Overactive thyroid (hyperthyroidism)

Also called Hyperthyroidism or Thyrotoxicosis

An overactive thyroid (hyperthyroidism) is when the thyroid gland in the neck makes too much thyroid hormone. This speeds up many of the body's processes. The most common cause is Graves' disease, but lumps on the thyroid (nodules) and some medicines can also cause it. It is more common in women.

Last updated Nov 9, 2026

What it is

Medicines can reduce the amount of hormone the thyroid makes, and beta blockers can ease symptoms like a fast heartbeat.

Radioiodine treatment or surgery to remove part or all of the thyroid may be offered. Regular blood tests check hormone levels.

Common signs

  • Feeling nervous, anxious or irritable
  • A fast or irregular heartbeat
  • Losing weight
  • Feeling hot and sweating
  • Shaking hands
  • A swelling in the neck (goitre)
  • Eye problems in Graves' disease

How it is usually diagnosed

  • Thyroid function blood tests (TSH, T4, T3)
  • Thyroid antibody tests
  • Sometimes a thyroid scan or ultrasound

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Thyroid function test results over time
  • Endocrinology letters
  • Scan reports
  • Medicine lists and dose changes

Questions to ask your doctor

  • What is causing my overactive thyroid?
  • Which treatment would you recommend?
  • How often will I need blood tests?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • A very fast heartbeat, high fever, confusion or agitation: call 112
  • A sore throat or fever while taking carbimazole: stop and get a blood test urgently

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources