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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High Heart Rate And Sleeplessness Inspite Of Taking Thyroid Medications?

i was taking elthroxin 75 mg idid my blood test and tsh was 0.164. i reduced dose to 50 mg.after one month i did my tsh test again and it was 0.156. sometimes my heart beat increases suddenly. i am not able to sleep properly.after lying down for 4 to 5 hours i will get sleep and sometimes even unable to sleep.this has been happening since 2 months and now it is very frequent.
Wed, 1 Oct 2014
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General & Family Physician 's  Response
Hello there,
From your TSH values you are clearly over replaced. Your dose of thyroid hormone is more than what you require. You need to reduce your dose probably to 25 mcg and check TSH again after 6 weeks. For many patients its difficult to arrive at the exact dose initially. Take 25 mcg then take your TSH report to an endocrinologist who can review your dose as required.
Being on a higher than required dose of thyroid explains your difficulty to fall asleep and increased heart rate.
Hope this helps.
Take care.
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What Causes High Heart Rate And Sleeplessness Inspite Of Taking Thyroid Medications?

Hello there, From your TSH values you are clearly over replaced. Your dose of thyroid hormone is more than what you require. You need to reduce your dose probably to 25 mcg and check TSH again after 6 weeks. For many patients its difficult to arrive at the exact dose initially. Take 25 mcg then take your TSH report to an endocrinologist who can review your dose as required. Being on a higher than required dose of thyroid explains your difficulty to fall asleep and increased heart rate. Hope this helps. Take care.