Clark F, Hall R, Ormston B J
Br Med J. 1971 Mar 13;1(5749):585-6. doi: 10.1136/bmj.1.5749.585.
The effect of diazepam on thyroid function tests was examined in 12 euthyroid patients requiring the drug for psychiatric reasons and in six patients with thyrotoxicosis. Assessment was made before and after four weeks' therapy.There was no significant difference in results from tests of thyroid iodide trapping and binding (thyroid radioiodine uptake, thyroid clearance, and absolute iodine uptake) except in the one-hour thyroid uptake in the euthyroid group, which was increased after diazepam. This increase occurred without alteration in serum thyroid stimulating hormone levels. No change occurred in either group in tests of thyroid hormone release (protein-bound iodine, T-3 resin uptake, or Thyopac-3 and free thyroxine index).Patients with suspected thyroid disease who are taking diazepam do not need to stop therapy while their thyroid status is being determined.
在12名因精神原因需要使用地西泮的甲状腺功能正常患者以及6名甲状腺毒症患者中,研究了地西泮对甲状腺功能测试的影响。在四周治疗前后进行了评估。除了甲状腺功能正常组的一小时甲状腺摄取量在使用地西泮后增加外,甲状腺碘摄取和结合测试(甲状腺放射性碘摄取、甲状腺清除率和绝对碘摄取)的结果没有显著差异。这种增加在血清促甲状腺激素水平未改变的情况下发生。两组的甲状腺激素释放测试(蛋白结合碘、T-3树脂摄取或Thyopac-3和游离甲状腺素指数)均未发生变化。正在服用地西泮的疑似甲状腺疾病患者在确定其甲状腺状态时无需停止治疗。