Q: 52 year old female with previous history of CVA is now brought to ICU with probable diagnosis of thyroid storm. Which one medicine you should look for and stop it till patient get stablizes?


Answer: Aspirin

Aspirin is an universal medicine on most patient's medication list particularly in patients with stroke, cardiac or vascular history. Aspirin should be held and avoided in thyroid storm to prevent decreased protein binding and subsequent increases in free T3 and T4 levels. Infact Aspirin itself is known to precipitate thyroid storm.