medscape.co.uk/viewarticle/...
This paper featuring uk patients showed a sizeable population don’t adhere to the guideline about 30-60min gap between thyroxine and food/drink. Many cited difficulties of trying to synchronise with breakfast and other medicines ie PPIs. Having taken it since childhood I was totally unaware of this requirement til I read it here in my 50s. As some will recall I am also required to take calcium tabs and no clinician ever advised me to leave a 4 hr gap. So the issue is two fold- one to ensure clinicians (mainly pharmacists) remind patients of these requirements and also a handy online pill timetabler where you can insert all your pills and relevant wake/sleep/meal times and other relevant info eg snacker
I take 14 pills daily and would so appreciate someone working out a timetable for me especially when a new often temporary med is added such as an antibiotic that can’t be taken with food and you have to take 2 hrs away from thyroxine /30 mins double dose lio and calcium/magnesium. My mind just fries.