In hyperthyroidism, what should be avoided during treatment?

During the treatment of hyperthyroidism, the use of epinephrine should be approached with caution. Hyperthyroidism can increase the sensitivity of the cardiovascular system to adrenergic stimulation, and since epinephrine is a potent vasoconstrictor and cardiostimulant, administering it may lead to potentially dangerous reactions. This can include exacerbation of tachycardia or arrhythmias, elevating blood pressure significantly, and placing excessive strain on the heart in a patient who already may be experiencing increased cardiovascular symptoms due to their thyroid condition.

While local anesthetics, antibiotics, and sedatives can be safely used in many cases, it's essential to check for interactions and contraindications based on individual patient situations. However, based on the physiology of hyperthyroidism, avoiding epinephrine helps prevent exacerbating any adrenergic side effects during treatment. This precaution is particularly important in procedures that may induce stress, where the cardiovascular response could be heightened.