Thyroid UK
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How to take medication

Last year I was given Levothyroxine after RAI treatment . I was also taking Amlodipine which was keeping my blood pressure fine .

I spent the whole year feeling quite unwell . Tinnitus , tiredness , and some very scary episodes of vertigo .

I asked the Endo for an alternative to Levothyroxine but he said there was none .

This year after a cardio found an atrial flutter , meds were changed and I seem to feel worse than ever and dread getting out of bed in the morning.

My question is what order to take

Levothyroxine 100mc

An anticoagulant

An angina ?tablet

These last two are morning and evening

I also take vitamin d 800 from docs

Lutein for my eyesight .

Any suggestions are welcome .

Many Thanks !


4 Replies


Have you had a recent blood test for your thyroid hormones? If so, can you get a copy and post them, with the ranges. If you've not had one recently ask for one to be done and also Vitamin B12, iron, ferritin and folate.

I think you know now that there are other medication for your thyroid gland and, my personal view is that, as your thyroid gland has been destroyed, you should at least have a trial of some T3 added to a reduced T4.


Pinkpeony, my Levothyroxine (T4) PILs don't specify how long to leave after taking other meds but advise discussing with a pharmacist when taking certain meds including anticoagulants and angina meds. 4 hours is probably enough but it is worth checking with your pharmacist.

Your endo is wrong. Liothyronine (T3) and natural dessicated pig thyroid NDT) are also thyroid hormone replacement. UK guidelines recommend T4 as the only required therapy but it doesn't suit everyone and T3 may be added or used instead. Some people don't tolerate synthetic T4 and T3 but do well on NDT. NDT isn't licensed for use in the UK so is rarely prescribed on the NHS but members self medicate by buying it on the internet.



Do you have Hashimoto's?

The following is from The American Association of Endocrine Surgeons

Patient Education.

Amiodarone is a potent medication used in the management of certain types of irregular heart rates or arrhythmias. This drug contains iodine. The typical dose of amiodarone contains 40 times the recommended minimum daily intake of iodine. Hypothyroidism can be caused by the Wolff-Chaikoff effect noted above. Patients with autoimmune thyroiditis are at greatest risk for developing amiodarone-induced hypothyroidism.

There is a great deal of relevant information on this web-site.

Please, do show your GP this web-site.

Please be careful about blood thinning drugs. I do speak from experience.

Take care.


If your endo told you there is no alternative to levo he is either a liar or plain ignorant. Either way, it's time for a new endo. I wouldn't trust someone who tells lies and/or simply doesn't know what they are doing.

The obvious alternatives are T3 (possibly in addition to the T4 you are taking) and Natural Dessicated Thyroid. Both are prescribable and available, although it seems that most endos prefer not to prescribe them.


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