The absorption of levothyroxine in the gut is decreased when taking the hormone at the same time as calcium, iron and some foods and other drugs. Because of this, patients are usually instructed to take levothyroxine on an empty stomach minutes before food intake to avoid erratic absorption of the hormone.
For many patients, this means first thing in the morning before breakfast. This is often difficult for many patients, especially those on multiple medications. This study was performed to see if patients can take their levothyroxine with food in the morning and not have to wait minutes. He or she may need to adjust your dose of Synthroid. Some supplements and medications can also interfere with the way Synthroid works. To avoid this, you should take Synthroid 4 hours before or after taking:.
A: It is important to take Synthroid exactly as your doctor prescribed. If you miss a dose, speak with your doctor for advice on what to do. A: When traveling to another country or time zone, ask the doctor or pharmacist if you need to adjust the time of day that you take Synthroid. Remember to pack more tablets than you need in your carry-on bag or purse in case you get delayed or decide to stay longer. Myth or fact? Hypothyroidism can be controlled with a pill. Learn about common misconceptions around treating hypothyroidism.
If you consume these foods, ask your healthcare provider if you can safely continue to do so. If you have difficulty avoiding these foods throughout the day, your healthcare provider may recommend changing your medication schedule—even though the manufacturer recommends taking it in the morning. There are two caveats. Certain medications interact with Synthroid. Plan your dosage for four hours before, or four hours after your daily thyroid medication. Consult with your healthcare provider or pharmacist about your daily schedule, and if any medications you take interact with Synthroid.
The 30 to 60 minute wait applies to everything except a tall glass of H2O, when it comes to thyroid medication. Take it alone, on an empty stomach. Therefore, when getting a prescription filled at the pharmacy, you should not change from one brand to another, from a brand name to a generic, or from one generic to another without first checking with your doctor.
The synthetic thyroid hormone T4 is relatively safe, and you shouldn't worry if you accidentally take an extra dose, Bianco says. But taking an excessive amount could have side effects — it can make you feel tired, affect your sleep and concentration, lead to bone loss, or cause irregular heartbeats, according to the Cleveland Clinic. If you take combination therapy, which contains both T4 and T3, the medication needs to be taken precisely as prescribed, as taking too much can be dangerous. The ATA notes that potential side effects of taking too much combination therapy include a racing pulse, anxiety, trouble sleeping, and problems with your heart and bones.
Contact your healthcare provider immediately if you accidentally take more than prescribed. For your medication to work properly, you need to take it regularly and consistently. Skipping doses, taking your medication in the morning one day and in the evening the next, or taking it with food some days and on an empty stomach other days can affect how the medication is absorbed. You should take the correct dose of medication at the same time, and in the same way, every day, according to the ATA.
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