Carbophage G1 Forte
Merck Ltd - 10 S
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Levothyroxine (50mcg)
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Euthyrox 50 Tablet is used for treatment of hypothyroidism (underactive thyroid); thyroid hormone replacement after thyroidectomy or radioiodine therapy; TSH suppression therapy in certain cases of thyroid cancer or goitre as advised by a doctor.
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026
Euthyrox 50 Tablet contains Levothyroxine (50mcg). It belongs to the Thyroid hormone (synthetic T4) class of medicines.
Treatment of hypothyroidism (underactive thyroid); thyroid hormone replacement after thyroidectomy or radioiodine therapy; TSH suppression therapy in certain cases of thyroid cancer or goitre as advised by a doctor.
Levothyroxine is a synthetic form of thyroxine (T4), a natural thyroid hormone. It is converted to the active hormone (T3) in the body and restores normal thyroid hormone levels, helping regulate metabolism, energy and body temperature.
Tablet to be taken exactly as prescribed. Usually taken once daily on an empty stomach, preferably in the morning 30–60 minutes before breakfast with water. Take at the same time each day; avoid taking along with calcium/iron/antacids—keep a gap of at least 4 hours.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.
An overdose of this medicine can cause a racing heart, chest pain, tremor, fever and dangerous heart rhythm disturbance. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.
Most side effects of Euthyrox are mild and settle as the body adjusts. Reported side effects include:
Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.
| Pregnancy | Generally safe (often required in pregnancy); dose adjustment and close monitoring needed—consult doctor. |
|---|---|
| Breastfeeding | Euthyrox 50 Tablet is safe to use during lactation. Human studies have shown that either the drug does not pass into the breastmilk in significant amount or is not expected to cause toxicity to the baby. |
| Alcohol | Use with caution (no direct interaction known, but alcohol can affect thyroid health and adherence). |
| Driving | Not expected to affect your ability to drive. |
| Kidney | There is limited information available on the use of Euthyrox 50 Tablet in patients with kidney disease. Please consult your doctor. |
| Liver | There is limited information available on the use of Euthyrox 50 Tablet in patients with liver disease. Please consult your doctor. |
| Habit forming | No |
Prescription-only (Schedule H). Do not use for weight loss. Dose needs individual titration and periodic TSH/T4 monitoring. Use caution in elderly patients and those with coronary artery disease, heart failure, arrhythmias or hypertension—overtreatment may cause angina, atrial fibrillation and osteoporosis. In adrenal insufficiency, treat adrenal condition before starting levothyroxine. If symptoms of hyperthyroidism occur (palpitations, chest pain, anxiety, unexplained weight loss), contact doctor; do not stop abruptly without advice.
Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people with an untreated overactive thyroid or untreated adrenal insufficiency.
Calcium salts,iron salts,aluminium/magnesium antacids,sucralfate,cholestyramine/colestipol,sevelamer,orlistat (reduced absorption); rifampicin,carbamazepine,phenytoin,phenobarbital (increased metabolism); sertraline (may increase requirement); amiodarone (affects thyroid function); warfarin (increased anticoagulant effect); insulin/antidiabetics (dose adjustment may be needed); digoxin (effect may reduce); estrogen therapy (may increase dose requirement).
Store below 25°C, protected from light and moisture. Keep in original pack; keep out of reach of children.
<div class="style__desktop-container___1hcBT"><div class="style__desktop-video___2GTR9"><div class="styles__video-img___1rCzR"><div class=""/><div class=""/></div></div><div><div><div><div><div class="ExpertAdviceItem__content___1Djk2"><ul><li><div>Your doctor has prescribed Euthyrox 50 Tablet to replace the natural thyroid hormone that your own thyroid gland can no longer make.</div></li> <li><div>It is best to take it on an empty stomach (ideally, first thing in the morning). No food, milk, or tea should be taken 1 hour before and 2 hours after taking this medicine.</div></li> <li><div>It may take 6 to 8 weeks to get the full effect.</div></li> <li><div>For most people, Euthyrox 50 Tablet is a lifelong medication. Do not discontinue it without first discussing with your doctor.</div></li> <li><div>Inform your doctor if you have diarrhoea, nervousness, irritability, feeling of a heartbeat, sleep disturbances, shaking hands, or chest pain. Your doctor may adjust your dose.</div></li> <li><div>Leave a gap of at least 4 hours before taking any antacids, calcium or iron supplements, and multivitamins, as these may interfere with the effect of the medicine.</div></li> <li><div>Get your hormone levels checked regularly and inform your doctor if you notice a significant change in your body weight. The dose may need to be adjusted.</div></li> <li><div>Inform your doctor before changing the brand of Euthyrox 50 Tablet as all brands may not have the same effect.</div></li></ul></div></div></div></div></div></div>
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The information on Euthyrox 50 Tablet is compiled from the manufacturer's prescribing information and the sources below, and is reviewed by a registered medical practitioner. It does not replace advice from your own doctor.