Nontoxic Goiter – What Should be Done?german translation / full article
What should be done when identifying a non-toxic, non-nodulary goitre?
Control of sufficient iodine intake. Sonographic control of size and new nodul development. According to the studies: No medication with Levothyroxine because there are more potential negative than positive effects. In some situations, as an exceptional increase in size, levothyroxine can be tried. A control in 6 to 12 months is necessary to find out, if the increase is stopped. If this is the case, it has to be decided together with the patient, if treatment should be continued; mentioning the negative effects and the contra-indications for long-term treatment.