Can you help please

[susanclark]

I’ve taken 125 of Levo religiously for 5 years, I have no thyroid ,and I forgot this morning, will it be ok to miss it as it’s so late ,and just carryon with next dose in the morning x Susan

[SeasideSusie Remembering]

You can take it now, as long as it two hours since you've eaten and not had tea, coffee or milk. Or double dose tomorrow, it wont be a problem. It's not a quick acting thing, it takes about 7 days to be absorbed, so moving the time of a dose isn't a problem.

[susanclark in reply to SeasideSusie]

Thank you I’ve had milk and food but I will take it anyway just in case x

[Nanaedake in reply to susanclark]

milk interferes with levo absorption but it won't matter on this one occasion. If it happens that you forget again just double the dose the next day or I sometimes just add 50mcg over a couple of days to make up for the missed dose. It has a half life of 7 days so it's slow acting and timing is not so essential but good absorption is essential.

[susanclark]

Thank you your very reassuring x

[LAHs]

Yes, milk before thyroid meds is a no no. The reason is that you need an acidic stomach to absorb the medication and milk is just the opposite, it is taken to soothe an overly acidic stomach. Some people take apple cider vinegar to increase the acid in their stomach to aid absorption. Actually, I love milk and often have cocoa before bed, I am not sure whether it affects absorption 8 hours later, I haven't noticed any difference.

[Summer64]

I was rushed into hospital in January early in the morning so didn't get my thyroid meds. I don't have a working thyroid and I mentioned it to the doctor and he said it wouldn't hurt to miss it for one day so I did and felt no difference.

[susanclark in reply to Summer64]

I’m so sorry to hear that thank you very much for taking the time to help x

[Lily288 in reply to Summer64]

To Summer64

I love that you shared your experience in reply to a question. There's no better way than personal experience. 👋

[susanclark]

Thank you so reassuring x

[Chriskisby]

I am not sure taking a double dose is wise. If I took 250 of levo I am sure I would be having a pounding heart with palpitations! I sometimes have it with my usual 125 so if I know I have an easier day coming up I sometimes drop it to 100mg and that seemed to help.

I am currently back on my full dose as I was getting very constipated and feeling quite achy and tired and ready for bed at 9pm some nights! I had also gained a few pounds in weight too, but I feel better now.

I am sure one missed dose, or one taken a bit later would do no harm.

[susanclark in reply to Chriskisby]

Thank you x

[TSH110 in reply to Chriskisby]

Chriskisby

I have read some people just take a week’s worth in one go 😳 - that is every week cos they find it less hassle and they feel fine. I don’t think it would suit me but I take NDT which has T3 with a shorter half life than T4 plus I react really fast to medications. Missing a dose one day is not ideal but it is not serious. Odd to take it for 5 years and suddenly forget one day. I have short phases of forgetting it but keep some in my work bag for later when I remember I have forgotten 🙄

[Chriskisby in reply to TSH110]

Wow! Gives me palpitations just thinking about it!!!

[susanclark in reply to TSH110]

I wish someone would invent a patch for us wouldn’t that be good x

[TSH110 in reply to susanclark]

susanclark i think in the early days of discovering how to treat hypothyroidism sheep thyroids were transplanted under the skin and they worked but I presume the antibodies most of us have would destroy those eventually too ☹️

[Nellups]

I have no Thyriod and have missed a tablet before now, endo said to forget it and not to double dose won’t hurt missing the occasional one

[susanclark in reply to Nellups]

Thank you so reassuring x

[Catseyes235]

In 30+ years of taking thyroxine I've often forgotten my tablets . .usually due to rushing out in the morning or phone or some distraction. I usually divide my 150mcg in to 3 and add 50mcg to next 3 days. It just makes it gentler and avoids a quick hot flush! I use a 7 day pill keeper otherwise I'd be in a right muddle. not too fussed about taking after milk etc though usually have on an empty stomach first thing when I wake. Haha . . Just realised I forgot to take it this morning!,. Better late than never . .

[JOLLYDOLLY]

It happens occasionally but never double dose on medication, it is not good for you. If you have been taking it for that long religiously, missing one dose will not make a difference, you will have enough medication already in your system.

It is ironic really as I have taken it all my life, but it is not automatic for me to take it. I have to rely on a dosage box now and take it before my breakfast, otherwise I forget.

Take care and don't worry

[susanclark in reply to JOLLYDOLLY]

Thank you I was totally absorbed in another problem I have and that’s why I forgot them 🙄xxx

[JOLLYDOLLY in reply to susanclark]

It is easily done, as I have got older, I question myself all time, especially if I get distracted, also the main reason I use a dosage box now.

When my little sister lived with us (she passed away in May), she also had a thyroid condition and her dose was different to mine, so I had to be extra careful.

[Susan1233711]

I wouldn’t worry about it. As your aloud to go on holiday for up too 7 days with out your Levo, I too am on 125 Levo

[helvella Administrator Thyroid UK in reply to Susan1233711]

I'd notice a single day without. The mere idea of having to go without for seven days is horrible. Yes - that sort of thing is said by doctors, and there are many here who seem incredibly unaffected by missing tablets. Others notice within a day.