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Medicines called thionamides are a common treatment for an overactive thyroid. These stop your thyroid producing excess hormones. The main types used are carbimazole and propylthiouracil. You'll usually need to take the medicine for a month or two before you notice any benefit. You may be given another medication called a beta-blocker to quickly relieve your symptoms in the meantime. Once your thyroid hormone level is under control, your dose may be gradually reduced and then stopped.
1 Treatment is not necessary unless the goiter is large and causes symptoms (there are often no symptoms).  Synthetic thyroid hormone is a treatment for underactive thyroid, while anti-thyroid drugs are options for an overactive gland.