I'm hoping for any feedback about taking levo and mirtazepine together at night please .
This comes on the back of me stopping my levo for a week as I believed I was possibly over replaced ( or not even hypo at all) as I have been feeling hot, short of breath on walking etc etc but after days of no levo my results were :
Tsh 4 .7 (0.5 - 4.5)
T4 7.0 (9 -21)
Free T 3 1.1 ( unsure of labs ref range)
Clearly I was wrong so restarted but got quite unwell and nhs 24 sent me to A/E. My results there after 4 days of 75mcgs levo and one dose if 125mcgs were
They did do another T3 but said the result wld be sent to gp as it takes longer to get the result. ...all I can say is I felt dreadful. Unable to get breath in , faint etc.
They told me to take 100mcgs levo recheck in 6 weeks. My usual dose has been 125mcgs for 4 yrs . My tsh has been stable at 0.5 , T 4 around 14 for 4 yrs But last yr has been awful, lupus was questioned etc etc . I have also been on transdermal oestrogen hrt patch . With these latest results I have proved to myself that yes I am hypothyroid but also wonder if the oestrogen had been masking me becoming hypo whilst results looking ok? Also is it possible for my results to get that bad with one week of levo ? I must stread it was awful and a very misguided judgement on my part and wld never do it again or suggest that anyone else do the same.
So now I want to take me levo at night for max absorption as I have to have tea with milk in the morning to allow me to get to work! So I'm hoping I can take it mirtazepine before bed mirtazepine is taken at bedtime as it makes you very sleepy. Does anyone know of any possible interactions please ?