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Propylthiouracil

A tablet that reduces thyroid hormone in overactive thyroid (Graves' disease).

Clinical information

Common uses

  • hyperthyroidism when methimazole is unsuitable
  • preparing for thyroid surgery or radioiodine treatment

Common side effects

  • skin rash and itching
  • feeling sick or vomiting
  • joint pain
  • headache
  • drowsiness

Cautions

  • can cause severe liver injury, sometimes fatal
  • can dangerously lower blood cell counts (agranulocytosis)
  • crosses the placenta — can affect the baby's thyroid

Interactions

  • warfarin and other oral anticoagulants — effect may increase
  • beta blockers — dose may need reducing
  • digoxin — levels may rise as thyroid normalises
  • theophylline — dose may need reducing

Pregnancy: only if prescribed — rare risk of liver damage; specialist care

Reference information, not medical advice — always follow your doctor or pharmacist. Source: DailyMed, dailymed.nlm.nih.gov, propylthiouracil label, setid 804fa92a-a5ba-4be0-aa44-a40a2e89fde6 (accessed 2026-08-16)

Approved brands & formulations1

Brand nameDosage formStrengthImporterCategory
PropylthiouracilTablet50 mgPOM
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