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HomeAnswersEndocrinologytsh levelHow long should a 12-year-old boy with fluctuating thyroid levels take medications?

My 12-year-old son has fluctuating thyroid levels. Is it necessary to take medicines?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Shaikh Sadaf

Medically reviewed by

Dr. Vinodhini J.

Published At March 19, 2020
Reviewed AtJune 7, 2023

Patient's Query

Hello doctor,

A 12-year-old boy, having fluctuating thyroid for the last two years. I have attached the last three reports and paper attached. I need to know whether the medication should be continued or not? If to be continued then for how long duration? Please advise.

Answered by Dr. Shaikh Sadaf

Hello,

Welcome to icliniq.com.

I have seen the attachments. (attachment removed to protect patient identity). I just read your query and from what you have mentioned it appears that your son has slightly high TSH (thyroid-stimulating hormones). You can increase the dose of his Thyroxine tablet to 25 mcg five times weekly (Monday to Friday) and 50 mcg twice weekly (Saturday and Sunday). Repeat his thyroid function test again after six weeks and then we will review again.

Patient's Query

Thank you doctor,

Already he is taking 25 mcg for several months continuously but still, his TSH is increased a bit. Is it fine to take two 25 and 50 as per your advice? Is it allowed to have two different doses within a week?

I hope you understood my doubts. Please confirm.

Answered by Dr. Shaikh Sadaf

Hello,

Welcome back to icliniq.com.

Yes, it is safe to do so. It has been done in routine practice so not to worry about it. You can increase the dose of his Thyroxine tablet to 25 mcg five times weekly (Monday to Friday) and 50 mcg twice weekly (Saturday and Sunday). Repeat his thyroid function test again after six weeks and then we will review again.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shaikh Sadaf
Dr. Shaikh Sadaf

Endocrinology

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