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Is It Better To Take Thyroid Medicine At Night

Why Is This Medication Prescribed

(TBS #17) Whats the Best Way to Take your Thyroid Medication? AM vs PM? Split Dosing?

Levothyroxine is used to treat hypothyroidism . It is also used with surgery and radioactive iodine therapy to treat thyroid cancer. Levothyroxine is in a class of medications called hormones. It works by replacing thyroid hormone that is normally produced by the body.

Without thyroid hormone, your body cannot function properly, which may result in poor growth, slow speech, lack of energy, excessive tiredness, constipation, weight gain, hair loss, dry, thick skin, increased sensitivity to cold, joint and muscle pain, heavy or irregular menstrual periods, and depression. When taken correctly, levothyroxine reverses these symptoms.

Is It Ok To Take Synthroid At Night

3.9/5bedtimetakebe takentaketakebedtime

Keeping this in view, can taking Synthroid at night cause insomnia?

Try taking your thyroid medication right before going to sleep at night, rather than taking it first thing in the morning. This helps many thyroid patients with insomnia, but it can also make insomnia worse for other patients. Insomnia is a common sign of adrenal fatigue.

Likewise, how long after eating can I take levothyroxine at night? As such, current guidelines by the American Thyroid Association advise patients to take levothyroxine at least 60 minutes before the first meal of the day or at bedtime , and at least 4 hours apart from other medications or supplements, if possible.

Just so, is it better to take Synthroid in the morning or at night?

There is consensus that levothyroxine should be taken in the morning on an empty stomach. A pilot study showed that levothyroxine intake at bedtime significantly decreased thyrotropin levels and increased free thyroxine and total triiodothyronine levels.

What is the best time of day to take Synthroid?

  • Take Synthroid once a day, every day at the same time before breakfast.
  • Take Synthroid with only water and on an empty stomach.
  • Wait 30 minutes to 1 hour before eating or drinking anything other than water.

Starting On Thyroid Hormone Treatment

Your doctor will decide how much to give you based on your:

  • Age
  • Thyroid hormone levels
  • Weight

If you’re older, or you have heart disease, you’ll probably start on a small dose. Your doctor will slowly raise the amount over time until you see an effect.

About 6 weeks after you start taking the medicine, you’ll go back to your doctor for a blood test to check your thyroid hormone levels. Depending on what the results are, your dosage may change.

Once your levels are stable, you’ll see your doctor for a blood test every 6 months to a year.

Don’t Miss: Does A Thyroid Test Need To Be Fasting

Drop Your Adrenaline With Salted Orange Juice

This one simple little trick I learned from Dr. Raymond Peat has made one of the biggest differences in helping my clients improve their sleep.

Research shows , both sugar and salt help to suppress and regulate your bodys stress response.

A new perspective on glucocorticoid feedback: relation to stress, carbohydrate feeding and feeling better.

RESULTS: During the low-salt diet, 24-h urinary excretion of serotonin increased by 42%, accompanied by a 52% rise in the excretion of 5-HIAA. Salt restriction also increased noradrenaline excretion by 77% and VMA excretion by 40%.

This combination of sugar and salt can be used therapeutically to help prevent the rise of adrenaline at night and to suppress adrenaline if or when it does rise.

In other words, it can help you sleep better and longer, and if you do wake in the middle of the night it can help you to get back to sleep faster and easier.

Before going to bed, simply mix 1/8 tsp. of salt into 3 to 4 ounces of orange juice.

Sip on just one ounce before going to sleep and keep the rest within arms reach by your bedside.

If you find yourself waking in the middle of night, dont get out of bed. Just reach for and sip another ounce of the salted orange to help you get back to sleep.

Taking Levothyroxine At Night Time Also Ndt

Thyroid Survival Guide: How and When to Take Your Thyroid ...

I just found this subreddit kind of by accident. I’ve had an under-active thyroid for years and I take 125mg of levothyroxine once a day.

I’ve been reading some posts and the links at the sidebar and its interesting stuff. I heard about there being other pills to take but every time I ask my doctor he says there aren’t. I still have symptoms so I take a little more levothyroxine than I should . Also I take it at 11pm every day, because I can’t get up in the morning to take it. Well some days I can get up, some I can’t. So I thought it’s better to take it consistently than not?

Does anyone else take their medication at night time? Is anyone on “NDT”? How did you convince the doctor it existed? Do you feel better?

Read Also: What Happens When You Take Too Much Levothyroxine

Taking Synthroid In The Middle Of The Night

An underactive thyroid gland is a surprisingly common condition, affecting up to 5 percent of adult Americans. More people experience subclinical hypothyroidism than overt hypothyroidism. Nonetheless, plenty of folks suffer with troublesome symptoms such as fatigue, cold intolerance, puffiness around the eyes, constipation, dry skin, hair loss, muscle or joint pain and depressed mood. Although doctors usually consider hypothyroidism to be simple to diagnose and treat, our readers often report that their experience differs. Delays in diagnosis and difficulty finding the correct dose or the best treatment can be frustrating. Which medication is best? Then there are conflicting instructions about when to take the medication: first thing in the morning, but not with coffee or breakfast. What about taking Synthroid in the middle of the night? That is one readers solution.

Exact Answer: At Least 45 Minutes

Among the major dos and dont of taking thyroid medicines, the most important one is having the medicine on time and a time gap before consumption of a meal. According to most physicians, it is ideal to have a gap of at least 45 minutes before a meal consumption as certain foods may cause impairment of absorption of thyroid medication. These kinds of foods include milk, spinach, cheese, kale, and similar foods with high calcium content.

Also, there is a long-standing belief that consuming thyroid medicine in the morning time in an empty stomach is the best, however recent studies have shown that milk can reduce the efficacy of thyroid medicine, and thus for people who like adding milk to their morning tea or cereal are now being advised to take their thyroid medicine at the night time.

Recommended Reading: Is Thyroid Test Fasting

Hypothyroidism Medication Mistakes To Avoid

Taking your thyroid hormone as prescribed can help you stave off the unpleasant symptoms of low thyroid.


Hypothyroidism, or underactive thyroid, is a condition where the thyroid gland does not produce or secrete the amount of thyroid hormone the body needs.

The goal of hypothyroidism treatment is to replace the thyroid hormone that you are not able to produce. This helps you feel more energized and back to your normal self, says Antonio Bianco, MD, PhD, a professor of medicine at the University of Chicago in Illinois.

After youre diagnosed with hypothyroidism, your healthcare provider will likely prescribe a synthetic hormone that helps stabilize your thyroid levels, Dr. Bianco says. But there are some guidelines for taking the medication that you need to know about.

Heres how to avoid the most common hypothyroidism medication mistakes.

Taking Your Thyroid Supplements For Maximum Benefit

Hypothyroidism | How To Take Levothyroxine | Best Way To Take Thyroid Medication

If you are taking thyroid supplements then you are already ahead of the curve.

But are you taking your thyroid supplements correctly?

It may seem obvious to you how you should be taking your supplements but many aspects of thyroid disease are anything but obvious.

I find that many patients accidentally or unknowingly take their supplements incorrectly even though they are on the RIGHT supplements.

But taking the right supplements the wrong way can render their effectiveness moot and is obviously something that you want to avoid.

And that is exactly what we are talking about today:

How and when to take your thyroid supplements for maximum benefit.

In this article you will learn:

  • The best supplements for managing your thyroid and how to make sure you are on the right one.
  • How to take your supplements in relation to your thyroid medication.
  • The best time of day to take your thyroid supplements for maximum benefit.
  • Whether or not you should take your thyroid supplements on an empty stomach.
  • And the two vitamins/nutrients which can block thyroid medication absorption.

With that in mind, let’s jump right in…

Recommended Reading: Side Effects Of Levothyroxine In Women

How To Take Your Medicine

To make sure your hypothyroidism stays under control:

Stick with the same brand. Different types of thyroid hormone medicine may contain slightly different doses. That could mess with your hormone levels.

Follow a schedule. Take your medicine at the same time each day. Aim for about an hour before a meal or at bedtime. Don’t take it when you eat. Food, as well as some supplements, siuch as calcium, can affect the way your body uses it.

Don’t skip doses. If you miss one, take it as soon as you remember. You can take two pills in one day if you need to.

Follow instructions carefully. Don’t stop taking your medicine without first checking with your doctor.

Relax Your Cells With Thyroid Hormone

Most hypothyroidism sufferers who use T3, use it during the day.

But what about nighttime?

T3 has a relatively short half-life, meaning that when you take it, it only remains active in your body for a short period of time.

Oftentimes by nighttime, any T3 youve taken earlier in the day is no longer active and your cells become weakened and agitated.

Using T3 properly and even in small amounts before bed can help to restore energy production allowing your cells to relax and you to sleep.

Plus, thyroid hormone is known to suppress the stress response as well as stimulate oxidative metabolism to increase carbon dioxide concentration in your body.

So, its therapeutic effects on sleep are far reaching.

Read Also: Does Taking Collagen Interfere With Thyroid Medication

Is It Better To Take Levothyroxine In The Morning Or At Night

Its better to take levothyroxine in the morning on an empty stomach. Though levothyroxine may be taken at night 3 to 4 hours after the last meal if taken consistently.

Disclaimer: this article does not constitute or replace medical advice. If you have an emergency or a serious medical question, please contact a medical professional or call 911 immediately. To see our full medical disclaimer, visit our Terms of Use page.

Put An End To Endotoxin With Carrot Salad And Coconut Oil

Is There a Best Time to Take Your Thyroid Medication ...

Low blood sugar isnt the only mechanism that stimulates your bodys stress response.

Another lesser-known one is endotoxin.

Endotoxin is toxin produced by bacteria in your gut. Hypothyroidism sufferers are known to have high levels of endotoxin circulating in their bloodstream.

Endotoxin not only increases stress hormone production, it is also known to increase many other stress mediators that further promote stress, including:

Because of this, endotoxin is a common cause of insomnia today.

There are many effective ways to lower endotoxin.

For starters, constipation increases endotoxin absorption, so eliminating constipation is a must.

Yet, one thing that we use with all of our clients to help lower endotoxin is carrot salad.

Carrot salad helps lower endotoxin in a few ways.

  • The anti-microbial properties of the carrot fiber help lower the bacterial overgrowth resulting in less endotoxin being produced.
  • The carrot fiber itself absorbs endotoxin in the intestines, preventing absorption.
  • The coconut oil used in the salad effectively prevents the effects of endotoxin.
  • I show you how to make your own carrot salad in this article on How to Boost Your Thyroid in 60-Seconds with a Carrot.

    Also Check: Is Thyroid Surgery Serious

    Plus How To Get The Absolute Most Out Of Your Thyroid Meds

    The time of day you take your thyroid meds, and how you store them, can make or break your thyroid disease management.

    Levothyroxine is the name of all synthetic forms of the thyroid hormone T4. This manufactured hormone mimics the natural hormone produced by your thyroid and is prescribed as the primary treatment for hypothyroidism, or an underactive thyroid.

    Levothyroxine dosage is highly individualized, and your dosage may change as you and your doctor work to find what works best for you. See our levothyroxine dosage chart below to get an idea of where your treatment might begin and when to expect your doctor to check for adjustments. Starting dosages are often calculated based on your weight, but because in some cases your thyroid still makes its own T4, some doctors will start you with a lower dosage to avoid over-treatment symptoms that mimic hyperthyroidism . They also may start you on a lower dose if your body might need extra time to adjust to the effects of hormone replacement. Your doctor will then check your thyroid stimulating hormone levels over the first few months to see if your dosage needs any adjustment. Hormone replacement therapy is usually a lifelong treatment, so you should get your TSH levels checked every year to ensure youre still taking the right dose.

    Infographic by Lauren Hunter

    You can find more information about levothyroxine, including dosage, here.

    • Increased sweating
    • Tremors
    • Palpitations

    Taking Thyroid Medicine At Bedtime Fights Off Fatigue

    Thyroid problems are extremely common, with about 12 percent of the American population affected by one at some point during their lives . Since an underactive thyroid gland is by far the most prevalent of the problems that afflict the thyroid, it is little wonder that millions of people are taking levothyroxine , a thyroid hormone intended to supplement or replace the inadequate production of the thyroid gland. But there is plenty of confusion about how to take this medication. It has a number of possible interactions that can make it tricky to find the best time to take Synthroid.

    Also Check: What To Do If You Miss A Dose Of Levothyroxine

    You Eat A Lot Of Fiber

    A high-fiber diet is a good thing! But if youve recently changed your diet and added more high-fiber foods, know that they can interfere with your bodys absorption of your thyroid medications. Talk to your provider about how to manage this. It could mean spacing out when you eat and when you take your medications. Examples of popular high-fiber foods include:

    • Vegetables

    • Quinoa

    All The Answers Involved In When To Take Your Thyroid Medication

    Thyroid Medication & Thyroid Lab Testing: How to do it RIGHT

    Heres the thing, I have patients that come in so frazzled about taking their thyroid medication in the proper way and at the proper time. Ive heard some insane expectations around doing this. Surely, these imperious rules are being implemented by someone who has never actually had to take thyroid medicine. Ive heard to take it FOUR HOURS BEFORE OR AFTER FOOD OR SUPPLEMENTS. Are we serious, people? If we are condemned for a twice daily dose of medication, what then? I guess we must resist the temptation to eat at all! Let me preface this post with, I am all about realistic expectations. What good do dogmatic rules do us if they are so rigid its impossible to abide? I dont live in a vacuum, I have children, run a business, have laundry and crazy hair. I dont have the time or capacity for dogmatism. Im just assuming you dont either. If not, check out my non-vacuum-living-advice below.

    1. The food debate:

    NO: you do not need to wait four hours before or after eating. Who really can do this? If thats you, I bow down to your willpower.

    YES: take it on an empty stomach. Wait 30-45 minutes before eating and wait an hour after eating before taking it.

    2. The supplement debate

    NO: Again with the four hours Really?

    YES: Wait a full hour after taking your medication for all supplements and wait a full hour after taking your supplements to take your medication.

    3. What are the best times to take my thyroid medication?

    Recommended Reading: Does Armour Thyroid Cause Weight Loss

    Remember Certain Foods And Supplements Can Interfere With Synthroid

    Foods containing soy and cottonseed meal can make Synthroid less effective. Walnuts, grapefruit juice, and dietary fiber can also make Synthroid less effective. If you eat any of these on a regular basis, check with your doctor. 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:

    • Iron supplements and multivitamins with iron
    • Calcium supplements or multivitamins with calcium
    • Antacids

    Should Thyroid Meds Be Taken Alone

    Taking your thyroid medication on an empty stomach is best ideally 30 minutes to an hour before your first meal. If you take it on an empty stomach, your body will be able to absorb the full amount. You can prevent your body from absorbing all the thyroid medication by consuming minerals like iron, aluminum, and calcium.

    Recommended Reading: Atrophic Thyroiditis

    Inconsistently Taking Your Prescribed Thyroid Medication

    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. Use a pillbox or set an alarm on your phone if you need help remembering to take your pill. If you do miss a dose, take the missed dose as soon as you remember, advises the ATA. But if its almost time for your next dose, double up the next day because the life of the medication is long in the body, notes the ATA.

    RELATED: 6 Ways to Stay On Top of Your Hypothyroid Medication


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