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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Headache Even After Taking Medicine For Hashimotos Thyroiditis?

HI I am on eltroxine manufactured in india and take 200mcg morning 7.00am with large glass of water an 100mcg at night around 7.00pm. I was diagonosed with hashimotos thyroiditis. My TSH was 12.8 when i started on the 300mcg dose. I have been on that dose for past 2 months and still am suffering from headache and fatigue. please help
Mon, 26 Sep 2016
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Endocrinologist,  's  Response
Hi
Your total dose of eltroxine is realy huge.The average full replacement dose of levothyroxine sodium is approximately 1.7 mcg/kg/day. Older patients may require less than 1 mcg/kg/day. Levothyroxine sodium doses greater than 200 mcg/day are rarely required. An inadequate response to daily doses ≥ 300 mcg/day is rare and may indicate poor compliance, malabsorption, and/or drug interaction. Headache and fatigue are signs of hypothyroidism.My advice s to see a endocrinologist in your area to discuss about the thyroid tests to do (TSH,free T3,free T4)and the approproate treatement.Hope i have answed to your question.
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What Causes Headache Even After Taking Medicine For Hashimotos Thyroiditis?

Hi Your total dose of eltroxine is realy huge.The average full replacement dose of levothyroxine sodium is approximately 1.7 mcg/kg/day. Older patients may require less than 1 mcg/kg/day. Levothyroxine sodium doses greater than 200 mcg/day are rarely required. An inadequate response to daily doses ≥ 300 mcg/day is rare and may indicate poor compliance, malabsorption, and/or drug interaction. Headache and fatigue are signs of hypothyroidism.My advice s to see a endocrinologist in your area to discuss about the thyroid tests to do (TSH,free T3,free T4)and the approproate treatement.Hope i have answed to your question.