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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Levothyroxine Cause Shortness Of Breath?

I m being taking levothyroxine for a few years now, my doctor increase it to 175 mcgs a year ago and 6 months ago i m started having SOB and chest pain, recently have stress test and also angiogram because the stress test showed positive , but didn t have any blockage, i was reading that these symtoms can be related it to Levothyroxine.
Sat, 12 May 2018
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Ayurveda Specialist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

1. Although stress test came positive but not the angiogram, get a Cardiologist's opinion regarding the same since false positive stress test can occur because of certain noncardiac issues and medicines.

PS. Levothyroxine does cause tachycardia, palpitations, anginal pain as common ADR [adverse drug reaction], so it is advised to start with a low dose in people with pre-existing heart conditions, so get a second opinion or cardiac Consultation to exclude any pulmonary disease or heart pathology.

2. Sometimes, an overdose of thyroxine can cause muscle weakness, fatigue, weight loss which can act as a contributory factor for shortness of breath [since the body is unable to undertake physical activity], so please check with your Thyroid [TFT] values.

PS. Under no circumstances, you should stop/change/taper your dose without first consulting with your attending Physician.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Munish Sood
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Does Levothyroxine Cause Shortness Of Breath?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. 1. Although stress test came positive but not the angiogram, get a Cardiologist s opinion regarding the same since false positive stress test can occur because of certain noncardiac issues and medicines. PS. Levothyroxine does cause tachycardia, palpitations, anginal pain as common ADR [adverse drug reaction], so it is advised to start with a low dose in people with pre-existing heart conditions, so get a second opinion or cardiac Consultation to exclude any pulmonary disease or heart pathology. 2. Sometimes, an overdose of thyroxine can cause muscle weakness, fatigue, weight loss which can act as a contributory factor for shortness of breath [since the body is unable to undertake physical activity], so please check with your Thyroid [TFT] values. PS. Under no circumstances, you should stop/change/taper your dose without first consulting with your attending Physician. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Munish Sood