Feeling hot after levothyroxine: I recently (1... - Thyroid UK

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Feeling hot after levothyroxine

bajmon profile image
12 Replies

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?

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bajmon
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12 Replies
RedApple profile image
RedAppleAdministrator

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 profile image
bajmon in reply toRedApple

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 profile image
RedAppleAdministrator in reply tobajmon

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 profile image
bajmon in reply toRedApple

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 profile image
RedAppleAdministrator in reply tobajmon

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 profile image
RedAppleAdministrator in reply toRedApple

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 profile image
SlowDragonAdministrator

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 profile image
bajmon in reply toSlowDragon

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

SlowDragon profile image
SlowDragonAdministrator in reply tobajmon

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 profile image
bajmon in reply toSlowDragon

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 profile image
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 profile image
bajmon in reply toSarahJane1471

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

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