Total Thyroidectomy & Level 6 Lymphnode Clearance

Update from my last post 3 weeks ago.

I had my surgery done 2 days ago. It all seem to have gone well. I was sent home after with Levothyroxine 150 micro and Adacal D3 (twice a day).

I'm a bit worry after reading the different experiences some of the members had to endure after taking Levothyroxine tablets.

In my case I'm worry about the impact / interaction this medication will have on my other medication I am on now.

I take 3 different tablets to control my high blood, I used inhaler for my asthma, cholesterol tablet to low my cholesterol, iron tablet for anaemia, in the last month I have had 2 iron infusion. Naproxen for my Arthritis, Aspirin, Lansoprazole, antihistamine and my multivitamins, Flexseed and seven sea joint care omaga3 fish oil+ glucosamine.

I will need some advise on how to approach my GP should I need to change my Levothyroxine to the NDT drug

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  • I am still learning and I'm sure that someone more knowledgable will be along soon. However, from my own experience and what Ive read on here, I take my thyroxine as soon as I wake in the morning then wait for 1-2 hours before I eat or drink (apart from water) when I then take Esomeprazole, antihistamine, high blood pressure medication and others. I then wait until 4 hours after having taken thyroxine to take any vitamins, minerals and supplements. I've read lots of posts regarding other medications and this seems to be the protocol to follow. Then at bedtime, I take my cholesterol lowering medication as that is when it does its best work. I know that some people take their thyroxine before going to bed but then you need to avoid food for two hours before and of course then I would be unable to take my cholesterol medication. Hope this helps. Clemmie

  • Thanks Barrister, I will try this.

    I have now set-up my alarm for 5:30 am to take my Levothyroxine and my Adcal D3 tablet. Other medication between 8:30-9:00am. I alway take my cholesterol tablet at night

  • Hi glad you are recovering don t think you should take ad cal with thyroxine it blocks absorption


  • Thanks Piedo.

    I though the adcal with aid absorption. For years, I have had problem with my body not absorbing my iron tablet therefore I am always anaemia.

  • Boltie, Levothyroxine should be taken with a glass of water on an empty stomach, 1 hour before or two hours after food and drink, 4 hours away from calcium, iron, vitamin D and oestrogen and two hours away from most other medicines and supplements.

    Most people do well on Levothyroxine so give a try for a few months. If you aren't doing well and FT3 is low your endo may agree to prescribe Liothyronine (T3) in addition to Levothyroxine. It is very diffficult to get NDT prescribed on the NHS as it isn't licensed for UK use which is why so many membeers buy NDT online and self medicate.

    I'm glad the thyroidectomy went well. Be kind to yourself and rest during the next week or two as it can knock the stuffing out of you.

  • Hi Clutter, thanks again for your response.

    Like you said I will give levothyroxine a try and I will try and relax. True, It hasn't hit me yet. Right now I feel well and strong.

    Please do correct me, Levothyroxine should be taken on empty stomach with water & 4 hour before taken Adcal D3.

    Can I take my iron tablet at same time as I'm taken Adcal D3.

    My blood pressure tablets and other medications 2 hours after taken Levothyroxine.

    Do you think it would be advisable to ask my GP for a review of all my medications now that I'm on levothyroxine and Adcal D.

  • Boltie, Levothyroxine with water on an empty stomach and 4 hours away from iron and AdCal and 2 hours away from your other meds and supplements.

    I don't know whether iron and AdCal can be taken together. Check the patient information leaflets or check with your pharmacist.

    Why would a meds review be necessary? Your GP has a list of your prescriptions.

  • My reason behind me having a review is a just a layman thinking, now that I have had my thyroid taken out maybe some of the medical issues I have been suffering from would no longer be an issue and I won't need some of the medication I'm currently taken now.

  • I had TT 14 years ago but was told Adcal is not good at all. Perhaps some other person reading this could advice on an other type of calcium supplement.

  • Thanks Pepekins, I think I will try and research more into Adcal.

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