Problems with Aristo Levothyroxine?

[helenshubby]

Anyone had issues with Aristo Levothyroxine. My wife is finding it starts to disolve in her mouth & she feels sh*t. Been on it 11 days. Usually on Tea.

Urgent advice please.

[helvella Administrator Thyroid UK]

There have been several posts about Aristo recently. Follow this link to find them (newest first).

healthunlocked.com/thyroidu...

Yes - Aristo can start to disintegrate as soon as you put it in your mouth. I just swallow with water as I do with any other tablet.

It is my preferred product!

We actually have quite a number of members who find Teva intolerable but get on fine with Aristo. Which all rather emphasises that we are individuals with all sorts of variations.

helvella's medicines documents (UK and Rest of the World) can be found here:

helvella - Thyroid Hormone Medicines

helvella has created, and tries to maintain, documents containing details of all thyroid hormone medicines in the UK and, in less detail, many others around the world.

This link takes you to a page which has direct links to the documents from Dropbox and QR codes to make it easy to access from phones.

The UK document contains up-to-date versions of the Summary Matrix for tablets, oral solutions and liothyronine available in the UK.

helvella.blogspot.com/p/hel...

[SlowDragon Administrator]

so request new prescription and get note added to all future prescriptions

Teva brand only

Government guidelines for GP in support of patients if you find it difficult/impossible to change brands

gov.uk/drug-safety-update/l...

If a patient reports persistent symptoms when switching between different levothyroxine tablet formulations, consider consistently prescribing a specific product known to be well tolerated by the patient.

If symptoms or poor control of thyroid function persist (despite adhering to a specific product), consider prescribing levothyroxine in an oral solution formulation.

academic.oup.com/jcem/artic...

Physicians should: 1) alert patients that preparations may be switched at the pharmacy; 2) encourage patients to ask to remain on the same preparation at every pharmacy refill; and 3) make sure patients understand the need to have their TSH retested and the potential for dosing readjusted every time their LT4 preparation is switched (18).

And here

pharmacymagazine.co.uk/clin...

Discussed here too

healthunlocked.com/thyroidu...

How to specify brand of levothyroxine