Cipramil with hypothyroidism?

[Eng2000]

Hello, does anyone have any experience of taking the anti depressant cipramil with hypothyroidism? I take 75mg Levonthyroxine and have been prescribed 10mg cipramil. Thanks.

[bluebug]

Just a quick check or more likely a reminder before you start taking the anti-depressant - are you sure you are optimally medicated on levo - so your TSH is under 1, your Free T4 is in the top quarter of the range and your free T3 is in the top third of it's range?

Also are you sure you vitamin B12, vitamin D, folate and iron (ferritin and haemoglobin) levels are optimal?

Do you have hashimotos?

The reason to post this is many people with hypothyroidism are given anti-depressants to take when instead treating all these would help instead.

Be aware while it is the NHS responsibility to help you get your thyroid hormones optimal it is your responsibility to ensure your nutrient levels are optimal. The NHS's responsibility is to ensure your nutrient levels aren't severely deficient.

[Nanaedake]

Are you happy about taking the Cipramil. Do you feel you need it? What other options did your doctor discuss? The questions in above post are highly sensible. These do need to be addressed.

[Marz]

drugsdetails.com/can-i-take...

It affects the uptake of your T4 .... maybe information on the PIL - Patient Information Leaflet

[shaws Administrator]

I would ask your GP for a Free T4 and Free T3 blood test before you begin cipramil if he has diagnosed you with depression. I am not medically qualified but I do know that some doctors aren't too knowledgeable about hypo symptoms but will prescribe an alternative for the symptom.

If your doctor wont do FT4 and FT3 and I'll give you a link and the reason why we should have these. You can have them privately through one of our recommended labs and i'll give you a link for that also.

thyroiduk.org.uk/tuk/testin...

These labs do pin-prick home tests and should be done after leaving a gap of 24hours between last dose of levo and test and take afterwards.

thyroiduk.org.uk/tuk/testin...

This is an excerpt from the following link:-

The thyroid gland secretes two major hormones, levothyroxine (T4) and tri-iodothyronine (T3).17 T4 is the major secretory product of the thyroid, and most T4 undergoes peripheral conversion to T3 in order to exert its physiological action.17. T3 is the most broadly used thyroid hormone for treatment of depression, in contrast to in endocrine patients where T4 is routinely used for thyroid replacement therapy

ncbi.nlm.nih.gov/pmc/articl...