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perchlorate

ionic inhibitor, antithyroid drug · antithyroid

ionic inhibitor, antithyroid drugantithyroid
CDSCO approved
EXCRETION
not curated
INTERACTIONS
none in our sources
PREGNANCY
not curated

Mechanism

Blocks the entrance of iodide into the thyroid by competitively inhibiting the sodium iodide symporter (NIS). Can itself be transported by NIS into the thyroid gland.

Indications

control hyperthyroidismdiagnostic test of iodide organification (to "discharge" inorganic iodide from the thyroid gland)enhance the response to thioamides in refractory Graves disease (e.g., that associated with amiodarone)

Dosing

Adult
750 mg daily has been used in the treatment of Graves disease.

Contraindications

  • excessive amounts (2–3 g daily) due to risk of fatal aplastic anemia

Side effects

Serious
  • fatal aplastic anemia (with excessive amounts)

Related guidelines

Other ionic inhibitor, antithyroid drug drugs

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Sources: Goodman & Gilman 14e·Verified: 2026-05-10 · House clinical team