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Suggest Dosage For Thyronorm

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Posted on Tue, 24 Nov 2015
Question: Hi Doctor,
I am currently using Thyronorm 50mg for Thyroid. Latest test results of T3, T4 and TSH are as below.
T3 - 113
T4 - 7.9
TSH - <0.01
I was using 25mg before pregnancy and during prenancy, i had to increase the dosage to 50mg. I have delivered baby around 6 months back. Can i change the dosage back to 25mg now?
doctor
Answered by Dr. Dr. Prasad J (15 hours later)
Brief Answer:
You might lower the dosage....

Detailed Answer:
Hi,

As TSH levels have fallen far below the normal range, you might lower the dosage and get back to 25mcg. Recheck TSH values after 3 months and revise medications if necessary.

However clinically I would like to know how you felt with 50mcg dose when compared to 25mcg. If you have no hyperthyroid symptoms such as anxiety, sweating, palpitation, restlessness / sleepness and if you feel better with 50mcg dosage, you might as well continue with the same dosage until the next thyroid function tests.

Hope this is clear. If you need clarifications, please feel free to ask.

Regards
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Dr. Prasad J (46 hours later)
Hi Doctor,
Thank you for your suggestion. I have not felt any restlessness or anxiety symptoms of hyperthyroidism.
I would reduce dosage to 25 MCG and recheck after 3 months.
Thank you!
doctor
Answered by Dr. Dr. Prasad J (2 days later)
Brief Answer:
Dose can be titrated based on TSH level...

Detailed Answer:
Hi,

If you have no symptoms then its good. You can titrate the dose of thyronorm according to TSH value in future.

Regards

Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
Answered by
Dr.
Dr. Dr. Prasad J

General & Family Physician

Practicing since :2005

Answered : 3708 Questions

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Suggest Dosage For Thyronorm

Brief Answer: You might lower the dosage.... Detailed Answer: Hi, As TSH levels have fallen far below the normal range, you might lower the dosage and get back to 25mcg. Recheck TSH values after 3 months and revise medications if necessary. However clinically I would like to know how you felt with 50mcg dose when compared to 25mcg. If you have no hyperthyroid symptoms such as anxiety, sweating, palpitation, restlessness / sleepness and if you feel better with 50mcg dosage, you might as well continue with the same dosage until the next thyroid function tests. Hope this is clear. If you need clarifications, please feel free to ask. Regards