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Thyroid Disorders Message Board


Thyroid Disorders Board Index


When and how are you taking your synthroid? Are you taking it with any other medications?

Recommended dosing methodology for synthroid:
1) Take Synthroid on an empty stomach at least 1 hour before or 2 to 3 hours after eating. It is recommended that you take your dose 1 hour before breakfast unless otherwise directed by your doctor.
2) Take Synthroid with a full glass of water (8 oz/240 mL). Then you can drink your coffee.
3) Notify your MD if you eat foods that contain soybean flour (infant formula), cottonseed meal, walnuts, or dietary fiber. These foods decrease the absorption of Synthroid .
4) Take Synthroid 4 hours apart from [B]calcium supplements, iron, antacids (those containing aluminum, calcium, or magnesium), simethicone, cholestyramine, colestipol, sucralfate, or sodium polystyrene sulfonate.[/B] These medicines decrease the absorption of Synthroid into your bloodstream.
5) Synthroid works best if it is taken at the same time each day.
6) It may take several weeks (4 to 6 weeks) before you notice an improvement and stabilization in your symptoms.
7) Synthroid will usually have to be taken for life, except in the cases of temporary low thyroid activity associated with thyroid inflammation and in patients who are taking Synthroid on a trial basis.
8) If you miss a dose of Synthroid and you are taking it regularly, take it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your MD to do so. Do not take 2 doses at once.

There are also many drugs that interact with T4 drugs as well. You should call your endo's office and talk with a nurse.. increased sweating is liable to be experienced because being hypothyroid your ability to sweat is reduced. Headaches can occur for many reasons.. the main side effects that get their attention are severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); changes in appetite; changes in menstrual periods; chest pain; difficulty breathing; fast heartbeat; fever; hives or skin rash; hyperactivity; inability to handle warm or hot room/weather conditions; irregular heartbeat; irritability; leg cramps; nervousness; pounding in the chest; seizures; shortness of breath; tremors; weight gain or weight loss.

Instead of going cold turkey every other day.. see what they think about half dosage until you stabilize first. Is 75 your starting strength? Or did you increase gradually to 75?

In patients with hypothyroidism, the recommended initial levothyroxine sodium dose is 12.5-25 mcg/day with increases of 25 mcg/day every 2-4 weeks, accompanied by clinical and laboratory assessment, until the TSH level and T4 level is normalized.
The average full replacement dose of levothyroxine sodium is approximately 1.7 mcg/kg/day (e.g., 100-125 mcg/day for a 70 kg adult).

You may not be at your proper dosage yet.. but over loading the system temporarily with such a large jump.. your body is hypo and used to working with less.. if you flood it with too much too soon then you can cause some nasty side effects.

Sincerely,
MG





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