Levothyroxine 25mg / propranolol?

[Malteser56]

Hello again, I’m having a bad day, I’m wondering if anybody knows can I take propranolol with Levothyroxine?

[Buddy195 Administrator]

Hello again,

Yes I take Levothyroxine and Propranolol. Initially I had a high dose of the beta blocker but it didn’t agree with me (felt exhausted), so now just take 10mg propranolol as needed (ie not every day- just if anxious or have palpitations). You are not alone in feeling this way. Remember the anxiety will pass. It takes time for medication to work. My advice is to start at a low dose and work up until you feel better. 👍😊

[Malteser56]

You are quickly becoming my new best friend, 🥴, It is so nice to have someone to talk to about all this, someone that understands

[MaisieGray]

You cannot take it "with" Levo, but you can take them separately. Propranolol has certain antithyroid effects so it is important that you keep a couple of hours between them.

[SlowDragon Administrator]

It was initially the only way I could take high enough dose of Levothyroxine, to take propranolol as well.

It can help reduce anxiety and that helps adrenals recover

Either taking as and when you need it, or as small doses 2 or 3 times per day

But if taking regularly, it's essential when you eventually want to ween back off, it must be done very very slowly

How much Levothyroxine have you been started on?

How long on current dose?

Have you had vitamin D, folate, ferritin and B12 levels tested?

[Malteser56 in reply to SlowDragon]

I was on 50mg of Levothyroxine taken for 2 weeks, but found it far to strong, started on 25mg today, don’t take anything else, hopefully it will help calm me a bit, also haven’t slept more than a couple of hours a night, feeling awful at the moment,

[MaisieGray in reply to Malteser56]

Possibly not, that may be counter-productive as being under-medicated can itself cause anxiety.

[SlowDragon Administrator in reply to Malteser56]

First thing is, do you have any actual blood test results? if not will need to get hold of copies. You are legally entitled to printed copies of your blood test results and ranges.

UK GP practices are supposed to offer online access for blood test results. Ring and ask if this is available and apply to do so if possible, if it is you may need "enhanced access" to see blood results.

In reality many GP surgeries do not have blood test results online yet

Alternatively ring receptionist and request printed copies of results. Allow couple of days and then go and pick up.

For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested. Also important to test vitamin D, folate, ferritin and B12

Low vitamin levels are extremely common, especially if Thyroid antibodies are raised Or if very hypothyroid

Ask GP to test vitamin levels next week, and thyroid antibodies, if not been done

Come back with new post once you get results and ranges

[helvella Administrator]

The dosing of thyroid hormones is usually in micrograms (mcg) - not milligrams (mg).

The document linked below says it all, I hope:

dropbox.com/s/q00vyt5703f4u...