What is levothyroxine used for?
Levothyroxine replaces thyroid hormone in people with hypothyroidism.
Study 3 Thyroid Medications with 12 free online flashcards. Review key terms, definitions, and concepts with this interactive flashcard deck.
What is levothyroxine used for?
Levothyroxine replaces thyroid hormone in people with hypothyroidism.
What is a common indication for methimazole?
Methimazole reduces new thyroid hormone synthesis and is commonly used for hyperthyroidism due to Graves’ disease.
Do methimazole and PTU treat thyroiditis?
No. Antithyroid drugs reduce new hormone production; thyroiditis releases stored hormone, so these drugs do not treat it.
What serious adverse effect limits the routine use of PTU?
PTU can cause severe, sometimes fatal, liver injury, so it is generally not the default antithyroid drug.
When should levothyroxine be taken?
Take it consistently on an empty stomach, 30–60 minutes before breakfast, to support reliable absorption.
How should calcium or iron supplements be timed with levothyroxine?
Calcium and iron can reduce levothyroxine absorption; separate them from the dose by at least 4 hours.
When is TSH generally reassessed after a levothyroxine dose change?
For primary hypothyroidism, TSH is generally reassessed about 4–6 weeks after a dose change.
What can new palpitations and tremor suggest during levothyroxine treatment?
Palpitations, tremor, and heat intolerance may signal excessive replacement. Assess thyroid tests and the dose before changing treatment.
What should a patient taking methimazole do for fever or severe sore throat?
Fever or severe sore throat may signal agranulocytosis. Seek prompt medical assessment, typically including a blood count, and contact the prescriber before further doses.
Why may TSH alone be misleading early in methimazole treatment?
Follow thyroid hormone levels and clinical status. TSH may stay suppressed early, so free T4 and sometimes T3 help assess the response.
When may PTU be selected during pregnancy?
PTU may be selected when antithyroid treatment is needed in the first trimester because methimazole has a different fetal risk profile.
What should a patient taking methimazole do after learning they are pregnant?
Contact the treating clinician promptly to review the medicine and create a pregnancy-specific plan; do not make an unsupervised change.
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