What Medications Treat Hypothyroid
Whether your healthcare provider prescribes the generic or brand name, these medications help to replace the thyroid hormone your body isnt naturally producing in your blood.;
It may take some time to find the right medication, or dosage that works for youand once youve figured out your treatment plan, certain things can mess with how the prescription works for you.
How Should Synthroid Be Taken
Synthroid is prescribed in tablets that range from 25 to 300 mcg in strength and is usually taken once a day with a full glass of water 30 to 60 minutes before breakfast for best adsorption into the body. Children can take the medicine if the tablet is crushed and put into about 1 to 2 teaspoons of water; do not store or delay giving this crushed pill suspension. Doctors often may have to slowly increase the dose; patients should not increase or decrease this medication themselves. Because some preparations of the drug may contain iodine or lactose, patients should tell their doctors about such allergies or reactions to these components. Many drugs can inhibit Synthroid’s adsorption by the body; other medications may increase or decrease its effectiveness once it is adsorbed. Providing a complete list of medications to the doctor will help with getting the correct dose established for each individual patient. Pregnant and lactating females need to discuss the dose and use of this medication with their caregivers.
Synthroid And Other Medications
Below are lists of medications that can interact with Synthroid. These lists dont contain all the drugs that may interact with Synthroid.
Before taking Synthroid, talk with your doctor and pharmacist. Tell them about all prescription, over-the-counter, and other drugs you take. Also tell them about any vitamins, herbs, and supplements you use. Sharing this information can help you avoid potential interactions.
If you have questions about drug interactions that may affect you, ask your doctor or pharmacist.
Synthroid and diabetes drugs
If you have diabetes and youre using certain diabetes drugs, taking Synthroid may increase your blood sugar level. This is because if taken with Synthroid, your diabetes drugs may not work as well as usual to manage your blood sugar level.
Examples of diabetes medications that may not work as well as usual if theyre taken with Synthroid include:
If youre using certain diabetes drugs and youre taking Synthroid, your doctor will recommend that you monitor your blood sugar levels more often than usual. Doing this will help to ensure that your diabetes medications are working properly, and your blood sugar level isnt getting too high.
In some cases, your doctor may increase the dosage of your diabetes drugs. Or they may recommend that you take additional diabetes medications.
Synthroid and certain heartburn drugs
Taking certain heartburn medications with Synthroid may affect how well Synthroid works.
- magnesium hydroxide
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How Long Does It Take To Work
It may take some time for you to feel any difference when youre taking Synthroid.
The drug usually has its maximum effect in your body about 4 to 6 weeks after you start taking it. If you have thyroid-related symptoms, you may notice your symptoms are decreasing within 4 to 6 weeks after starting the drug.
After 4 to 6 weeks of treatment, your doctor will check blood tests to monitor your thyroid. And your doctor may adjust your dosage of Synthroid if needed based on your lab results.
Can Synthroid Help Relieve Depression Thats Related To Hypothyroidism
For some people, depression may be caused by hypothyroidism. Synthroid treats hypothyroidism by increasing your thyroid hormone levels to a normal range. So if you have depression thats related to low thyroid hormones, Synthroid may help treat your depression.
Be sure and talk with your doctor if you feel depressed. They can discuss with you treatment options that may help improve your moods.
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Iodine Content Of Kelp And Its Effect
The iodine content of kelp products can vary considerably, even within products of the same brand.; The average laminaria-based supplement might contain as much as 1mg of iodine. Quantities of 500micrograms to 1mg daily probably have no untoward effects on thyroid function in most cases. However, there is potential for the development of thyroid disorders if more than 150micrograms of iodine per day are ingested.
When Medication Is And Isnt Required
Standard blood tests for TSH and free T4 are very reliable indicators of who needs thyroid hormone replacement :
- TSH levels;are abnormally high, and your free T4 levels are abnormally low:;This means you have true hyperthyroidism. T4 medication is required.
- Slightly elevated TSH levels;and normal free T4:;This is called subclinical hypothyroid. This is an early form of hypothyroidism and requires monitoring but not T4 medication.
- Low free T3:;This is a sign of inflammation, digestive issues, or a diet too low in carbs or calories. T3 medication is not normally required.
- Elevated thyroid antibodies with normal thyroid hormone levels:;In this case, you do not need thyroid hormone replacement.;Hashimotos;disease does not always lead to hypothyroidism.
- Low free T4 and normal TSH:;This is a sign of dysfunction in the;pituitary gland.;Consult an endocrinologist.
Whether your thyroid condition requires medication or not, many thyroid conditions can be improved through better gut health.;
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Do You Need To Dose Multiple Times Per Day
Another strategy to mitigate the potential side effects of Armour thyroid is to split your dose and take it multiple times throughout the day.;
This is a strategy employed successfully by many people taking all types of thyroid medications .;
The logic for using this strategy is simple:
A normal thyroid gland, when functioning correctly, secretes a small amount of thyroid hormone constantly throughout the day.;
When you take thyroid medication by mouth you are taking one massive dose which is supposed to last all day.;
This means that you are temporarily taking more than you need first thing in the morning and this large dose of thyroid hormone can cause problems for certain sensitive individuals.;
You can combat this by splitting your dose in half and taking your dose in regular intervals throughout the day.;
This reduces the massive flush which occurs from once a day dosing and may be ideal for some people, especially those who are sensitive to the T3 found within Armour.;
Splitting your dose is actually very easy and shouldn’t cause any issues .;
Let’s use an example:
Suppose that you are taking 2 grains of Armour thyroid per day.
Let’s also suppose that you are someone who is experiencing palpitations and flushing about 30-60 minutes after you take your medication.;
You decide to alter how you take your medicine and split your dose into 2 divided doses.;
You would proceed by taking 1 grain first thing in the morning around 7:00 am .;
That would look something like this:
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How Long Does It Take For Armour Thyroid To Work
How long does it take for Armour thyroid to work? Adequate therapy usually results in normal TSH and T4 levels after 2 to 3 weeks of therapy. Readjustment of thyroid hormone dosage should be made within the first four weeks of therapy, after proper clinical and laboratory evaluations, including serum levels of T4, bound and free, and TSH.
How long after starting thyroid medication will I see an improvement?;You should start to feel better a few days after you begin taking medicine. But it may take a few months for your thyroid hormone levels to get back to normal. If your levels get better, but you still have symptoms like fatigue and weight gain, your doctor may need to change your treatment.
Can Armour thyroid make you gain weight?;Because too little thyroid hormone slows your bodys metabolism, it can cause general symptoms like: fatigue. weight gain.
How long after starting thyroid medication will I lose weight?;About half of the patients lost weight up to 24 months after initiation of treatment with LT4. Overall, weight loss was modest, with a mean weight loss of 8.4 + 9. 7 lbs. Because obesity and hypothyroidism are very common, there are many patients who have both conditions, says Ronald J.
Who Might Benefit Most From Armour Thyroid
A. Levothyroxine is a synthetic T4 thyroid hormone. Armour Thyroid is made from dried pig thyroid glands. In contrast to levothyroxine, Armour provides both T3 and T4 hormones.
The thyroid hormone that is active in body tissues is T3. Normally, T4 is converted to T3 to provide what the body needs. That is why doctors prescribe stand-alone T4 . In fact, most people with hypothyroidism do well enough taking this drug alone.
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How Coffee Interferes With Thyroid Medication
Many people want to drink a cup of coffee before heading to work or getting the day started. But if you do so before or within an hour after taking your levothyroxine , you may experience reduced absorption of the drug, which makes it less effective. A thyroid drug is more likely to have consistent effects if you take it properly. In the case of coffee, drinking some too close to when you take your medication can cause you to have fluctuating thyroid hormone levels and symptoms, as well as difficulties with adjusting your dose of L-T4.
In general, it is recommended to take your thyroid pills;in the morning, on an empty stomach, and that you wait an hour before eating. This goes for both the generic form of levothyroxine, as well as Synthroid, Levoxyl, Tirosint, and Unithyroid.
What Supplements Should Not Be Taken With Armour Thyroid
What supplements should not be taken with Armour thyroid? 4. Vitamins and supplements. You should also avoid any drugs or supplements that contain iron, calcium, or magnesium for at least four hours after taking your thyroid medications, says Dr. Jaiswal.
Can you take vitamin D with Armour Thyroid?;No interactions were found between Armour Thyroid and Vitamin D3. This does not necessarily mean no interactions exist. Always consult your healthcare provider.
Can you take thyroid supplements with Armour Thyroid?;No interactions were found between Armour Thyroid and Vitamins. This does not necessarily mean no interactions exist. Always consult your healthcare provider.
Can you take vitamin C with Armour Thyroid?;No interactions were found between Armour Thyroid and Vitamin C. This does not necessarily mean no interactions exist. Always consult your healthcare provider.
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Alternatives To Armour Thyroid
Natural desiccated thyroid is the original treatment for hypothyroidism. It has been used for more than a century.
In the mid-1900s, a synthetic version of thyroxine one of the two primary hormones the thyroid gland produces was developed. This synthetic form of thyroxine is called levothyroxine or l-thyroxine.
Even though natural desiccated thyroid contains two key thyroid hormones thyroxine and triiodothyronine as well as other elements found in an organic thyroid gland, levothyroxine has become the preferred treatment. Brand names for levothyroxine include:
You Started Estrogen Hormone Replacement Therapy
A TSH blood test should be done 12 weeks after starting estrogen therapy to check your thyroid hormone levels. Estrogen, which is available as a pill, injection, or different skin preparations , can affect your thyroid medication. Women taking estrogen therapy may need more Synthroid or levothyroxine.
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Kelps Effect On Thyroid Regulation
When progressively larger doses of iodine are ingested there is an initial rise in thyroid hormone production, but as doses continue to rise production is reduced. This effect is usually seen with doses of more than about 2mg daily, but is normally transient, and adaptation can occur on repeated dosage. If individuals do not adapt to receiving large doses of iodine, chronic inhibition of thyroid hormone synthesis occurs leading to goitre and hypothyroidism. Excess iodine may also induce long-term hyperthyroidism. These described effects of iodine on thyroid regulation can alter dosage requirements for levothyroxine which are not predictable.
Armour Thyroid Contains Other Ingredients Beyond Just Thyroid Hormones
I mentioned this previously in another section when I discussed that Armour thyroid contains both T4 and T3.;
Because Armour is sourced from animal thyroid glands, it also contains additional ingredients which are also found inside of thyroid glands.;
This includes hormones, proteins, additional thyroid hormones, and probably other pre-cursors that we aren’t aware of.;
Most important to this conversation is the fact that Armour contains the thyroid hormone T2 and Calcitonin.;
T2 is a biologically active thyroid hormone which is found in humans and seems to play an important role in regulating fat burn and metabolism .;
As long as you have a functioning thyroid gland your body will produce T2 in addition to T3 and T4.;
For this reason, it has been suggested that Armour thyroid may be preferable to this patient population over T4 only formulations such as Synthroid.;
Because it can be argued that Armour provides a more complete array of thyroid hormones and other hormones which the body needs.;
It’s of course still possible to not have a thyroid and do somewhat well on T4 only medications, but the chances are high that you will feel even better on a T4 + T3 combination, especially one that includes the other thyroid hormones such as T2.;
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Medical Conditions That Affect Absorption
There are a number of medical conditions that may affect the absorption of thyroid medications, and, hence, the effectiveness of a particular dose. Some of these include:
- Lactose intolerance
- Pancreatic diseases
- Liver disease
Gene differences may also result in decreased effectiveness in some people, such as those who have polymorphisms in iodothyronine deiodinase 2.
For people with health conditions that affect digestion such as inflammatory bowel disease , or celiac disease, the Tirosint brand of levothyroxine with fewer ingredients that may be better tolerated. In addition, the liquid or gel cap form of levothyroxine may be better absorbed than levothyroxine pills.
If you have any of these conditions, it will be important to have your thyroid tested regularly.
Armour Thyroid Vs Synthroid: An Unbiased Look At The Evidence
Armour Thyroid and Synthroid are medications used to treat hypothyroidism .
Synthroid is the most commonly prescribed, however some claim Armour Thyroid produces better results.
So, which is the best treatment for you?
This article looks at the evidence for both to help you decide.
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Why Did Doctors Switch From Armour Thyroid To Synthroid
Desiccated thyroid extract was the original medication used to treat hypothyroidism.
During this time, thyroid hormones were not completely understood and there was a lack of reliable diagnostic tools to measure circulating levels in the blood.
This lead to the following problems:
- Difficulties determining the correct dose for the individual.
- Difficulties measuring the exact amount of T4 and T3 present in desiccated thyroid extract.
As a result, the dosage was often too high and serious side effects were often reported. Also, due to inconsistencies in the strength of medication, some people were not seeing any improvements.
Conversely, Synthroid was thought to offer a safe and consistent dosage. Two things lead to this switch:
Summary: Desiccated thyroid extract was the first type of medication used to treat hypothyroidism. Eventually, a synthetic T4 medication was created and found to be a safer and more effective option.