Night time meds

[Cmoor]

Hi peeps,

So I decided to take my 75mg Levo at night now after reading other posts and assurance that it's ok to do so as long as I leave a few hours after I've eaten a big meal. The reason I decided to change is because I could only have 30 mins after taking levo before having my breakfast so I can take my antidepressnts which I have to take first thing and wondering if my antidepressnts were not helping with the absorbstion of levo anyways I have noticed a slight difference I feel more positive and a little less sluggish but today I'm feeling very dizzy and cold especially in my hands so I'm not sure if it was the right thing to do. Has anybody got any idea if this is related to changing from morning to night time?

Kind Regards

Clare x

[helvella Administrator Thyroid UK]

Cmoor,

Some people feel that taking levothyroxine at bed-time feels like a very small dose increase.

Impossible for us to say whether it is related to changing time - or not. But it could be.

(I have always taken mine at bed-time so cannot compare taking it morning and bed-time.)

[shaws Administrator]

Quite a few people prefer bedtime dosing. If so, and you are going to have a blood test for thyroid hormones the next day, miss this night dose and take after test (where you have fasted - you can drink water - and take it afterwards and take night dose as usual.

You mention that you take Antidepressants in the morning but I just wondered if you have had a Free T4 and Free T3 blood test to make sure both are towards the upper part of the ranges as low FT3 may be responsible for 'depression' and you actually might need an increase in dose of levo.

The aim is a TSH of 1 or below with FT4 and FT3 in the upper part of the range. This is a link and read within why these two should be tested if we are having clinical symptoms.

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

This is an extract and another link:

In a person with hypothyroidism, however, the thyroid gland does not fully respond to TSH, so blood levels of T3 and T4 remain low. ... When thyroid hormone levels are low, many organs and internal systems slow down, creating a wide range of symptoms — including depression.1 Jul 2011

When depression starts in the neck - Harvard Health

health.harvard.edu/newslett...

T3 is the Active hormone required in all of our T3 receptor cells. T4 is inactive (prohormone) and it has to convert to T3 sometimes it doesn't do so effectively.