Propyltiouracil tabletter
Granskad av Sid DajaniSenast uppdaterad av Michael Stewart, MRPharmSSenast uppdaterad 17 Apr 2025
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Keep your regular appointments with your doctor so that your condition can be monitored and any dose adjustments made. You will need to have regular blood tests.
The most common side-effects include stomach upset, aches and pains, a mild itchy rash, and changes to the way some things taste. These are not usually serious and soon pass.
Propylthiouracil can, however, cause serious liver problems in some people, so if you develop severe or persistent sickness, itching, any yellowing of your skin or the whites of your eyes (jaundice), or tummy pain, or if you generally feel unwell without cause, please contact your doctor for advice straightaway.
Överblick
Propylthiouracil is a medicine to treat an overactive thyroid gland (hyperthyroidism).
It reduces the amount of thyroxine made by your thyroid gland.
Take tablets exactly as prescribed, usually starting with a higher dose that is then reduced.
It can cause side effects like feeling sick, headache, or mild skin rash.
Contact your doctor immediately if you notice signs of liver problems like dark urine or yellow skin.
About propylthiouracil
Typ av medicin | An antithyroid medicine |
Används för | Hypertyreos |
Tillgänglig som | Tabletter |
Propylthiouracil is used to treat an overactive thyroid gland (hypertyreos). When the thyroid gland is overactive it makes too much of a hormone called thyroxine. The extra thyroxine causes many of the body's functions to speed up. This can lead to symptoms such as losing weight, excessive sweating, feeling irritable or shaky, and diarrhoea. You also may feel tired or worried, and women may develop menstrual problems.
Although the most commonly used antithyroid medicine in the UK is called carbimazole, some people are unable to take this medicine. If so, propylthiouracil is usually used as a suitable alternative. It works by reducing the amount of thyroxine made by your thyroid gland.
Before taking propylthiouracil
Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking propylthiouracil it is important that your doctor knows:
If you are pregnant or breastfeeding (even though propylthiouracil could still be prescribed for you).
Om du har några problem med hur din lever fungerar, eller om du har några problem med hur dina njurar fungerar.
Om du tar några andra läkemedel. Detta inkluderar alla läkemedel som kan köpas utan recept, samt växtbaserade och komplementära läkemedel.
Om du någonsin har haft en allergisk reaktion mot en medicin.
How to take propylthiouracil
Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about propylthiouracil, and will also provide you with a full list of the side-effects which you could experience from taking it.
Take the tablets exactly as your doctor tells you to. It is likely that you will be asked to take a high dose to start with, such as 4-8 tablets a day in divided doses. Your dose will then be gradually reduced to 1-3 tablets a day as your thyroid levels become more normal. Your doctor will give you the full directions for taking the tablets, and the information will also be printed on the label of the pack of tablets to remind you about what the doctor said to you.
Swallow your doses with a drink of water. Propylthiouracil tablets can be taken either with or without food.
Try to take your tablets around the same times of day each day. This will help you to remember to take propylthiouracil regularly.
If you forget to take a dose, take it as soon as you remember (unless it is nearly time for your next dose, in which case leave out the missed dose). Do not take two doses together to make up for a forgotten dose.
Få ut det mesta av din behandling
Try to keep your regular appointments with your doctor. This is so your doctor can check on your progress and any dose adjustments can be made. You will need to have blood tests from time to time to check that you are on the correct dose and that your liver is working well. This is because propylthiouracil can occasionally cause serious liver problems.
Propylthiouracil should have some effect on your symptoms around three to four weeks after treatment starts. Your thyroid hormone levels should be stabilised within four to eight weeks. Continue to take the tablets for as long as you are advised to do so by your doctor.
Can propylthiouracil cause problems?
Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with propylthiouracil. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Common propylthiouracil side-effects | Vad kan jag göra om jag upplever detta? |
Feeling sick (nausea) or being sick (vomiting), stomach upset | Stick to simple foods - avoid rich or spicy food |
Headache, muscle aches and pains | Drink plenty of water and ask your pharmacist to recommend a suitable painkiller. If the aches continue, let your doctor know |
Changes in taste, feeling tired, mild skin rash and itching | Discuss these with your doctor if they become troublesome |
Viktigt: if you notice any of the following you should contact your doctor straightaway as it could be a sign of a problem with your liver:
Dark urine or light-coloured stools.
Att vara sjuk (kräkas)
Pain in your tummy (abdomen).
Any yellowing of your skin or the whites of your eyes (jaundice).
Itchy skin or unexplained bruising.
Loss of appetite.
Any unexplained flu-like symptoms.
Feeling unusually tired or generally unwell.
Om du upplever några andra symtom som du tror kan bero på tabletterna, tala med din läkare eller apotekare för vidare råd.
How to store propylthiouracil
Förvara alla läkemedel utom räckhåll och synhåll för barn.
Förvara på en sval, torr plats, borta från direkt värme och ljus.
Viktig information om alla läkemedel
Viktig information om alla läkemedel
Ta aldrig mer än den föreskrivna dosen. Om du misstänker att du eller någon annan kan ha tagit en överdos av denna medicin, gå omedelbart till akutmottagningen på ditt lokala sjukhus. Ta med behållaren, även om den är tom.
Om du köper några mediciner, kontrollera med en apotekare att de är säkra att ta tillsammans med dina andra mediciner.
Om du ska genomgå en operation eller tandbehandling, informera den som utför behandlingen om vilka mediciner du tar.
Denna medicin är för dig. Ge den aldrig till andra människor även om deras tillstånd verkar vara detsamma som ditt.
Behåll inte föråldrade eller oönskade mediciner. Ta dem till ditt lokala apotek som kommer att ta hand om dem åt dig.
Om du har några frågor om denna medicin, fråga din apotekare.
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Vanliga frågor
What is hyperthyroidism?
Hyperthyroidism is a condition where the thyroid gland produces an excessive amount of a hormone called thyroxine. This overproduction causes many of the body's functions to speed up.
What are the common symptoms of an overactive thyroid gland?
Symptoms of an overactive thyroid can include weight loss, excessive sweating, feeling irritable or shaky, and diarrhoea. You might also experience tiredness, worry, and women may have menstrual problems.
Why would my doctor prescribe propylthiouracil instead of carbimazole?
Propylthiouracil is typically prescribed if you are unable to take carbimazole, which is the most commonly used antithyroid medicine in the UK. Propylthiouracil serves as a suitable alternative in such cases.
How does propylthiouracil work to treat hyperthyroidism?
Propylthiouracil works by reducing the amount of thyroxine that your thyroid gland produces, which helps to bring your thyroid hormone levels back to normal.
How long will I need to take propylthiouracil?
You should continue taking the tablets for as long as your doctor advises. Your thyroid hormone levels should stabilise within four to eight weeks of starting treatment.
Vidare läsning och referenser
- Manufacturer's PIL, Propylthiouracil 50 mg tablets; RPH Pharmaceuticals AB, The electronic Medicines Compendium. Dated December 2020.
- Mediciner Komplett BNF 89:e Utgåvan; Brittiska Läkarföreningen och Kungliga Farmaceutiska Sällskapet i Storbritannien, London.
Om författarenVisa fullständig biografi

Michael Stewart, MRPharmS
Ansvarig för granskning av medicinbroschyrer – Konsult, Apotekare
BPharm (Hons), MRPharmS
Michael är en apotekare som arbetar i Midlands och South Yorkshire med mer än 20 års erfarenhet av att ge råd om läkemedel och medicinska tillstånd. Han har en stark bakgrund inom vårdutbildning och har producerat och levererat utbildningskurser för apoteksteam och personal inom vårdboenden, inklusive sjuksköterskor. Han har också bidragit till apoteksrådgivande styrelser för hantering av mindre allvarliga tillstånd i samhället.
Om recensenten

Sid Dajani
Sultan Dajani tog examen vid London School of Pharmacy 1994 och blev den yngsta valda medlemmen i Royal Pharmaceutical Society-rådet sedan dess grundande 1842.
Artikelhistorik
Informationen på denna sida är skriven och granskad av kvalificerade kliniker.
Artikeln finns också på Engelska, Tyska, Spanska, Franska, Italienska, Portugisiska, Hindi, Hebreiska, Arabiska, och Svenska.
Next review due: 17 Apr 2028
17 Apr 2025 | Senaste versionen

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