Patient Resources

And in many cases, to also pop the top off the bottle while they are at the pharmacy counter and look at the pills and make sure they have SYNTHROID embossed on those synthroid peak tablets. So, it’s not just treating a number and following the TSH, it’s also making sure that the patient’s symptoms have improved. A key part for the patients is to make sure that they’re getting the brand-name SYNTHROID that we have prescribed. And, as a practicing thyroid specialist, I have extensive clinical experience with using this medication. In addition to testing TSH, sometimes it may be important to run other labs such as a free T4, in addition to the TSH, to ensure you have accurate dosing in the medication.

NP Thyroid is used for hashimoto’s disease, hypothyroidism, after thyroid removal, thyroid cancer … Tirosint is used for hashimoto’s disease, hypothyroidism, after thyroid removal, myxedema coma … It may take several weeks before your body starts to respond to Synthroid. Your child’s dose needs may change if the child gains or loses weight. Follow all directions on your prescription label and read all medication guides or instruction sheets. You may not be able to take Synthroid if you have certain medical conditions.

Drug-Food Interactions

SYNTHROID is indicated in adult and pediatric patients, including neonates, as a replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism. Myxedema coma is a life-threatening emergency characterized by poor circulation and hypometabolism and may result in unpredictable absorption of levothyroxine sodium from the gastrointestinal tract. Use of oral thyroid hormone drug products is not recommended to treat myxedema coma. Administer thyroid hormone products formulated for intravenous administration to treat myxedema coma. HypothyroidismSYNTHROID® (levothyroxine sodium) tablets, for oral use is indicated as a replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism.

Careful titration of medication and monitoring is required in that setting. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Synthroid only for the indication prescribed. Levothroid is used for hashimoto’s disease, hypothyroidism, after thyroid removal, myxedema coma … Eltroxin is used for hashimoto’s disease, hypothyroidism, after thyroid removal, myxedema coma … Unithroid is used for hashimoto’s disease, hypothyroidism, after thyroid removal, myxedema coma …

The second is that Synthroid has a history, as physicians have been treating patients with hypothyroidism with Synthroid for over 65 years. Dosing here should be individualized based on whether the patients were diagnosed with hypothyroidism prior to pregnancy or during the pregnancy. Please see the additional Important Safety Information at the end of this video, including the BOXED WARNING regarding inappropriate treatment for obesity or for weight loss. Levothyroxine is one of the ten NTI drug classes most commonly prescribed. These medications are those where small changes in the dose or blood concentration may lead to serious therapeutic failures and/or adverse drug reactions.

• Note that this list is not all-inclusive and includes only common medications that may interact with Synthroid.
• All pregnancies have a background risk of birth defect, loss, or other adverse outcomes.
• Enter medications to view a detailed interaction report using our Drug Interaction Checker.
• Levothyroxine is given when your thyroid does not produce enough of this hormone on its own.
• Larger doses may produce serious or even life-threatening manifestations of toxicity, particularly when given in association with sympathomimetic amines such as those used for their anorectic effects.

Because your doctor prescribed Synthroid, that’s what you’ll always get at the pharmacy.

• In addition to testing TSH, sometimes it may be important to run other labs such as a free T4, in addition to the TSH, to ensure you have accurate dosing in the medication.
• Patients with coronary artery disease who are receiving SYNTHROID should be closely monitored for cardiac arrhythmias during surgical procedures.
• AbbVie is not responsible for the privacy policy, the content, or the accuracy of any websites accessed through a link on the SynthroidPro.com site.

There are options available to assist the patient with cost concerns. See additional Important Safety Information at the end of this video. Enter medications to view a detailed interaction report using our Drug Interaction Checker.

And I, personally, have a patient information sheet that I provide them that goes over some of these important details. For additional information, I direct them to the SYNTHROID website where they can go to the “Starting on SYNTHROID” tab to get that further information they may desire. So, getting the patients on the right dose, but maintaining them on the right dose, is also very important. Primary hypothyroidism is basically diagnosed off of a screening TSH, or thyroid stimulating hormone. Euthyrox (levothyroxine) is used to treat hypothyroidism and to treat or prevent goiter.

What happens if I miss a dose?

Biotin supplementation may interfere with immunoassays for TSH, T4, and T3, resulting in erroneous thyroid hormone test results. Stop biotin and biotin-containing supplements for at least 2 days before assessing TSH and/or T4 levels see DRUG INTERACTIONS. That’s because substitutions can be made at the pharmacy if the prescription is not properly protected with the Dispense as Written (DAW) state-specific language. SYNTHROID is not indicated for suppression of benign thyroid nodules and nontoxic diffuse goiter in iodine-sufficient patients, as there are no clinical benefits and overtreatment with SYNTHROID may induce hyperthyroidism. A levothyroxine product that is not therapeutically equivalent with SYNTHROID might not have the exact same effect on the patient’s TSH as SYNTHROID. Do not store the crushed tablet/water mixture and do not administer it mixed with foods that decrease absorption of levothyroxine, such as soybean-based infant formula.

Synthroid During Pregnancy and Breastfeeding

Particularly when SYNTHROID is written in a non-protective manner for the state language. Most, but not all, levothyroxine products have been determined to be therapeutically equivalent by the FDA. Overtreatment or undertreatment with levothyroxine may have negative effects on different systems throughout the human body. So, my job as a thyroid specialist in these patients is to make sure my patient is treated and gets to a point of consistency, because it is a lifelong course of medication. Serum TSH levels should be monitored and the SYNTHROID dosage adjusted during pregnancy. Since postpartum TSH levels are similar to preconception values, the SYNTHROID dosage should return to the pre-pregnancy dose immediately after delivery see DOSAGE AND ADMINISTRATION.

A TSH test is the only way to determine if you’re managing your hypothyroidism.

The liver is the major site of degradation for both T4 and T3, with T4 deiodination also occurring at a number of additional sites, including the kidney and other tissues. Approximately 80% of the daily dose of T4 is deiodinated to yield equal amounts of T3 and reverse T3 (rT3). Thyroid hormones are also metabolized via conjugation with glucuronides and sulfates and excreted directly into the bile and gut where they undergo enterohepatic recirculation.