The provided UK guideline context, "Thyroid disease: assessment and management" NICE NG145, does not specifically detail immediate treatment options for a patient suspected of having a thyroid storm.
However, for adults with hyperthyroidism awaiting specialist assessment and further treatment, antithyroid drugs should be considered alongside supportive treatment NICE NG145. Transient thyrotoxicosis without hyperthyroidism typically requires only supportive treatment, such as beta-blockers NICE NG145.
Carbimazole is a commonly used antithyroid drug, but its use is subject to MHRA advice regarding contraception and the risk of acute pancreatitis NICE NG145. Propylthiouracil may be considered for adults who experience adverse reactions to carbimazole, are pregnant or trying to become pregnant within the next six months, or have a history of pancreatitis NICE NG145. Before initiating antithyroid drugs, a full blood count and liver function tests should be checked NICE NG145.