Feeling hot after levothyroxine

[bajmon]

I recently (12/01) had my dose changes to 75 6 days a week and 100 on Sunday. I wake up usually at 6:30 naturally and take the dose and fall back to sleep for another hour. When I wake up, I fell very hot and I never had that with the lower dose (50 and 75 alternate days).

I took levo this morning again at usual time but couldn't get back to sleep and I'm getting very hot again about an hour later. Is this something anyone have experienced?

[RedApple Administrator]

bajmon, This might be an indication that your dose is now a little too high for you.

Has your doctor scheduled another thyroid blood test for you soon? Your levels should always be re-tested after a dose change.

[bajmon in reply to RedApple]

That's what i was wondering. I also feel but irritated all the time and have been stressed about everything. She has requested test 4weeks post starting new dose and everyone tells me it's too soon.

[RedApple Administrator in reply to bajmon]

Symptoms are important alongside blood levels. If you feel bad, you might consider lowering your dose yourself. If it were me, I would not take the extra on Sundays at least.

[bajmon in reply to RedApple]

I was not sure about doing that as i don't know when i should start seeing improvement and symptoms settling but i have considered taking 75 on Sunday.

[RedApple Administrator in reply to bajmon]

Some people find they need to increase dose more slowly. 25mcg extra every day is convenient for doctors to prescribe because that's a standard tablet size. But it can be too much too soon for some people, who need to take it slower with 12.5mcg daily increments.

[RedApple Administrator in reply to RedApple]

Another thing you can try, is splitting the daily dose into two. So maybe 50mcg in the morning, and the other 25mcg at night. This can give a more 'even' feeling and not trigger the 'rush' of symptoms some get by taking it all in one go.

[SlowDragon Administrator]

Feeling a bit “over treated “ can happen after dose increase…..but should/likely settle after a few weeks…..the rest of your endocrine system has to catch up with increased metabolism

Retest bloods 8-10 weeks after dose increase

Test early morning before eating or drinking anything other than water and last dose levothyroxine 24 hours before test

Come back with new post once you get results

[bajmon in reply to SlowDragon]

Thank you. My Endo has requested to test 4 weeks after and I think I'll reschedule to 6-8

[SlowDragon Administrator in reply to bajmon]

I have found it better to wait 10-12 weeks, if possible before testing

I would always feel awful weeks 4-7 …..then a bit over treated weeks 8-10 before beginning to settle

[bajmon in reply to SlowDragon]

That's very helpful. Thanks. I think I'll reschedule blood and endos next appointment. I'm seeing her privately so don't fancy paying another £300 4 weeks after.

[SarahJane1471]

I remember having the exact same reaction when I first started Levo . But it only lasted a couple of weeks. I just tried to ignore it. Sorry if that isn’t helpful 🙏

[bajmon in reply to SarahJane1471]

That's what I've been doing. I don't want to just lower the size by myself. It was out up because my tsh was 2.94 again and i was feeling terrible