Starting thyroid s: I've been reading up on... - Thyroid UK

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Starting thyroid s

Abby77 profile image
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I've been reading up on taking thyroid s ,just a little confused as to how much I should be taking. The ones I have are 60mg .Everyone is talking in grains.Am I right to think that each 60mg tablet is a grain and that if I wanted to start on half a grain I would need to cut the tablet? 

Can someone help me understand please 

I am currently on 100/125  of levothyroxine on alternate days.

Thanks 

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Abby77
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phoenix23002 profile image
phoenix23002

You are correct that 60 mg = 1 grain.  To start on 1/2 grain (30 mgs), you would split your thyroid S tabs in half.

Abby77 profile image
Abby77 in reply to phoenix23002

Thanks for clearing it up for me Phoenix 

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Clutter profile image
Clutter

Abby77,

1 grain (60mg) has 38mcg T4 and 9mcg T3 which is equivalent to 65mcg Levothyroxine.  If you start on half a grain you will become hypothyroid while you build up to the 1.75 to 2 grains equivalent to your current dose.

I would halve Levothyroxine dose to 62.5mcg Levothyroxine and introduce 1 grain Thyroid-S split into 2 daily doses for 2 weeks.

Reduce Levothyroxine to 25mcg and increase Thyroid-S by 1/2 grain (30mg) for two weeks. 

Stop Levothyroxine and increase Thyroid-S by 1/4 grain (15mg) for two weeks, and if necessary increase to 2 grains 2 weeks later.  Hold at 1.75 or 2 grains for 6 weeks and have a thyroid test to make sure FT3 remains within range.

________________________________________________________________________________________

I am not a medical professional and this information is not intended to be a substitute for medical guidance from your own doctor. Please check with your personal physician before applying any of these suggestions.

Abby77 profile image
Abby77 in reply to Clutter

Thank you clutter 

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