Protected: 5 Things You Should Know About Thyroid Eye Disease

Dwelling with a uncommon illness can usually imply days upon months upon years of trying to find solutions. Sadly, that is the case for a lot of who’re dwelling with Thyroid Eye Illness (TED) – a uncommon autoimmune illness that may trigger double imaginative and prescient, eye bulging, ache and fixed irritation that may be generally misdiagnosed for allergy symptoms or an an infection. The great news is that there have been current developments within the understanding of the illness, in addition to a remedy that has given hope to a neighborhood that beforehand had only a few choices.

Learn on for 5 issues it is best to learn about TED, based on consultants.

1. TED and Graves’ illness are separate and wish completely different remedies.
TED is mostly seen in folks with Graves’ illness – an autoimmune illness that causes hyperthyroidism. The truth is, as much as half of individuals with Graves’ illness might develop TED – however though they’re each autoimmune ailments and might happen on the identical time, they don’t seem to be the identical. With Graves’ illness, the most typical sort of hyperthyroidism, the immune system mistakenly assaults the thyroid. In TED, the immune system assaults the muscle and fats tissue behind one or each eyes. It’s vital to know the distinction and remember to search remedy particularly for TED.

2. Administration of TED has come a great distance.
Till final 12 months, there have been no medicines permitted by the U.S. Meals and Drug Administration (FDA) to deal with TED. Sufferers had been left with only a few choices for reduction – like advanced surgical procedures or eye drops. All of that modified when the FDA permitted TEPEZZA® (teprotumumab-trbw) for adults with TED.

TEPEZZA is a prescription, intravenous drugs, often known as an IV drugs – which means it’s delivered by way of a needle in your arm below supervision of an authorized medical skilled. TEPEZZA is given as soon as each three weeks for a complete of eight infusions, with a full course of remedy lasting about 5 months. TEPEZZA has been proven to scale back eye bulging and double imaginative and prescient, whereas additionally enhancing the indicators and signs of TED, together with eye ache, redness and swelling. Importantly, TEPEZZA treats TED on the supply, not simply the signs.

“TEPEZZA has completely modified the best way I deal with sufferers with TED,” says Andrew R. Harrison, M.D., Director of Oculoplastic and Orbital Surgical procedure and Co-Director, Middle for Thyroid Eye Illness, College of Minnesota. “Prior to now, we might wait two to 5 years for the illness to stabilize earlier than having the ability to focus on remedy choices, like orbital decompression surgical procedure. Now I’ve a drugs that treats TED on the supply, and I can get sufferers feeling higher.”

(Andrew R. Harrison, M.D., Director of Oculoplastic and Orbital Surgical procedure and Co-Director, Middle for Thyroid Eye Illness, College of Minnesota)

The commonest negative effects of TEPEZZA embrace muscle cramps or spasms, nausea, hair loss, diarrhea, feeling drained, excessive blood sugar, listening to issues, style modifications, headache, and dry pores and skin. Please see further Necessary Security Data under.

3. Not all eye medical doctors have expertise with TED.
As a result of TED is a uncommon and sophisticated situation, not all medical doctors are acquainted with it nor have expertise treating and managing it. When you have TED or are in danger for growing TED, it’s vital to see a physician who specializes within the illness – similar to an oculoplastic surgeon or a neuro-ophthalmologist – to make sure you obtain the proper care. Be sure they perceive the influence your signs are having on every day actions, like making it troublesome to drive, work or depart the home.

For Katie M., who lives in Manhattan in New York Metropolis, TED had a dramatic influence on her day-to-day life. “Earlier than my thyroid illness and eye signs began, I used to be extraordinarily bodily lively and had a really busy job, usually working 60 hours per week.”

When she began experiencing imaginative and prescient issues, Katie’s life-style modified. “Fortunately, I used to be referred to a TED Specialist, who began working by way of choices to handle my situation.”

If TED isn’t handled or correctly managed, signs can linger or worsen and should even end in imaginative and prescient loss, so an early and correct prognosis is vital. When you have TED or assume you’ll have TED and will not be at present working with a TED Specialist, go to to seek out a physician close to you.

4. Signs of TED might decelerate, however the illness is not going to go away.
Though signs might sluggish or stabilize, TED is a persistent situation that requires ongoing administration. Most individuals expertise two phases – “acute” and “persistent.”

Within the acute part (your physician might name this the “lively” part), signs can seem all of the sudden and worsen rapidly. Irritation and scarring could cause eye bulging, double imaginative and prescient or different signs that may influence your look and talent to see.

Over time, TED might enter the persistent part (your physician might name this the “inactive” part). Some signs, similar to redness or swelling, might enhance, however others won’t go away because of scar tissue from the acute part. TED Specialists suggest beginning remedy as early as potential to scale back eye injury and different problems, however remedy within the persistent part should be useful.

“TED is a illness that requires ongoing administration – your physician will have the ability to decide the optimum time for remedy based mostly on the place you might be in the midst of your illness,” Dr. Harrison advises.

5. Advocating for your self and discovering a supportive care staff is important.
It may be troublesome to seek out the proper help when dwelling with a persistent sickness like TED however persevering with to hunt the proper care staff is vital. When you have TED, it’s vital to be vocal about your signs. Advocacy organizations can even present TED sources and join you with others who might have confronted comparable challenges.

For Katie, it took many months and several other changes, however she continued working together with her physician to handle her TED earlier than she discovered one thing that labored for her.

“My effort was value it – I’m so grateful that my physician really useful TEPEZZA,” Katie says. “After remedy, I look extra like myself. My confidence has returned. I might inform others with TED to keep it up, use your sources and don’t be afraid to strive completely different choices.”

If you’re dwelling with TED, know that you’re not alone and which you can take motion. Advocate for your self, search help and discover a TED Specialist who can work carefully with you to handle your illness and decide if TEPEZZA is best for you. Particular person outcomes might fluctuate.

For extra data, go to

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What’s crucial data I ought to learn about TEPEZZA?

Infusion reactions can occur throughout or inside 24 hours after your infusion of TEPEZZA. When you have a response whereas receiving TEPEZZA, your physician or nurse will sluggish or cease your infusion and deal with your response. When you have a extreme infusion response, your physician might cease your remedy utterly.

Inform your physician or nurse straight away you probably have any of those signs throughout or after your remedy with TEPEZZA:

• Hypertension
• Quick heartbeat
• Redness of the face/Feeling scorching
• Problem respiratory
• Headache
• Muscle ache

When you have inflammatory bowel illness (IBD), similar to Crohn’s illness or ulcerative colitis, TEPEZZA might make your IBD signs worse. Signs of worsening IBD might embrace: an elevated variety of free stools with abdomen ache or cramps, and blood in your stools. After every TEPEZZA infusion, inform your physician straight away you probably have worsening IBD signs.

TEPEZZA might trigger a rise in your blood sugar. Earlier than beginning remedy with TEPEZZA, inform your physician if you’re at present being handled for diabetes, know your blood sugar is excessive, or have been recognized with diabetes. It is necessary so that you can take your remedies and observe an applicable weight-reduction plan for glucose management as prescribed by your physician.

Earlier than receiving TEPEZZA, inform your physician if you happen to:

• Have inflammatory bowel illness (Crohn’s illness or ulcerative colitis).
• Are at present being handled for diabetes, have been recognized with diabetes, or know your blood sugar is excessive.
• Are pregnant or plan to change into pregnant. TEPEZZA might hurt your unborn child. Inform your physician if you happen to change into pregnant or suspect you might be pregnant throughout remedy with TEPEZZA.
o Girls who’re in a position to change into pregnant ought to use an efficient type of contraception (contraception) previous to beginning remedy, throughout remedy and for a minimum of 6 months after the ultimate dose of TEPEZZA.
• Are breastfeeding or plan to breastfeed. It isn’t identified if TEPEZZA passes into your breast milk. Discuss to your physician about the very best methods to feed your child throughout remedy with TEPEZZA.
• Inform your physician about all of the medicines you’re taking, together with prescription and over-the-counter medicines, nutritional vitamins, dietary and natural dietary supplements. Know the medicines you’re taking. Maintain an inventory of them to point out your physician and pharmacist while you get a brand new drugs.

What are the potential negative effects of TEPEZZA?

The commonest negative effects of TEPEZZA embrace muscle cramps or spasms, nausea, hair loss, diarrhea, feeling drained, excessive blood sugar, listening to issues, style modifications, headache, and dry pores and skin.

This isn’t a whole listing of all potential negative effects. Inform your physician or remedy staff you probably have any aspect impact that bothers you or that doesn’t go away.

Please see Full Prescribing data at

You’re inspired to report detrimental negative effects of pharmaceuticals to the FDA.

Go to, or name the FDA at 1-800-FDA-1088.


TEPEZZA is a prescription drugs used to deal with Thyroid Eye Illness.


[1] TEPEZZA. Thyroid Eye Illness FAQs. Retrieved from: Accessed August 2021.

[2] TEPEZZA. Thyroid Eye Illness vs Graves’ Illness. Retrieved from: Accessed August 2021.

[3] TEPEZZA. How TEPEZZA Can Assist Thyroid Eye Illness. Retrieved from: Accessed August 2021.

[4] TEPEZZA. How TEPEZZA Works. Retrieved from: Accessed August 2021. | Protected: 5 Issues You Ought to Know About Thyroid Eye Illness

Huynh Nguyen

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