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Carbimazole

Prescription
Antithyroid agent (thionamide)
Last reviewed 21 Apr 2026 · PetCare.AI Editorial Team
Species
Cat, Dog
Brands
4 available
Interactions
1 documented
Formulations
3

Mechanism of action

Prodrug rapidly converted to methimazole; inhibits thyroid peroxidase enzyme, blocking iodine organification and coupling of iodotyrosines, thereby reducing thyroid hormone (T3 and T4) synthesis

At a glance

Class
Antithyroid agent (thionamide)
Schedule
Prescription
Storage
Below 25°C, protect from moisture

Dosing

🐈

Cat

Feline hyperthyroidism
Dose
10–15 mg/cat
Route
PO
Frequency
SID to BID (start BID, consolidate to SID once euthyroid)
Max dose
15 mg/dose; 30 mg/day
Duration: Long-term / lifelong if radioiodine or surgery not pursued
🐕

Dog

Hyperthyroidism (rare; thyroid carcinoma)
Dose
5–15 mg/dog
Route
PO
Frequency
BID to TID
Max dose
20 mg/dose; 60 mg/day
Duration: Pre-surgical stabilization or long-term
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

Formulations

💊

Tablet — 1

Strength
5mg
Available in India
💊

Sustained-release tablet — 2

Strength
10mg
Strength
15mg

Storage

Below 25°C, protect from moisture

Safety

Absolute contraindications — do not use

  • Known hypersensitivity to carbimazole or methimazole

Use with caution

  • Pre-existing liver disease
    Hepatotoxicity risk
  • Concurrent azole antifungals
    May alter thyroid function testing

Adverse effects

Common
Vomiting
Anorexia
Facial excoriation (cats)
Lethargy
Serious
Agranulocytosis
Hepatotoxicity
Thrombocytopenia
Immune-mediated hemolytic anemia

Monitoring parameters

Total T4 at 2–3 weeks post-initiationCBCHepatic enzymesBUN/Creatinine (unmasking of renal disease)Body weight
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

Interactions

Contraindicated — 1

Methimazole
contraindicated
Carbimazole is a prodrug converted to methimazole. Combining them is effectively double-dosing the same drug, causing severe hypothyroidism and myelosuppression.
Management: NEVER combine. Use one or the other. When switching, discontinue first agent before starting the second.
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

Brands

International

Vidalta
Intervet/MSD Animal Health
Neo-Mercazole
Nicholas Piramal

India

Neo-Mercazole
Abbott India
Thyrozole
Sun Pharma

FAQs

Frequently asked questions

What is Carbimazole?
Carbimazole is a antithyroid agent (thionamide) used in pets. Prodrug rapidly converted to methimazole; inhibits thyroid peroxidase enzyme, blocking iodine organification and coupling of iodotyrosines, thereby reducing thyroid hormone (T3 and T4) synthesis
What is Carbimazole used for in pets?
Carbimazole is used in veterinary medicine for: Feline hyperthyroidism; Hyperthyroidism (rare; thyroid carcinoma).
What is the Carbimazole dose for cats?
For cats, Carbimazole is typically dosed as follows — Feline hyperthyroidism: 10–15 mg/cat PO SID to BID (start BID, consolidate to SID once euthyroid). Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
What is the Carbimazole dose for dogs?
For dogs, Carbimazole is typically dosed as follows — Hyperthyroidism (rare; thyroid carcinoma): 5–15 mg/dog PO BID to TID. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
What are the side effects of Carbimazole?
Common: Vomiting, Anorexia, Facial excoriation (cats), Lethargy. Serious (call your vet immediately): Agranulocytosis, Hepatotoxicity, Thrombocytopenia, Immune-mediated hemolytic anemia.
Does Carbimazole need a prescription?
Yes. Carbimazole is a prescription medication and should only be administered under veterinary supervision.
When should Carbimazole not be used?
Do not use Carbimazole if: Known hypersensitivity to carbimazole or methimazole.
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

References

References

The PetCare.AI drug reference is built from 13 authoritative sources cited across 580 drug monographs.

Textbooks & handbooks — 5

  • Plumb's Veterinary Drug Handbook
  • Withrow & MacEwen's Small Animal Clinical Oncology
  • Merck Veterinary Manual
  • NRC Nutrient Requirements of Dogs and Cats
  • Veterinary Pharmacology and Therapeutics (Riviere & Papich)

Clinical guidelines & consensus — 4

  • ASPCA Animal Poison Control Center Guidelines
  • AAHA Diabetes Management Guidelines
  • ASPCA Poison Control Guidelines
  • RECOVER CPR Guidelines

Journals & peer-reviewed studies — 2

  • EPIC Study (J Vet Intern Med 2016)
  • JVIM FAT CAT Study

Regulatory & approvals — 1

  • CDSCO Veterinary Drug Approval Registry (1969–2026)

Databases — 1

  • Washington State University VCPL MDR1 Database
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