Mechanism of Action

  • Inhibits thyroid hormone production via inhibition of thyroid peroxidase. Blocks iodide oxidation and organification
  • Propylthiouracil also lowers peripheral conversion of T4 to T3 by inhibiting 5′-deiodinase.

 

Toxicity & Side Effects

Significant clinical side effects include:

  • Agranulocytosis (<0.5%)
  • Transient leucopaenia (10%)
  • Mucocutaneous rash
  • Hepatotoxicity
  • Vasculitis