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Date: | Tue, 1 Mar 2005 13:22:05 EST |
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n a message dated 02/28/05 12:00:44 PM Eastern Standard Time,
[log in to unmask] writes:
>>Wow- I guess I know nothing about this. I'm on 100 mcg of Levoxyl.
i> agree with the previous poster that this is way too high for a
>starting dose.
It may just mean the doctor is following instructions -
http://rxlist.com/cgi/generic/levothy_ids.htm
Therapy is usually initiated in younger, healthy adults at the anticipated
full replacement dose. Clinical and laboratory evaluations should be performed
at 6 to 8 week intervals (2 to 3 weeks in severely hypothyroid
patients), and the dosage adjusted by 12.5 to 25 mcg increments until
the serum TSH concentration is normalized and signs and
symptoms resolve. In older patients or in younger patients with a history
of cardiovascular disease, the starting dose should be 12.5 to 50 mcg
once daily with adjustments of 12.5 to 25 mcg every 3 to 6 weeks until
TSH is normalized. If cardiac symptoms develop or worsen the
cardiac disease should be evaluated and the dose of
levothyroxine sodium reduced. Rarely, worsening angina or other signs of
cardiac ischema may prevent achieving a TSH in the normal
range.
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So, it may depend on the patient's condition whether starting at 100 mcg of
T3 is OK. That being said, I don't remember my Synthroid dosage, but my doctor
started me out on too large an amount. I felt like I might faint or worse,
so I visited her office again and she told me to lower my dosage and gave me
high blood pressure medication. She would have left me on the blood pressure
meds, I suspect. But, it was only a temporary reaction. When playing with
thyroid meds it's a good idea to have Inderall or equivalent around. It can get
rid of that rapid heart beat from excessive thyroid hormone quickly.
Also, keep in mind that too low of a dosage can actually make your symptoms
worse per the manufacturer -
http://rxlist.com/cgi/generic/levothy_ad.htm
Inadequate doses of levothyroxine sodium may produce or fail to resolve
symptoms of hypothyroidism.
***********************************
Skipper
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