Propylthiouracil (PTU)

Thionamide (Antithyroid)
Drug Class
Thionamide (Antithyroid)
Mechanism of Action (MOA)
Inhibits thyroid peroxidase and blocks peripheral T4→T3 conversion.
Black Box Warning
Severe hepatic injury and acute liver failure (some fatal or requiring transplant).
Clinical Notes
Reserved for the first trimester of pregnancy and thyroid storm. Agranulocytosis; ANCA-associated vasculitis.
Source
FDA label

Sources

Reviewed September 2026
  1. FDA label — FDA / DailyMed

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Used for

Same family

Thyroid drugs · 3 drugs

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