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Are you taking too much Thyroid Medicine ( Levothyroxine) ? by Dr Tanvi Mayur Patel
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Thyroid hormone replacement drugs are used to treat hypothyroidism—a condition in which your thyroid gland does not produce enough thyroid hormones.
When you take the proper dose of these medications, they are safe, with few side effects. If you are taking too high a dose, however, you can experience unpleasant symptoms. This is known as overmedication.
Levothyroxine is a type of thyroid hormone replacement drug that is often used to treat hypothyroidism. Brand names for levothyroxine include Synthroid, Levoxyl, and Tirosint.
Signs and symptoms of thyroid hormone overmedication can vary from person to person
Elevated pulse and blood pressure
Anxiety, nervous energy, tremors
Feeling irritable, overemotional, erratic, or depressed
Difficulty concentrating
Difficulty sleeping
Fatigue
Feeling overheated, even when others are cold
Diarrhea
Feeling like your heart is skipping a beat or racing
Weight loss with no change in your diet/exercise routine
Increase in food intake with no weight gain
In fact, it's not unheard of for a person to visit their healthcare provider to get tested, certain that they need an increased dosage, only to discover that their symptoms are actually due to overmedication.
How Overmedication Occurs
Sometimes, it takes trial and error to get your dosage just right. Prescribing mistakes can happen as well.
Dosage or Drug Quality Issues
Overmedication may occur when you are taking the wrong dose.
Your healthcare provider may prescribe a dosage that is too high for you.
Your pharmacist may give you the wrong dosage or incorrect instructions for use.
It is also possible that the quality of your medication may change from one refill of your prescription to another. This is sometimes the case when your medication is produced by several different manufacturers.
If you are taking generic levothyroxine, you may receive a batch of medication that is more potent or less potent than your previous refill. Even a slight change of potency from one refill to the next can lead to over or under medication and symptoms of hyper or hypothyroidism.
Switching formulations of levothyroxine—for example, from tablet to gel-caps or liquid—can also cause overmedication. That's because your body absorbs some formulations of levothyroxine better than others. Tirosint liquid gel-caps and Tirosint-SOL liquid levothyroxine absorb better than levothyroxine in tablet form.
This is why close monitoring is important. You should get your TSH level checked within six weeks after beginning thyroid hormone replacement, or after changing the brand, formulation, or dose of your medication.
Change in Diet
For example, if you were eating a lot of fiber and then cut back on your intake, you may begin to absorb higher levels of thyroid medication.
Supplements and Medications
Pay close attention to supplements featuring the terms "thyroid support," "energy support," "thyroid glandulars," "adrenal glandulars," and "bovine glandulars." Some of these supplements contain thyroid hormone from animals.
Supplements that contain iodine, such as bladderwrack (Fucus vesiculosus), kelp, bugleweed, Irish moss, or seaweed are also culprits. Too much iodine, in particular, can over-stimulate your thyroid and trigger hyperthyroidism.
Drugs that contain estrogens, such as hormone replacement medications and contraceptive pills, can interfere with thyroid hormone requirement.8 When you stop taking them, your body might require more or less thyroid medication than when you were taking them.
Pregnancy
During pregnancy, your need for thyroid hormone increases, so you may need to be prescribed a higher dose of medication than usual.10
Monitoring for Overmedication
Healthcare providers typically use your thyroid blood test results to see if you are getting too much medicine. In some cases, having a TSH level that is lower than normal or a T3 or T4 level that is higher than normal can be a sign of overmedication.
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Please Note :
This video is for Educational purpose only. We strongly recommend to consult your Doctor/ Physician before taking any medication/Supplementation .
All Contents by Speech & Video by : Dr. Tanvi Mayur Patel
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