Product image of Metizol (Thiamazole) supplied by GNH India

Metizol

Active Ingredient:
Thiamazole
Origin:
EU

Metizol (Thiamazole)

Thiamazole, the active ingredient in Metizol, is an antithyroid agent presented as an oral tablet for oral use. It is used to treat hyperthyroidism, including Graves' disease, by reducing excess thyroid hormone production in adults and children.
GNH India supplies Metizol as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Bausch Health Ireland Limited

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Indications & Clinical Uses

Metizol, an antithyroid medication, is employed in conditions where thyroid hormone overproduction is present.

  • Hyperthyroidism: lowers circulating thyroid hormones to achieve a euthyroid state.
  • Graves' disease: controls autoimmune stimulation of the thyroid, reducing symptoms and disease activity.
  • Toxic nodular goiter: diminishes hormone output from autonomous thyroid nodules.

How It Works

  • Thiamazole inhibits thyroid peroxidase, the enzyme responsible for iodination of tyrosine residues in thyroglobulin and the coupling of iodotyrosines. By blocking these steps, the synthesis of thyroxine (T4) and triiodothyronine (T3) is reduced, leading to decreased circulating thyroid hormone levels.

Side Effects

Thiamazole may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Nausea: mild gastrointestinal upset.
  • Skin rash: localized itching or erythema.
  • Taste disturbance: altered taste perception.
  • Arthralgia: joint discomfort.
  • Mild liver enzyme elevation.

Serious or Rare Side Effects

  • Agranulocytosis: severe drop in white blood cells, increasing infection risk.
  • Aplastic anemia: bone‑marrow suppression leading to pancytopenia.
  • Hepatic failure: significant liver injury.
  • Stevens‑Johnson syndrome: severe skin reaction.
  • Vasculitis: inflammation of blood vessels.

Precautions & Warnings

Before initiating Metizol, several safety considerations should be observed.

  • Blood count monitoring: perform baseline and periodic CBC to detect agranulocytosis.
  • Liver function tests: assess baseline enzymes and repeat if clinically indicated.
  • Hypersensitivity: discontinue if rash or angioedema develops.
  • Pregnancy: use only if benefits outweigh risks; discuss with obstetrician.
  • Renal impairment: dose may need adjustment in severe dysfunction.
  • Store at room temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Thiamazole can interact with several medicines, altering efficacy or safety.

Major Interactions (Avoid)

  • Warfarin: thiamazole may potentiate anticoagulant effect, increasing INR.
  • Azole antifungals (e.g., ketoconazole): can raise thiamazole plasma levels.
  • Lithium: combined use may enhance hypothyroid effect.

Moderate Interactions (Monitor Closely)

  • Beta‑blockers: may mask symptoms of thyrotoxicosis.
  • Iodine‑containing contrast agents: can affect thyroid hormone dynamics.
  • Corticosteroids: may reduce antithyroid efficacy.
  • Oral contraceptives: possible alteration of hormone levels.

Frequently Asked Questions

Metizol contains thiamazole, which is prescribed for the management of hyperthyroidism, including Graves' disease and toxic nodular goiter. It works by lowering the production of thyroid hormones, helping to control symptoms such as rapid heart rate, weight loss, and tremor.

Thiamazole blocks the enzyme thyroid peroxidase, preventing the iodination of tyrosine residues in thyroglobulin and the coupling reactions needed to form T4 and T3 hormones. This inhibition reduces the amount of active thyroid hormone released into the bloodstream.

The dosage of Metizol is individualized by the prescribing clinician based on the severity of the thyroid disorder, patient age, weight, and response to therapy. Only a qualified healthcare professional should determine the appropriate dose.

Thiamazole crosses the placenta and may affect fetal thyroid function. It should be used in pregnancy only when the potential benefit justifies the risk. During breastfeeding, thiamazole is excreted in milk; a risk‑benefit assessment is required before continuation.

To request Metizol, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Metizol (thiamazole) is often preferred over propylthiouracil because of its longer half‑life, once‑ or twice‑daily dosing, and lower risk of severe liver toxicity. Both drugs inhibit thyroid hormone synthesis, but thiamazole generally offers a more convenient dosing schedule.

Metizol tablets should be stored at room temperature, below 25 °C, in the original packaging to protect from moisture and light. Do not store in a bathroom or near heat sources, and keep out of reach of children.

Metizol is taken orally, usually with a glass of water. It can be taken with or without food, but consistency with meals may help reduce gastrointestinal upset. The exact schedule (once or twice daily) is set by the prescriber.

The most serious adverse effects include agranulocytosis, a potentially life‑threatening drop in white blood cells, and severe liver injury. Patients should report fever, sore throat, jaundice, or unusual bruising promptly, as these may signal serious complications.

Metizol is contraindicated in individuals with known hypersensitivity to thiamazole or any of its excipients, in patients with severe liver disease, and in those who have experienced agranulocytosis from prior antithyroid therapy. Caution is also advised for pregnant women and patients with renal impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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