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Pregnant, constipation, bloating, high thyroid levels. Prescribed eltroxin. What dosage must I take to ensure a safe pregnancy?

HI DOCTOR. I M 34 YRS OLD DIAGNOSED CASE OF HYPOTHYROIDISM TAKING 25 mg ELTROXIN .NOW I M 8 WKS PREGNANT BY DATES AND HAVIND PAIN EPIGASTRUM,BURNING , BLOATING AND CONSTIPATION. TODAY MY TSH REPORT SHOWED RAISED (8mIU/L.) MY GYNAECOLOGIST ADVIDED TO INCREASE DOSE TO 50 MG SHOULD I TAKE 50 mg IN MORNING BEFORE FOOD OR I SHOULD TAKE 25 mg BD. MY USG SHOWS FETUS OF 6.4 WKS LESSER THAN DATES.WHICH PRECAUTION SHOULD I TAKE TO HAVE GOOD CONTROL OF MY THYROID AND SAFE PREGNANCY .KINDLY ADVISE.
Asked On : Fri, 22 Jun 2012
Answers:  2 Views:  139
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General Surgeon 's  Response
hello dear
to have a safe pregnancy hypothyroidism has to be well controlled. for which you need to get free T3,T4 and TSH level. high TSH level and low T3, T4 suggests uncontrolled hypothyroidism. depending upon the above reports the dose of Eltroxin can be increased till you get normal hormonal levels. required dose of Eltroxin can be taken as single dose or in two divided doses. my adviced to you is that better to consult ENDOCRINOLOGIST for further management, because you have already concieved.
take care and have safe pregnancy with cute baby
Answered: Mon, 2 Jul 2012
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
Hello
During pregnancy the requirement for the thyroid hormone is increased and that is the reason your TSH levels have increased.
Start taking ELTROXIN in the dose of 50 mcg in the morning empty stomach.
Your thyroid status should be controlled during pregnancy for the proper development of your child.
Thanks
Answered: Fri, 22 Jun 2012
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