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Knowledge Centre / Myxoedema Coma

Myxoedema Coma

Management of severe hypothyroidism emergency.

Reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP (General Practitioner)
Last reviewed: 21 October 2025
EndocrinologyEmergency MedicineCritical Care

Clinical Guidelines

CKS: Hypothyroidism
National
Trust Guideline for the Management of Suspected Thyroid Emergencies (Norfolk and Norwich University Hospitals NHS Foundation Trust)
National
Guidelines for the Treatment of Hypothyroidism: Prepared by the American Thyroid Association Task Force on Thyroid Hormone Replacement
Local
Guidelines for the Treatment of Hypothyroidism: Prepared by the American Thyroid Association Task Force on Thyroid Hormone Replacement
Local
NICE Clinical Knowledge Summary: Hypothyroidism
Local
NICE Clinical Knowledge Summary: Hypothyroidism (Management: Overt hypothyroidism, non-pregnant)
Local
NICE guideline 145: Thyroid disease: assessment and management
Local

Recent iatroX Q&As

  • What are the key clinical features to identify a patient in myxoedema coma?Updated: 8/22/2025
  • How should I initiate treatment for a patient diagnosed with myxoedema coma in a primary care setting?Updated: 8/22/2025
  • What laboratory investigations are essential for confirming myxoedema coma in an emergency situation?Updated: 8/22/2025
  • When should I consider referring a patient with myxoedema coma to secondary care?Updated: 8/22/2025
  • What are the potential complications of myxoedema coma that I should monitor for during management?Updated: 8/22/2025
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