25th August 2020

A 37-year-old male presents to his GP with 2-month symptoms of fine tremor, palpitations, restlessness, heat intolerance and weight loss

A 37-year-old male presents to his GP with 2-month symptoms of fine tremor, palpitations, restlessness, heat intolerance and weight loss. He has a past medical history of asthma, for which he takes a salbutamol inhaler. He has no known drug allergies. He has a mother with alopecia and a brother with coeliac disease. He denies binge drinking. He has smoked tobacco for the past 10 years. On examination, the GP discovers a diffuse goitre, tachycardia, and facial flushing. He explains that his restlessness and palpitations have been affecting his sleep quality. 

Based on the clinical information given, what medications would best ease the symptoms this gentleman is having?

Select the SINGLE most appropriate option from the list below.