any advice on taking new meds

[Mauds]

Just back from endo. I am being put on 75 eltroxin to take at night and 20mg Liothyronin to take in morning. I was on 100 eltroxin. Has anyone else been put on this new meds and how did you feel after taking it. Should I take Liothyronin first thing with just water and then breakfast 1 hour later. Thanks

[Parbrook]

I am on a similar level of medication.

I take my T4 before going to bed and T3 when i wake-up.

T4 must be taken 2 hours away from food, whereas there do not appear to be any guidelines for T3 (I think because they are absorbed in different ways).

I feel better on these than T4 alone, but i feel that i need more T4 (and less T4).

Obviously this depends on an individual's condition.

You will start to feel the effects of the T3 in 2 days up to 2 weeks.

The drop in T4 will take longer - typically up to 6 weeks.

During this time, you may feel a little over-medicated, so you really need to wait the 6 weeks for your body to adjust to the change in T4 before deciding is this is the right level of medication for you.

[Mauds in reply to Parbrook]

Thanks for reply hope this works

[Parbrook in reply to Mauds]

If your problem is conversion from T4 to T3, then i would be very surprised if you do not start to feel better in 2 weeks.

It's only a start and you may well need some adjustment.

It is very important to have your FT3 tested and also note that TSH loses its relevance when you are taking T3. Below range TSH is to be expected and you need to make sure that you doc does not adjust your medication based in TSH results instead of FT4 and FT3.

[Mauds]

My THS is over 12 at the moment endo put me on new meds today won't be seeing me for eight weeks I'll have to ask for T3 they don't seem to do them here in Ireland

[helvella Administrator Thyroid UK in reply to Mauds]

Most certainly some people in Ireland do get T3/liothyronine. A few years ago the [1] Tertroxin brand got turfed out of the official supply and Italian TiTre made available instead. However I think something else has happened since.

[1] Tertroxin is the exact same product as Mercury Pharma Liothyronine - MP are able to charge more because it is technically a generic which is not subject to the same price controls as branded medicines in the UK.

Rod