Hypothyroidism needs interpretation and advise
I am 60 y old/smoker ( about 40 cigarets/ day and cannot stop it ) hypertensive (controlled under Amilodepine Besylate ( Norvasc) 7.5 mg ( one and half tablet) with Nebevolol ( Nebilit) 2.5 mg ( half tablet) both taken as a single dose / day and my blood pressure is controlled / I had hypertension since 25 years. Also I had hyperlipedemia ( both cholesterol and triglycerides) since about 20 or 25 years ago and I think it is familiar and it was controlled through diet restriction and sim astatine drugs ( which I used it occasionally and stop it for a period when I see the tests within normal .
Since 1 year I discovered that I have hypothyroidism accident my my tests were :
TSH: 57.5. 27-11-2013
So I start levothyroxine tablets till I found the suitable dose for me to control the case is 175Mg / day although I am complaining of palpitation and Tachycardia occasionally in which I take Propranolol ( Inderal) 10 mg on need .
The last tests for my thyroid gland ( since 2 weeks) were:
TSH= 1.15 ( this is done since one month ago . And accidentally I checked my lipid profile to find high cholesterol, triglycerides and LDH and low HDL with high VLDL so I started rescol( atrovostatine ( 20 mg / day ) but little diet restriction ( I am near the overweight but not fatty )on checking fasting lipid profile it was :
So I read about hypothyroidism ( as I am a Physician) and surprised that they said it is not recommended to use simvastatine with hypothyroidism / and as I found the major increas in lipid is of triglycerides and according to advise of one of friends in healthYnlocked , he advise me to use fenifibrat ( Lipanthyl 200mg once daily after meal . By the way I started the last drug since 4 days .
I like to add that I am continuously use Omega 3,6,9 once daily , mulivitamine( Centrum) and Vitamin D as antioxidant and prophylactic treatments .
Also I am suffered from insomnia and use Lorazebam 2 mg or Alaorozalam(XANax ) 0.5 mg at night when there is insomnia ( occasionally) .
My question is : Am I right in my treatment ? Or is there any comment/s or advise to me from the good ,scientific and practical people in the HealthUnlocked group?
I will highly appreciate any good opinion and advise .
Looking forward to receive your early reply, I remain . With my best regards and thanks.
Dr. Adnan F. Alnajar