Recently my endo added 5mg Nebilet(beta-blockers) to my regular morning thyroid hormones(125mcgT4/10mcgT3) due to high blood pressure (160/87 and 90-100pulse). He saw me in the morning (about 10am) and take my bp and he told me, is high. So, or I give up to take t3 or have to take beta-blk. I asked him, when to take it and he told me that, together with my hormones (at the same time). I asked him not after an hour??? and he said, no.
It' ok like this?
Hmmm… suspicious. Is he really that ignorant? Or is he setting you up to fail? You must not take a beta blocker at the same time as your thyroid hormone. You should wait at least two hours.
However, do you really need a beta blocker? Are you adequately treated for your hypo? High blood pressure can be a symptom of under-medication. Do you have a copy of your latest results? If so, post them here, with the ranges, and let's have a look.
In any case, it's unlikely that 10 mcg T3 is causing your high blood pressure. Sounds like he just doesn't want you to take it. So, be careful what you say. 
Thank you for response, if I do not take t3 just levo, the b.p. is good but I have anxiety(around 11-12a.m) my visual field is distorted somehow as if it were a tunnel and my pulse is around 87. If I take T3 my b.p. and pulse increases above normal and decreases towards noon. My latest analysis is ft4 16,09 (12-22,3) , ft3 5,4(3,2-6,8) and tsh 0,05. In the past when I didn't take t3 my ft3 was 3,8 on 125 mcg levo only. My endo would like to increase my dose further based on my weight too. He told me that my current levo dose is not enough he would like to take 150mcg. I also feel that it is not enough but doc. told me to wait another two months then he decides. I was on ndt but I didn't feel good so I went back on the synthetic.
It's not the levo you need to increase, because you obviously don't convert very well. You need to increase the T3.
Have you had your nutrients tested: vit D, vit B12, folate, ferritin? If not, that should be your next step.
Vit.D3 is low but I take 2.000iu/day, B12 folate and ferritin are good. Hm, I don't know wath I say, If I take to much T3 my chest hurts and behind my head and it fattens me up.
OK, well, in that case, try increasing the levo, and see what happens.
Are you taking the vit D cofactors: magnesium and vit K2-MK7?
If I try to increase the levo I become very anxious (around 11 am) . No, I taking only vit.D. and Mg bisglicinate and Coenzima Q10.
Well, you really should be taking vit K2 as well. Taking vit D increases absorption of calcium from food, and the K2 makes sure it goes into the bones and teeth, and doesn't build up in the soft tissues, where it can cause all sorts of problems.
I have wanted to order for a long time vit K2 but I forgot but I' ll do. The main problem remains the dose of hormones, I don't know how to fix it.
Have you had your cortisol tested?
Only serum cortisol, which is good( at the top half of the range). Doctors do not want to hear salivary cortisol, yes I know it's sad.
Well, it's just that they know nothing about it. They wouldn't understand the results.
You are right, I thought about doing the salivary cortisol analysis on my own, but I do not know how to interpret the result. Or maybe I take some adrenal cortex extract.
I wouldn't take anything without doing the 24 hour saliva test, if I were you. You don't know what you're dealing with.
Wow I'm going through the same thing!
I take tirosint 112mg because 137 and 125 gave me bad heart palpitations. Also, was on T3 10mcg but, due to chest pains, I lowered it to 5 mcg.
My TSH is also very low 0.014 which definitely makes me feel hyper no matter what people say, that the TSH doesn't matter.
I'm on the verge of giving up on tirosint which, I've been on for 2 months. All my vitamins are fine and, even my cortisol levels.
I was in NP thyroid and it wasn't working. I'm so over this but, unfortunately we have to keep trying! I had a total thyroidectomy so I have no choice.
I'm thinking of trying Armour. Oh, I was also suggested a beta blocker! Don't want it ugh.
Good luck to you!
I used to take Levothyroxine , T3 and Beta Blockers. My doctor also told me to take them altogether in the morning.
I have never done this after taking advice from the wonderful people on this forum.
Take your thyroid meds in the morning and your Beta blockers before you go to bed ! As far away from each other as possible.
There have been some recent studies that show beta blockers are much more effective if taken at night and not in the morning as has always been the instruction from the doctor. !!
If it helps you, take it when you feel you need it, but taking it with your thyroid hormones may interfere with them working correctly, so just be aware of that in case you’re not experiencing any improvement.
From the beta blockers? Mainly tiredness and lethargy as they slow the heart down.
When I first started on them, it felt like I was walking through treacle! But I wasn’t on thyroid hormones then, so didn’t have to worry about that. However, that was 30 years ago, and thinking back, with what I know now, I was experiencing many thyroid symptoms and that was why I was having palpitations and high bp, because I had an under active thyroid. Back then , I was ignorant about the thyroid and my gp sadly, never enlightened me. I discovered my problem only 3 years ago at the age of 60.
Trying to come off beta blockers
Levothyroxine and Beta Blockers
Beta Blockers do they reduce T4 to T3
