Metazole 5mg Tablet (Carbimazole): Complete Guide to Uses, Side Effects, and Safety
When to Call Your Doctor IMMEDIATELY
- Fever, sore throat, or mouth ulcers that may indicate a low white blood cell count.
- Yellowing of the skin or eyes, dark urine, or severe abdominal pain, which may indicate liver problems.
- Sudden swelling of the face, lips, tongue, or throat, or difficulty breathing, which may be signs of a severe allergic reaction.
- Unusual bleeding or bruising, which may indicate a blood disorder.
- Severe headache, confusion, or seizures, which may be signs of a thyroid storm or other serious condition.
- Rapid or irregular heartbeat, chest pain, or shortness of breath.
- Severe nausea, vomiting, or diarrhea leading to dehydration.
- Signs of infection such as persistent high fever, chills, or general malaise.
If experiencing severe symptoms, call emergency services immediately.
What is metazole 5mg tablet used for?
This medicine contains Carbimazole 5mg, an antithyroid agent used to treat hyperthyroidism by reducing the production of thyroid hormones. It is taken orally, usually with food, and requires regular blood tests to monitor thyroid function, liver function, and white blood cell count. It should not be used in pregnancy without specialist supervision or in patients with severe liver disease.
- Generic Name: Carbimazole (5mg)
- Manufacturer: Jackson Laboratories Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 metazole 5mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा कार्बिमाज़ोल 5mg टैबलेट है, जिसका उपयोग थायरॉइड ग्रंथि के अत्यधिक सक्रिय होने (हाइपरथायरॉइडिज़्म) के इलाज के लिए किया जाता है। यह थायरॉइड हार्मोन के उत्पादन को कम करके काम करती है। इसका उपयोग ग्रेव्स रोग, टॉक्सिक मल्टीनोड्यूलर गॉइटर और थायरॉइड सर्जरी या रेडियोएक्टिव आयोडीन उपचार की तैयारी में किया जाता है। यह दवा मुँह से ली जाती है और आमतौर पर भोजन के साथ लेनी चाहिए। इसका सेवन डॉक्टर के निर्देशानुसार ही करें और नियमित रक्त परीक्षण कराते रहें।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में मतली, सिरदर्द, त्वचा पर चकत्ते, खुजली और धातु जैसा स्वाद शामिल हैं। कुछ गंभीर दुष्प्रभाव भी हो सकते हैं, जैसे सफेद रक्त कोशिकाओं की संख्या में कमी (एग्रानुलोसाइटोसिस), जिससे बार-बार संक्रमण हो सकता है। यकृत की समस्या, जैसे पीलिया, भी हो सकती है। यदि आपको बुखार, गले में खराश, मुँह के छाले, पीलिया, या असामान्य थकान महसूस हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को गर्भावस्था, स्तनपान, या किसी अन्य दवा के बारे में बताएं। नियमित रूप से थायरॉइड हार्मोन, यकृत और रक्त कोशिकाओं की जांच कराते रहें। डॉक्टर की सलाह के बिना दवा बंद न करें। संक्रमण से बचने के लिए हाथ धोते रहें और भीड़-भाड़ वाली जगहों से बचें। यदि आपको बुखार, गले में खराश, या मुँह के छाले हों, तो तुरंत डॉक्टर को दिखाएं। इस दवा को बच्चों की पहुंच से दूर रखें और निर्देशानुसार ही स्टोर करें।
💊 metazole 5mg tablet Uses & Benefits
[{"condition":"Hyperthyroidism","description":"This medicine is used to reduce the production of thyroid hormones in patients with an overactive thyroid gland, helping to control symptoms such as rapid heart rate, weight loss, and anxiety.","evidence":"Well-established"},{"condition":"Graves' disease","description":"It is commonly prescribed to manage Graves' disease, an autoimmune condition that causes hyperthyroidism, by blocking thyroid hormone synthesis.","evidence":"Well-established"},{"condition":"Toxic multinodular goitre","description":"This medicine helps to lower thyroid hormone levels in patients with toxic multinodular goitre, a condition where multiple nodules in the thyroid produce excess hormone.","evidence":"Well-established"},{"condition":"Preparation for thyroid surgery","description":"It is used before thyroidectomy to bring thyroid hormone levels to normal and reduce the risk of complications during and after surgery.","evidence":"Well-established"},{"condition":"Preparation for radioactive iodine therapy","description":"This medicine may be used to control hyperthyroidism before radioactive iodine treatment, although it is usually stopped a few days before the procedure.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Amiodarone-induced thyrotoxicosis","description":"In some cases, this medicine may be used off-label to manage hyperthyroidism caused by the antiarrhythmic drug amiodarone, but this requires specialist supervision.","evidence":"Limited"}]
Primary treatment for: Hyperthyroidism
Also treats: Graves' disease, Toxic multinodular goitre, Toxic adenoma, Thyroid storm (adjunctive treatment)
📋 Drug Information
| Generic Name(s) | Carbimazole (5mg) |
| Brand Name | metazole 5mg tablet |
| Manufacturer | Jackson Laboratories Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | HORMONES |
| Action Class | Antithyroid agents-Thyroid peroxidase inhibitors |
| Route of Administration | Oral |
| Storage | Store this medicine at room temperature, between 15°C and 30°C (59°F to 86°F). Protect it from direct sunlight, moisture, and heat. Keep it in its original container, tightly closed. Do not refrigerate unless specifically instructed. Keep out of reach of children and pets. |
| Shelf Life | The shelf life of this medicine is typically 24 months from the date of manufacture, but refer to the packaging for the exact expiry date. Do not use after the expiry date. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by inhibiting the enzyme thyroid peroxidase, which is essential for the production of thyroid hormones. Specifically, it blocks the incorporation of iodine into tyrosine residues on thyroglobulin, preventing the formation of monoiodotyrosine and diiodotyrosine, which are precursors to thyroxine (T4) and triiodothyronine (T3). Additionally, this medicine may have some immunosuppressive effects that help reduce the production of thyroid-stimulating antibodies in Graves' disease. As a result, the levels of active thyroid hormones in the blood decrease over time, alleviating the symptoms of hyperthyroidism. This medicine does not affect the release of already-formed thyroid hormones, so the full therapeutic effect may take several weeks to become apparent.
Mechanism Steps
💡 How to Take metazole 5mg tablet
Strength: This medicine is available as an immediate-release tablet containing 5 mg of Carbimazole.
Dosage Information
| Adult Dosage | The dose of this medicine must be individualized by a qualified clinician based on the severity of hyperthyroidism, age, weight, and response to treatment. The usual starting dose for adults is 20 to 60 mg per day, divided into 2 to 3 doses, but your doctor will determine the exact dose. Once thyroid function is controlled, the dose is gradually reduced to a maintenance level, often 5 to 20 mg per day. Regular blood tests are required to adjust the dose. Do not change the dose without consulting your doctor. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine and may require lower doses. Dose adjustment should be based on thyroid function tests and overall health. Regular monitoring is essential. |
| Renal Impairment | Dose adjustment may be necessary in patients with severe renal impairment, as this medicine is excreted by the kidneys. Consult your doctor for appropriate dosing. |
| Hepatic Impairment | This medicine should be used with caution in patients with hepatic impairment. Dose reduction may be necessary, and liver function should be monitored closely. In severe liver disease, this medicine is contraindicated. |
| Maximum Daily Dose | The maximum daily dose of this medicine is typically 60 mg for adults, but this may vary based on the clinical situation. Do not exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of metazole 5mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Digoxin | Major | |
| Theophylline | Major | |
| Amiodarone | Moderate | |
| Lithium | Moderate | |
| Potassium iodide | Moderate | |
| Antacids | Minor | |
| Iron supplements | Minor | |
| Calcium supplements | Minor | |
| Beta-blockers | Moderate |
🚨 Major Interactions
- Warfarin
- Digoxin
- Theophylline
- Beta-blockers (e.g., propranolol)
⚡ Moderate Interactions
- Amiodarone
- Lithium
- Potassium iodide
- Methimazole
🍷 Alcohol Interaction
It is advisable to avoid alcohol while taking this medicine. Alcohol can increase the risk of liver damage, which is a rare but serious side effect of this medicine. Additionally, alcohol may worsen side effects such as dizziness, nausea, and headache. If you choose to drink alcohol, do so in moderation and consult your doctor first.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity or allergy to carbimazole or any component of this medicine.","Severe liver disease or active hepatitis.","Previous history of agranulocytosis or severe blood dyscrasia due to carbimazole or methimazole.","Breastfeeding without medical supervision (relative contraindication).","Pregnancy (use only if clearly needed and under specialist care).","Concurrent use with methimazole or other antithyroid drugs (unless directed by a specialist)."]
⚠️ Warnings & Precautions
["Agranulocytosis: This medicine can cause a severe drop in white blood cells. Patients should be instructed to report immediately any signs of infection such as fever, sore throat, or mouth ulcers.","Hepatotoxicity: Rare cases of liver failure have been reported. Monitor liver function and advise patients to report symptoms of liver injury.","Pregnancy: This medicine can cause fetal thyroid dysfunction. Use with caution and monitor closely.","Lactation: This medicine passes into breast milk. Use with caution and monitor the infant's thyroid function.","Thyroid storm: This medicine is not effective for immediate control of severe hyperthyroidism. Additional treatments may be needed.","Drug interactions: This medicine can interact with several drugs, including warfarin, digoxin, and theophylline. Regular monitoring is required.","Regular monitoring: Blood tests for thyroid function, liver function, and blood counts are essential during treatment.","Do not stop abruptly: Stopping this medicine suddenly can cause a rebound in thyroid hormone levels. Taper under medical supervision."]
🤱 Lactation Safety
This medicine passes into breast milk and may affect the baby's thyroid function. It is generally considered safe to breastfeed while taking this medicine, but the lowest effective dose should be used, and the baby's thyroid function should be monitored. Consult your doctor before breastfeeding.
💊 Overdose Management
Overdose of this medicine may cause symptoms of hypothyroidism, such as fatigue, weight gain, cold intolerance, and bradycardia. In severe cases, it may lead to agranulocytosis or liver damage. If you suspect an overdose, seek immediate medical attention. Treatment is supportive and symptomatic, including monitoring of thyroid function, blood counts, and liver function. There is no specific antidote. Gastric lavage may be considered if the overdose is recent. Contact a poison control center or emergency department immediately.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one. If you are unsure, consult your doctor or pharmacist.
Additional Safety Advice
Before starting this medicine, tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding, as this medicine can affect the baby's thyroid. You must have regular blood tests to check your thyroid hormone levels, liver function, and white blood cell count, especially during the first few months of treatment. Do not stop taking this medicine suddenly without consulting your doctor, as this can cause your thyroid levels to rise again. Avoid close contact with people who have infections, and practice good hand hygiene to reduce the risk of infection. If you develop a sore throat, fever, mouth ulcers, or any signs of infection, seek medical advice immediately because these can be signs of a low white blood cell count. This medicine may interact with other medicines, so always inform your doctor about all the medicines you are taking, including over-the-counter drugs and herbal supplements. Do not take this medicine if you are allergic to carbimazole or if you have severe liver disease. Keep this medicine out of reach of children and store it as directed.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the effects of this medicine and may require lower doses. They are also at higher risk of side effects like agranulocytosis and liver problems. Regular monitoring of thyroid function, liver function, and blood counts is essential. Falls and dizziness should be monitored.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before conception. This medicine can affect the baby's thyroid, so your doctor may adjust your dose or switch to another medicine. It is important to control hyperthyroidism before pregnancy to reduce risks to both mother and baby. Use effective contraception while taking this medicine unless you are planning a pregnancy.
🏥 Post-Surgery Considerations
If you are undergoing surgery, inform your surgeon and anesthesiologist that you are taking this medicine. It may affect your thyroid hormone levels and response to anesthesia. Your doctor may adjust your dose before surgery. After surgery, continue monitoring thyroid function as advised.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine, especially if you have a history of agranulocytosis or bleeding problems. This medicine can rarely affect blood counts, which may impact dental procedures. Your dentist may recommend blood tests before certain procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While taking this medicine, you can exercise, but listen to your body. If you experience palpitations, dizziness, or shortness of breath, stop and rest. As your thyroid levels normalize, you may have more energy, but avoid overexertion. Consult your doctor before starting a new exercise regimen, especially if you have heart problems.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fatigue, especially when you first start taking it. Avoid driving or operating heavy machinery until you know how it affects you. Most people can continue their normal work activities, but if your job involves physical exertion or safety-sensitive tasks, consult your doctor. Take your medicine at the same time each day to maintain consistent levels and minimize side effects.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. Your doctor will decide when to stop based on your thyroid function tests and overall condition. Stopping abruptly can cause a rebound in thyroid hormone levels. If you experience serious side effects, your doctor may switch you to another medicine. Always follow your doctor's instructions.
📅 Long-Term Use Effects
Long-term use of this medicine may require ongoing monitoring of thyroid function, liver function, and blood counts. Most patients tolerate it well, but rare side effects like agranulocytosis and hepatotoxicity can occur at any time. Treatment duration varies, often 12 to 18 months, and some patients may achieve remission. However, relapse is possible, and definitive treatment like surgery or radioactive iodine may be needed. Regular follow-up with your doctor is essential to adjust the dose and detect any complications early.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
A definitive treatment for hyperthyroidism that destroys overactive thyroid tissue.
Evidence: Well-establishedSurgical removal of part or all of the thyroid gland, often used for large goitres or when other treatments fail.
Evidence: Well-establishedUsed to control symptoms like rapid heart rate and tremors, but do not treat the underlying hyperthyroidism.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no specific vaccine interactions with this medicine. However, if you have agranulocytosis or are on immunosuppressive doses, live vaccines should be avoided. Consult your doctor before receiving any vaccine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling with this medicine, carry it in its original packaging with the prescription label clearly visible. Bring a copy of your prescription and a doctor's letter explaining your condition and the medicine. Keep the medicine in your carry-on luggage to avoid loss or temperature extremes. Store it at room temperature, away from direct sunlight and moisture. If you are crossing time zones, adjust your dosing schedule gradually, but consult your doctor for specific advice. Carry enough medicine for your entire trip, plus extra in case of delays. Check the customs regulations of your destination country regarding prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts to reduce thyroid hormone levels within 1 to 2 weeks, but it may take several weeks for you to notice a significant improvement in symptoms. Full effects may take 4 to 8 weeks.
A: Yes, it is recommended to take this medicine with food or milk to reduce stomach upset. However, avoid taking it with antacids, iron, or calcium supplements, as they can reduce absorption.
A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
A: No, you should not stop taking this medicine without consulting your doctor. Stopping suddenly can cause your thyroid hormone levels to rise again and worsen symptoms. Your doctor will gradually reduce the dose.
A: Serious side effects include agranulocytosis (low white blood cell count), which can cause fever, sore throat, and mouth ulcers; liver problems, which can cause yellowing of the skin or eyes; and severe allergic reactions. Report any of these immediately.
A: This medicine should be used during pregnancy only if clearly needed and under specialist supervision. It can affect the baby's thyroid. Your doctor may adjust the dose or switch to another medicine.
🤔 Common Patient Concerns
🔄 Substitutes for metazole 5mg tablet
View AllAlternative brands with exact same active ingredient:
-
thyrozole 5mg tabletCadila Pharmaceuticals Ltd ₹19.31 70.7% CHEAPER
-
carmazole 5mg tabletSynmedic Laboratories ₹103.13 56.3% COSTLIER
-
Thyrodip 5mg TabletLupin Ltd ₹177.19 168.5% COSTLIER
-
carkozom 5 tabletCare Formulation Labs Pvt Ltd ₹222.60 237.3% COSTLIER
-
anti-thyrox 5 tabletMacleods Pharmaceuticals Pvt Ltd ₹233.50 253.8% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure hyperthyroidism permanently.
Fact: This medicine controls hyperthyroidism by reducing hormone production, but it does not cure the underlying condition. Treatment may be needed for months to years, and some patients may require definitive treatment like surgery or radioactive iodine. - Myth: You can stop taking this medicine once you feel better.
Fact: You should never stop this medicine without consulting your doctor. Stopping suddenly can cause a rebound in thyroid hormone levels and worsen symptoms. - Myth: This medicine is safe for everyone.
Fact: This medicine is not safe for everyone. It is contraindicated in severe liver disease and should be used with caution in pregnancy and breastfeeding. Regular monitoring is required. - Myth: This medicine causes weight gain in everyone.
Fact: Weight gain can occur as thyroid hormone levels normalize, especially if you lost weight due to hyperthyroidism. Not everyone gains weight, and it can be managed with diet and exercise.
🔄 Alternative Options
Generic Alternatives
- Carbimazole 5mg tablet
Brand Alternatives
- Metazole 5mg Tablet