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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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I Have Been Put On Thyroxine Today, Have Taken 100 Mg And Feeling Terrible Shakes, Heart Racing And Panic Attacks

i have been put on thyroxine today, i have taken 100 mg and am feeling terrible, shakes , heart racing and panic attacks, is this normal, i was suffering panic attacks before i took the thryoxine and wondered if it has made it worse, i feel so helpless, my doctor has also put me on ampytriptiline 100 mg which i have to take at night, which i will take the first one tonight i have been given throxine for a underactive thyroid i have to take 100 mg a day, i have also been given amitriptyline to help with sleep. i have taken my first dose of levothroxine today and have got the shakes and racing heart, and feel quite bad, i am suffering with stress and thought taking the medication would stop the panics, but feel worse now, is this normal, do you think once i take the amitriptyline will help me tonight, or should i take it now?
Mon, 18 Apr 2011
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General & Family Physician 's  Response
Hi! Carole,
You may take amitryptaline at night as usual.
The effect of Thyroxine 100 ug will wear off after some time.
Meanwhile from tomorrow take Thyroxine 50 ug for a week and increase it by 25 ug every week.
Gradual dosage will not cause you the problems you are facing right now.
Take some B-Complex pills. They will certainly help you.
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I Have Been Put On Thyroxine Today, Have Taken 100 Mg And Feeling Terrible Shakes, Heart Racing And Panic Attacks

Hi! Carole, You may take amitryptaline at night as usual. The effect of Thyroxine 100 ug will wear off after some time. Meanwhile from tomorrow take Thyroxine 50 ug for a week and increase it by 25 ug every week. Gradual dosage will not cause you the problems you are facing right now. Take some B-Complex pills. They will certainly help you.