Synthroid
(Generic name: Levothyroxine)
Synthroid (Levothyroxine) is a naturally occurring hormone produced
by the thyroid. It is important for normal energy and metabolism. For a variety
of reasons, the body may not produce enough of this hormone on its own. In
these cases, Synthroid is taken to replace the body's natural thyroid
hormone. Synthroid is used to treat hypothyroidism (low thyroid function).
Synthroid is also used to prevent and treat goiter (growth or enlargement
of the thyroid gland). Causes of goiter include hormonal imbalances, radiation,
surgery, and cancer.
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Synthroid
How should Synthroid be used?
Synthroid comes as a tablet to take by mouth. It usually is taken once a
day on an empty stomach, 1/2 to 1 hour before breakfast . Follow the directions
on your prescription label carefully, and ask your doctor or pharmacist to
explain any part you do not understand. Take Synthroid exactly as directed.
Do not take more or less of it or take it more often than prescribed by your
doctor.
The tablets may get stuck in your throat or cause choking or gagging; therefore,
the tablet should be taken with a full glass of water.
If you are giving Synthroid to an infant or child who cannot swallow the
tablet, crush the tablet and mix it in 1 to 2 teaspoons of plain water. Give
this mixture by spoon or dropper right away. Do not store this mixture. Only
mix the crushed tablets with water. Do not mix with food or soybean infant
formula.
Your doctor will probably start you on a low dose of Synthroid and gradually
increase your dose.
Synthroid controls hypothyroidism, but does not cure it. It may several weeks
before you notice a change in your symptoms. Continue to take Synthroid even
if you feel well. Do not stop taking Synthroid without talking to your doctor.
What special precautions should I follow while taking Synthroid?
Before taking Synthroid,
tell your doctor and pharmacist if you are allergic to Synthroid, thyroid
hormone, any other drugs, povidone iodine, tartrazine (a yellow dye in some
processed foods and drugs), or foods such as lactose or corn starch. Levothroid
and Eltroxin contain lactose, while Synthroid contains tartrazine and povidone.
Eltroxin contains corn starch.
tell your doctor and pharmacist what prescription and nonprescription medications
you are taking, especially amphetamines; anticoagulants ('blood thinners')
such as warfarin (Coumadin); antidepressants or anti-anxiety agents; arthritis
medicine; aspirin; beta-blockers such as metoprolol (Lopressor, Toprol), propranolol
(Inderal) or timolol (Blocadren, Timoptic); cancer chemotherapy agents; diabetes
medications (insulin and tablets); digoxin (Lanoxin); estrogens; iron; methadone;
oral contraceptives; phenytoin (Dilantin); steroids; theophylline (TheoDur);
and vitamins.
if you take an antacid, calcium carbonate (Tums), cholestyramine (Questran),
colestipol (Colestid), iron, sodium polystrene sulfonate (Kayexalate), simethicone
(Phazyme, Gas X), or sucralfate (Carafate), take it at least 4 hours before
or 4 hours after you take Synthroid.
tell your doctor if you have or have ever had diabetes; hardening of the arteries
(atherosclerosis); kidney disease; hepatitis; cardiovascular disease such
as high blood pressure, chest pain (angina), arrhythmias, or heart attack;
or an underactive adrenal or pituitary gland.
tell your doctor if you are pregnant, plan to become pregnant or are breast-feeding.
If you become pregnant while taking Synthroid, call your doctor.
if you have surgery, including dental surgery, tell the doctor or dentist
that you are taking Synthroid.
What special dietary instructions should I follow while taking Synthroid?
Unless your doctor tells you otherwise, continue your normal diet.
What should I do if I forget a dose of Synthroid?
Take the missed dose as soon as you remember it. However, if it is almost
time for the next dose, skip the missed dose and continue your regular dosing
schedule. Do not take a double dose to make up for a missed one.
What side effects can Synthroid cause?
Although side effects from Synthroid are not common, they can occur. Tell
your doctor if any of these symptoms are severe or do not go away:
weight loss
tremor
headache
upset stomach
vomiting
diarrhea
stomach cramps
nervousness
irritability
insomnia
excessive sweating
increased appetite
fever
changes in menstrual cycle
sensitivity to heat
temporary hair loss, particularly in children during the first month of therapy
If you experience either of the following symptoms, call your doctor immediately:
chest pain (angina)
rapid or irregular heartbeat or pulse
What storage conditions are needed for Synthroid?
Keep Synthroid in the container it came in, tightly closed, and out of reach
of children. Store it at room temperature and away from excess heat and moisture
(not in the bathroom). Throw away any medication that is outdated or no longer
needed. Talk to your pharmacist about the proper disposal of your medication.
In case of emergency/overdose
In case of overdose, call your local poison control center at 1-800-222-1222.
If the victim has collapsed or is not breathing, call local emergency services
at 911.
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