8AM-4PM
CONTRAINDICATION:
Contraindicated in patients who have
demonstrated hypersensitivity to the
drug or any of the other product
components.
SIDE EFFECTS:
›
CV: edema, vasculitis


Instruct the patient to take the
medication exactly as advised,
24 hours a day, seven days a
week. If a dose is missed, advise
patient to take it as soon as
she/he remember; if it is almost
time for the next dose, take
both doses together; consult a
health care professional if more
than one dose is missed. Before
quitting medicine, consult with
a health care expert.
Instruct patient to monitor
weight 2–3 times weekly.
Report significant changes.
May cause drowsiness. Caution
patient to avoid driving or
other
activities
requiring
alertness until response to
medication is known.
Wesleyan University – Philippines
CONAMS
›
›
›
›
›
GI: n/v, hepatotoxicity, diarrhea, loss
of taste
NEURO:
drowsiness,
headache,
paresthesia, vertigo
RESP: interstitial pneumonitis
GU: glomerulonephritis
ENDO: hypothyroidism



Inform the patient that dietary
sources of iodine should be
discussed with a health care
practitioner
(iodized
salt,
shellfish).
Advise the patient to notify a
health care provider as soon as
possible if they experience a
sore throat, fever, chills,
headache, malaise, weakness,
yellowing of the eyes or skin,
unusual bleeding or bruises,
symptoms of hyperthyroidism
or hypothyroidism, or a rash.
Inform female patients that if a
pregnancy is planned or
suspected, or if they are breastfeeding, they should tell a
health care practitioner.