Thyromed-25 Tab

Tablet

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

Levothyroxine is synthetic thyroxine (T4), a thyroid hormone normally produced by the body. It is converted to active T3 in tissues and helps restore normal thyroid hormone levels, regulating metabolism, energy, heart rate and growth.

Take orally once daily exactly as prescribed, preferably in the morning on an empty stomach 30–60 minutes before breakfast with water. Avoid taking with calcium/iron/antacids or multivitamins; keep a 4-hour gap. Use the same brand consistently and do not stop or change dose without medical advice; dose is adjusted based on TSH/T4 tests.

Palpitations,fast heart rate,anxiety,irritability,tremor,headache,insomnia,sweating,heat intolerance,diarrhoea,weight loss,increased appetite,menstrual irregularities

Not for weight loss/obesity treatment. Use caution in heart disease, angina, arrhythmias, hypertension and in elderly—may need lower starting dose. Overdose can cause symptoms of hyperthyroidism and serious cardiac effects. Monitor TSH/free T4 periodically; dose requirements may change in pregnancy, with weight changes, or with interacting medicines. If signs of chest pain, severe palpitations, shortness of breath occur, seek medical care.

Calcium carbonate,iron salts,aluminium/magnesium antacids,sucralfate,cholestyramine/colestipol,sevelamer (reduce absorption); rifampicin,carbamazepine,phenytoin (increase metabolism); sertraline,amiodarone (alter thyroid levels); warfarin (increased anticoagulant effect); insulin/oral antidiabetics (dose adjustment may be needed); oestrogens (may increase requirement).

Store at room temperature (below 25°C), protected from light and moisture. Keep in original blister/strip and out of reach of children.

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