Thyroxine is a drug that is prescribed for patients with hypothyroidism as a hormone replacement for underactive thyroid. Normal levels are essential for the energy uptake and proper functioning of almost all the organs of the body.

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I feel uncomfortable while taking thyroid medication and BP tablets together. What can I do?

Query: Hi doctor,I am undergoing blood pressure treatment, and I also have thyroid problems. When I take the blood pressure tablet alone, I feel comfortable and relaxed. But when I take thyroid medication and blood pressure tablets, I have pain in my chest and left hand. Should I stop thyroid medication?  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to Your thyroid gland is working less; that is why you are on Thyroxin tablets. For hypertension, you are taking tablet Telmisartan. I suggest taking both tablets as both works for their indications. I suggest consulting an endocrinologist for a workup of hypothyroidism an...  Read Full »

What is the reason for my sister getting her menstrual periods every 15 days?

Query: Hello doctor, This question is regarding my sister. She is 33 years old. She is a mother of 6 year old twins. Two months ago, she was diagnosed with thyroiditis. From the last month, she gets her periods, once every 15 days. Kindly tell me the probable reason and the course of action to be taken.  Read Full »

Dr. Sonal Prasad

Answer: Hello, Welcome to Your sister has subclinical hypothyroidism. Start her on tablet Eltroxin (Thyroxine) 50 mcg, once daily, to be taken early in the morning on an empty stomach. Get the TSH levels repeated after three months. Thyroid abnormalities may be one of the reason for menstrual i...  Read Full »

How long can I take HRT, and will it cause any trouble when taken for a long time?

Query: Hello doctor, I have just received my blood results of thyroid and hormone blood test, and I require your help, please. I am 54 years old woman, who is 5.6 feet tall and weigh 13.10 stone. I have suffered from ill health for many years and cannot remember the last time I felt well. I had a complete...  Read Full »

Dr. Deep Dutta

Answer: Hi, Welcome to I am sorry you have had to go through a lot. I really appreciate your writing all your problems in such a detailed way, which makes me easy to understand all your symptoms fully. Most importantly it is high time you stop your hormone replacement therapy. HRT should not...  Read Full »

What is the actual Thyroxine dosage for Hashimoto's thyroiditis and hypothyroidism?

Query: Hi doctor, I am a 37-years-old female, unmarried, and my weight is 45 kilograms. I am under medication for Hashimoto's thyroiditis and hypothyroidism for more than twenty years. I was taking tablet Eltroxin 100 mcg and discontinued the medicine because of frustration before two months. My TSH is 21...  Read Full »

Dr. Thiyagarajan T

Answer: Hi, Welcome to I recommend you start at 100 mcg of Thyroxine. You should take medicine regularly without missing even a single dose on an empty stomach, that is one hour before any food, tea or coffee, or other medication. Your dose can be even less unless you have an abs...  Read Full »

Do I need to continue the prescribed medicines after a miscarriage?

Query: Hi doctor, I had a miscarriage 15 days back, my TSH is 4.19, hemoglobin is 12.1 g/dL, height is 5 feet, weight is 68 kg, and blood sugar is 54 and 116 mg/dL. Now my doctor has prescribed me with a lot of medicines like Thyroxine, Glyciphage, Aldactone 100, Terbinafine 250, etc. I have some itching i...  Read Full »

Dr. Shalaka Joshi

Answer: Hello, Welcome to Sorry to hear about your miscarriage. All is not over, as your reports (attachment removed to protect patient identity) seem normal to me. Continue the thyroid medication. Your ideal weight for your height would be 50 kg. So, try to reduce weight using diet and exerc...  Read Full »

What do my thyroid function test reports say?

Query: Hi doctor, I am a 58-year-old male. I need consultation for my thyroid treatment. I have been taking medicines for more than a year. Recently I have not been able to visit my doctor, and he is not available online. I have been taking Thyroxine Sodium tablets. Thyronorm 75 mcg for the initial three ...  Read Full »

Dr. Zulfiqar Ahmed

Answer: Hi, Welcome to Thanks for your query. Your thyroid hormone levels are high, and your TSH (thyroid-stimulating hormone) level is very low. Your TSH target should be from 0.7 mIU/L to 4 mIU/L. If it is less than 0.7 mIU/L, you need to decrease your dose, and if it is over 4 mIU/L, you ...  Read Full »

What are the nonpharmacological methods to manage diabetes?

Query: Hi doctor, I am a 60-year-old male. I have been taking thyroid medicine for 2.5 years. Please check my recent test reports and suggest if I need to stop the medicine, change or carry on. I also need suggestions for diabetes. I have never taken any diabetes treatment. Again, please check my reports ...  Read Full »

Dr. Zulfiqar Ahmed

Answer: Hi, Welcome to Thank you for the query. You have mild diabetes as your HbA1c (glycated hemoglobin) is over 6.5 percent. It is 6.6 percent for you (attachments removed to protect the patient's identity). Right now, you need to follow lifestyle modifications only. Your TSH (thyroid-sti...  Read Full »

After COVID-19 infection, there are changes in thyroxine levels. Why?

Query: I had positive corona around 5 & half weeks ago and suffered symptoms of severe fatigue & high palpitations after checking my heart lungs etc bloods all is fine the only thing they have seen on my bloods is my free thyroxine levels are slightly raised I.e. 25 it was checked twice 2 weeks ago...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello I just read your query and the reports that you have attached. Yes the free thyroxine levels are slightly high but the normal TSH levels are reassuring and suggest that the viral infection was the likely reason behind it. It would definitely be worth repeating it again in 6 weeks time. Howe...  Read Full »

Does thyroid disorder cause swelling of the body if medicine intake is discontinued?

Query: Hi doctor, My age is above 50. I have thyroid disorder for many years. I used to take Thyroxine. I am not taking any medicine right now. My body has swelled, especially my neck and the ankles. I also have a severe cough and weakness. Kindly help me to correct my thyroid disorder.  Read Full »

Dr. Suhail Khanday

Answer: Hi, Welcome to I want to know the dose of Thyroxine (Levothyroxine) you were taking earlier, and did you stop taking Thyroxine on your own, or your doctor stopped it. Also, please give me your menstrual history. The thyroid hormone regulates the body's metabolism, and once it is defic...  Read Full »

What are the effects of under or over-dosage of Thyroxine?

Query: Hello doctor, I am currently under tablet Thyroxine 100 mcg and other asthma medicines. Previously, my dosage was adjusted by a local doctor based on routine thyroid reports. Can you please suggest to me the thyroid medication dose based on my latest blood report?  Read Full »

Dr. Nagaraj Patil

Answer: Hi, Welcome to Your thyroid report (attachment removed to protect the patient's identity) is acceptable. To adjust your dose based on the report and medication dose you are taking, I would like to know few more details: Do you have any symptoms right now? Are you taking medicine a...  Read Full »

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