When does one administer iodide as a treatment for thyroid storm?

A.as soon as possible

B.never

C.it doesn’t matter

D. 1 hour before administering a thionamide

E. 1 hour after administering a thionamide

F. 1 hour after administering a betablocker

G. 1 hour before administering a beta blocker

Answer : E.  if given earlier, the thyroid will use it as a substrate to make more thyroid hormone.  If given 1 hour after thionamide, it will reduce the release of t3 and t4.

Thank you Dr. Mathews for this post.