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Prescription requiredMacleods Pharmaceuticals Pvt LtdThyroid hormone replacement

Thyrox 25 Tablet

Levothyroxine sodium 25 mcg (equivalent to Levothyroxine 25 mcg)

Thyrox 25 Tablet is used for treatment of hypothyroidism (underactive thyroid), thyroid hormone replacement after thyroidectomy or radioiodine therapy, suppression of TSH in certain thyroid cancers/goitre as advised by doctor.

Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026

₹185₹1.55 per tablet
Licensed pharmacyPharmacist-verified orderDelivered across India

Key details

Salt: Levothyroxine sodium 25 mcg (equivalent to Levothyroxine 25 mcg)
Available variants: tablet 120 Tablet
Best price: ₹185 (₹1.55 per tablet)
Prescription: Required
Manufacturer: MACLEODS PHARMACEUTICALS LTD

Ordering notes

Standard delivery across India. No same-day delivery nationally.
Chennai express delivery is possible and chargeable. Learn more
Returns & refunds: orders can be cancelled before dispatch; after dispatch, returns depend on the item category. Read the full policy

Composition of Thyrox 25 Tablet

Thyrox 25 Tablet contains Levothyroxine sodium 25 mcg (equivalent to Levothyroxine 25 mcg). It belongs to the Thyroid hormone (synthetic T4) class of medicines.

Uses of Thyrox 25 Tablet

  • Treatment of hypothyroidism (underactive thyroid)
  • thyroid hormone replacement after thyroidectomy or radioiodine therapy
  • suppression of TSH in certain thyroid cancers/goitre as advised by doctor

Key benefits

  • Restores thyroid hormone levels
  • Improves symptoms of hypothyroidism (fatigue
  • weight gain
  • cold intolerance)
  • Normalises TSH
  • Supports metabolism and energy
  • Helps maintain normal growth and development (when indicated)

How Thyrox 25 Tablet works

Levothyroxine is a synthetic form of thyroxine (T4), a natural thyroid hormone. It is converted to the active hormone T3 in tissues and restores normal levels of thyroid hormone, helping regulate metabolism, energy, and growth.

How to take Thyrox 25 Tablet

Take orally once daily exactly as prescribed, preferably in the morning on an empty stomach 30–60 minutes before breakfast with water. Take at the same time daily. Avoid taking with calcium/iron/antacids; keep a gap of at least 4 hours. Do not stop or change dose without medical advice; dose is adjusted based on TSH/T4 tests.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

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.

If you take too much

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.

Side effects of Thyrox 25 Tablet

Most side effects of Thyrox are mild and settle as the body adjusts. Reported side effects include:

  • Palpitations
  • fast heartbeat
  • anxiety
  • irritability
  • insomnia
  • headache
  • tremor
  • sweating
  • heat intolerance
  • weight loss
  • diarrhoea
  • nausea
  • menstrual irregularities
  • temporary hair loss (initially)

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.

Safety advice for Thyrox 25 Tablet

PregnancyGenerally safe (often required in pregnancy); dose adjustment and close TSH monitoring needed—consult doctor
BreastfeedingGenerally considered safe while breastfeeding.
AlcoholUse with caution; no direct interaction known, but excessive alcohol may affect thyroid function and overall control
DrivingNot expected to affect your ability to drive.
KidneyNo dose change is usually needed in kidney disease.
LiverNo dose change is usually needed in liver disease.
Habit formingNo

Warnings and precautions

Not for weight loss/obesity treatment; high doses can cause serious heart problems. Use with caution in heart disease (angina, arrhythmias), hypertension, elderly, osteoporosis, diabetes, and adrenal/pituitary insufficiency (ensure adrenal function treated before starting). Monitor TSH/T4 regularly; symptoms of overdose include chest pain, palpitations, nervousness, and excessive sweating—seek medical help. Contains narrow therapeutic index—do not interchange brands/doses without doctor’s advice.

Do not take Thyrox if

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.

Interactions with other medicines

Reduced absorption with iron salts,calcium carbonate,aluminium/magnesium antacids,sucralfate,cholestyramine/colestipol,sevelamer,orlistat,soy/high-fibre diets; increased effect of warfarin; may increase insulin/oral antidiabetic requirements; interactions with rifampicin,carbamazepine,phenytoin,phenobarbital (increase metabolism),sertraline,amiodarone; timing interaction with proton pump inhibitors and coffee (may reduce absorption)

How to store Thyrox 25 Tablet

Store below 25°C in a cool, dry place protected from light and moisture. Keep in original blister pack and out of reach of children.

Expert advice for Thyrox 25 Tablet

Keep to the same brand where you can, and take it at the same time every morning. Have your thyroid blood test repeated as your doctor advises after any dose change.

Manufacturer and class

Manufacturer:
MACLEODS PHARMACEUTICALS LTD
Therapeutic class:
Thyroid hormone replacement
Drug class:
Thyroid hormone (synthetic T4)

Substitutes for Thyrox 25 Tablet

Medicines with the same active ingredient (Levothyroxine sodium 25 mcg (equivalent to Levothyroxine 25 mcg)). Ask your doctor or pharmacist before switching brands.

MedicinePackPricevs Thyrox 25 Tablet
Thyromed-25 TabletCOMED CHEMICALS`tablet · 100`S₹15417% cheaper
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Thyrox 25 Tablet FAQs

What is Thyrox 25 Tablet used for?
Thyrox 25 Tablet is commonly used for Treatment of hypothyroidism (underactive thyroid), thyroid hormone replacement after thyroidectomy or radioiodine therapy, suppression of TSH in certain thyroid cancers/goitre as advised by doctor. Always follow your doctor's advice, this information is for educational purposes and not a substitute for professional medical guidance.
What is the salt in Thyrox 25 Tablet?
Thyrox 25 Tablet contains Levothyroxine sodium 25 mcg (equivalent to Levothyroxine 25 mcg). If you are allergic to any of these active ingredients or excipients, do not take this medicine and speak to your doctor first.
How should I take Thyrox 25 Tablet?
Take orally once daily exactly as prescribed, preferably in the morning on an empty stomach 30–60 minutes before breakfast with water. Take it exactly as prescribed; do not change the dose or stop early without talking to your doctor.
How does Thyrox 25 Tablet work?
Levothyroxine is a synthetic form of thyroxine (T4), a natural thyroid hormone.
Is Thyrox 25 Tablet a prescription medicine?
Yes. Thyrox 25 Tablet is a prescription-only (Rx) medicine. Upload a valid prescription from a registered medical practitioner during checkout. We cannot dispense it without a valid Rx.
What are the common side effects of Thyrox 25 Tablet?
The side effects reported most often with Thyrox are Palpitations, fast heartbeat, anxiety, irritability, insomnia. Most are mild and settle as the body adjusts; tell your doctor if any of them persist or worry you, and stop the medicine and seek help at once for a rash, swelling of the face or lips, or difficulty breathing.
Can Thyrox 25 Tablet be taken during pregnancy?
Generally safe (often required in pregnancy); dose adjustment and close TSH monitoring needed—consult doctor Always tell your doctor if you are pregnant, planning a pregnancy or breastfeeding before starting Thyrox.
Can I drink alcohol while taking Thyrox 25 Tablet?
Use with caution; no direct interaction known, but excessive alcohol may affect thyroid function and overall control
What if I miss a dose of Thyrox 25 Tablet?
Take it as soon as you remember.
Is Thyrox 25 Tablet habit forming?
No. Thyrox 25 Tablet is not known to be habit forming when taken as prescribed.
Is there a cheaper substitute for Thyrox 25 Tablet?
Thyromed-25 Tablet has the same active ingredient and strength and is listed from ₹154 on PingMeDoc Pharmacy. Ask your doctor or pharmacist before switching brands, the salt is the same, but excipients and release profiles can differ.
How much does Thyrox 25 Tablet cost on PingMeDoc Pharmacy?
Thyrox 25 Tablet starts at ₹185 on PingMeDoc Pharmacy. Available in tablet 120 Tablet. Final price is confirmed at checkout and may vary by variant and location.
Who manufactures Thyrox 25 Tablet?
Thyrox 25 Tablet is manufactured by MACLEODS PHARMACEUTICALS LTD. PingMeDoc Pharmacy sources medicines only from licensed manufacturers and distributors.
How is Thyrox 25 Tablet delivered?
Thyrox 25 Tablet is delivered across India via our licensed pharmacy partners. Standard delivery timelines are confirmed at checkout. Chennai customers can opt for chargeable same-city express delivery.

Thyrox 25 Tablet, Quick facts

Salt
Levothyroxine sodium 25 mcg (equivalent to Levothyroxine 25 mcg)
Form
tablet
Best price
₹185 (₹1.55 per tablet)
Prescription
Required (Rx)
Schedule
Schedule H
Brand
Macleods Pharmaceuticals Pvt Ltd
Manufacturer
MACLEODS PHARMACEUTICALS LTD
Therapeutic class
Thyroid hormone replacement
Drug class
Thyroid hormone (synthetic T4)
Habit forming
No
Variants
tablet 120 Tablet
Delivery
Standard across India

References

The information on Thyrox 25 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.

  1. Manufacturer labeling/prescribing information,Indian Pharmacopoeia,established medical literature (thyroid guidelines),drug interaction references
  2. Central Drugs Standard Control Organisation (CDSCO), Ministry of Health & Family Welfare, Government of India, approved drug and schedule listings.
  3. National List of Essential Medicines (NLEM) 2022, Government of India.
  4. Manufacturer's package insert / prescribing information for Thyrox 25 Tablet.
  5. World Health Organization, ATC/DDD classification and Model Formulary for the active ingredient.

Next steps

Safety disclaimer

Product information is for general awareness and does not replace professional medical advice. Always follow a clinician's guidance and upload a valid prescription when required.