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Can thyroid pills be taken in case of low TSH levels?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am taking a thyroid pill for the last year. But now my thyroid level is low, as you can see in the report. So please suggest to me whether I should continue with the pill or I can stop it.

Hi,

Welcome to icliniq.com.

Thanks for the query. I can understand your concern. You are a known case of hypothyroidism, and you have been on a thyroid pill for the last year. Your recent thyroid function test has revealed that your T3 (Triiodothyronine) level is 2.20 ng/ml, which is above normal, and TSH (thyroid-stimulating hormone) is below the normal level. Again, T4 (thyroxine) are within the normal range but present at the upper limit. So, I think, at present, you are suffering from subclinical hyperthyroidism. So you should stop taking your hypothyroid medication and immediately contact your physician; you may start hyperthyroidism medication. In case of any other query, ask me.

Patient's Query

Hi doctor,

Thanks for your reply.

But what about my prolactin level. Why it increases, and how can I overcome it?

Hi,

Welcome back to icliniq.com.

Thanks for joining us again. According to your queries, common causes of high prolactin levels are pituitary tumors, an underactive thyroid, drugs usually used for depression, psychosis, or high blood pressure, some herbs, irritation of chest wall due to many causes, excessive stress or exercise, nipple stimulation, certain foods, etc. MRI (magnetic resonance imaging) of the brain can detect the pituitary gland's tumors. Treatment depends on the causes. Eliminating underlying causes can make prolactin levels return to normal. Cabergoline and Bromocriptine are the most commonly used medications for high prolactin levels. Cabergoline is taken twice a week and has fewer side effects than Bromocriptine. Treatment continues until your symptoms reduce or you become pregnant. Take care. I hope I have answered your questions. Let me know if I can assist you further.

Medically reviewed byDr. Preetha. J

Published At November 13, 2020
Reviewed AtJuly 5, 2024

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