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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Depression During Thyroid Medication?

Hi, I am currently on thyroid medication which I have been adjusting dosage on with my doctor for 3-4 months but I've been feeling sick as of late and wondering if it's all relevant to my thyroid. I've had sleep problems, my depression has returned (most vividly) and my energy levels are all around out of wack which I can see as being connected with my thyroid. But what I don't understand is I've been having reoccuring headaches that are becoming more frequent and I've been feeling sick to my stomach. The headaches I get throughout the day and are like those moments when one stands up to fast and the room spins making their eyes cloud over and their head throb, making it hard to think or focus. In the evenings is when I've been feeling nauseous to the point where I almost want to throw up but can't leaving a bad taste in my mouth and throat and a persistant gag. So, I was wondering is this was my thyroid or something else?

                                                                 
Thu, 18 Jan 2018
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Internal Medicine Specialist 's  Response
Hello and welcome,

The symptoms you described suggestive of hypothyroidism (underfunctioning thyroid gland). Hypothyroidism causes low blood pressure and prevent your body to respond rapidly enough to pump more blood when standing up (orthostatic hypotention). Depressive mood, low energy and headaches are also indicate underactive thyroid. The persistent gag and bad taste in the mouse highly likely from gastroesophageal reflux disease (GERD). Hypothyroidism relaxes lower esophageal sphincter and create a condition for gastric acid to reflux.
Please, consult with your endocrinologist about the frequent monitoring of thyroid gland. You should have T4 or TSH checked and the medication dose adjusted every 6-8 weeks untill you reach normal thyroid hormone level. For GERD you doctor may prescribe proton pump inhibitors (lansoprazole).

I hope all of the above information will help you manage your condition. Please, feel free to ask me more in HCM if there is anything else you need to know.

Thank you,
Malik Amonov MD
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What Causes Depression During Thyroid Medication?

Hello and welcome, The symptoms you described suggestive of hypothyroidism (underfunctioning thyroid gland). Hypothyroidism causes low blood pressure and prevent your body to respond rapidly enough to pump more blood when standing up (orthostatic hypotention). Depressive mood, low energy and headaches are also indicate underactive thyroid. The persistent gag and bad taste in the mouse highly likely from gastroesophageal reflux disease (GERD). Hypothyroidism relaxes lower esophageal sphincter and create a condition for gastric acid to reflux. Please, consult with your endocrinologist about the frequent monitoring of thyroid gland. You should have T4 or TSH checked and the medication dose adjusted every 6-8 weeks untill you reach normal thyroid hormone level. For GERD you doctor may prescribe proton pump inhibitors (lansoprazole). I hope all of the above information will help you manage your condition. Please, feel free to ask me more in HCM if there is anything else you need to know. Thank you, Malik Amonov MD