I’m at my wits end with my eyes : before... - Thyroid UK

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I’m at my wits end with my eyes

Baileyleigh123 profile image
36 Replies

before Christmas my thyroxine was put up from 150 mg to 200 mg a few weeks later my eyes swelled up that bad I had to go a and e they said I’d had an allergic reaction to something so they gave me steroids to take 8 a day for 5 days when I finished them I’ve noticed they are still at it and I’m scared there going to do it again , I put my thyroxine back down to 150 thinking this could be the cause if anyone has any knowledge of this please could you let me know I know I have also got some inflammation in my body which I found out through a stool test but nothing ever came of it thankyou

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Baileyleigh123 profile image
Baileyleigh123
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36 Replies
helvella profile image
helvellaAdministrator

I suggest you consider the possibility that it is the precise formulation of levothyroxine and you are suffering an adverse reaction.

It might be worth seeing if you can get hold of another make which has different exceptions (inactive ingredients). But keeping on with the ones you have looks like a very bad idea.

Which make are you taking?

helvella - Thyroid Hormone Medicines - UK

The UK document contains up-to-date versions of the Summary Matrixes for levothyroxine tablets, oral solutions and liothyronine available in the UK. Includes injectables and descriptions of tablet markings which allow identification. Latest updates include all declared ingredients for all UK-licensed products and links to Patient Information Leaflets, Dictionary of Medicines and Devices (dm+d), British National Formulary, NHS Drug Tariff, etc. PLUS how to write prescriptions in Appendix F.

Now also includes latest pricing information from dm+d..

Also includes links for anti-thyroid medicines (but not product details).

Direct link to PDF:

📄 dropbox.com/s/bo2jzxucgp9hl...

Direct link to blog:

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

Baileyleigh123 profile image
Baileyleigh123 in reply tohelvella

Lethyroxine and have for about 30 years x

helvella profile image
helvellaAdministrator in reply toBaileyleigh123

But which make? :-)

There are about seven different products on the market in the UK - all different.

Baileyleigh123 profile image
Baileyleigh123 in reply tohelvella

Accord

helvella profile image
helvellaAdministrator in reply toBaileyleigh123

Accord has:

Lactose

Magnesium stearate

Maize starch

Pregelatinised maize starch

Stearic acid

Although lactose is a problem for some, most people seem OK with the rest of those ingredients. Some find lactose-containing levothyroxine is a problem even if they have no other evidence of lactose intolerance.

I suggest asking if you could at least try Aristo Vencamil. It is lactose-free and quite a number of members find it better tolerated than others.

Baileyleigh123 profile image
Baileyleigh123 in reply tohelvella

Ok thankyou xx

Lora7again profile image
Lora7again

I noticed nobody has replied to you yet. Do you think you might have TED? You can have it with both Graves’ and Hashimoto’s disease.

btf-thyroid.org/ted-faqs

Baileyleigh123 profile image
Baileyleigh123 in reply toLora7again

I’ve no idea but I think it’s going to come back x

SlowDragon profile image
SlowDragonAdministrator

Increase in Levo should only be in 25mcg steps

Some people need even smaller increments of 12.5mcg

Which brand Levo tablets are 100mcg and 50mcg

Do you have any 25mcg tablets

If not …..cut 50mcg in half to get 25mcg

What vitamin supplements are you taking

Baileyleigh123 profile image
Baileyleigh123 in reply toSlowDragon

I stopped all vitamins slow dragon cos I thought it could be one of them what was causing it I just have 100 mg tablets of levotyroxine x

SlowDragon profile image
SlowDragonAdministrator in reply toBaileyleigh123

Which brand

Cut 100mcg into 1/2 and 2 x 1/4

Take 3/4 of a tablet per day to get 175mcg

Retest in 8 weeks after being on constant unchanging dose and brand of levothyroxine

pennyannie profile image
pennyannie

Hello Baileyleigh :

Could you pop into an optician and ask the ophthalmologist to ' look behind you eyes ' ?

as this may well throw some light on what is going on -

Please ensure if using any ointment, drops, lotions or sprays, to ease this discomfort, that

ALL are Preservative Free - even those prescribed.

Baileyleigh123 profile image
Baileyleigh123 in reply topennyannie

It’s actually all round my eyelids and under my eyes the swelling my eyes are not affected inside x

pennyannie profile image
pennyannie in reply toBaileyleigh123

It reads like an allergy to something - any new products ?

A couple of months ago your eyes were red and sore - was this the same issue now worse or a different problem ?

I'd try an optician just to be sure -

I was told by my GP I was dealing with conjunctivitis and given a tube of heavy duty grease - when no better after a week I travelled back to see my own optician who after looking behind my eyes -put me in a Taxi - to go directly to Moorfields Eye Hospital -

I'm not saying this is your problem - but an optician is more likely to have seen more to know how to help you - otherwise its A & E ?

Baileyleigh123 profile image
Baileyleigh123 in reply topennyannie

Thankyou if they come back I will try that I put a picture on how bad they were but someone turned posts off on it was just showing people so they had an idea x

helvella profile image
helvellaAdministrator in reply toBaileyleigh123

I only switched off replies there to avoid comments being split between two threads. When members have two threads at the same time, we often see confusion and repetition of questions, suggestions, etc.

I added a link from that post to this thread. And from your original post in this thread to that one with the photo. So members should find it quite easy to jump between the two posts.

You can add photos to replies, if you wish.

Baileyleigh123 profile image
Baileyleigh123 in reply tohelvella

Was just wanting people to see how bad they were and I couldn’t post it on the original post it was just not letting me sorry about that x

helvella profile image
helvellaAdministrator in reply toBaileyleigh123

You could add it to a new reply on this thread, if you wish. :-)

Yes - there are issues in adding images to existing posts/replies.

Baileyleigh123 profile image
Baileyleigh123 in reply tohelvella

It won’t let me kept trying lol

Tiggywoos profile image
Tiggywoos

oh my goodness you poor thing they look incredibly painful. Surely you need a steroid injection then course of steroids to get that inflammation down ? They steroids should h have been tapered down very slowly with those eyes id say ? I’d be going to A and E xx

optician would prob send you straight to eye clinic at local hospital so it wouldn’t be a bad idea to go opticians if can get in today especially if you think A and E is going to be a long wait . I would say You definitely need bloods done to see if they can piece together what’s going on 🤔

Ps I’m not dr 👩‍⚕️ but had exactly same thing with eyes and it wasn’t an allergic reaction . I really hope you get some help soon 😘

Baileyleigh123 profile image
Baileyleigh123 in reply toTiggywoos

They have gone down now that’s what they were like when I went to the hospital but I’m dreading them going like that again they have still been a bit red and itchy what was yours caused through instead of keep giving me tablets they need to get to the bottom of it thanks for the reply x

Tiggywoos profile image
Tiggywoos in reply toBaileyleigh123

Well .. very long boring story but they thought it was dermamyositis but now 5 years on I’m Undifferentiated connective tissue disease on lupus spectrum . Did hospital do you bloods ? X

Baileyleigh123 profile image
Baileyleigh123 in reply toTiggywoos

No they didn’t but I also had dermatitis on my hand a few months ago what came out of no where it’s just a nightmare I want to get back to normal x

Tiggywoos profile image
Tiggywoos in reply toBaileyleigh123

hospital could / should sent your pics to dermatologist if there wasn’t one available at time ?

Lora7again profile image
Lora7again

I just saw your eye picture. They look so sore you poor thing

Baileyleigh123 profile image
Baileyleigh123 in reply toLora7again

They really was thanks a lot better now just scared of it coming back x

humanbean profile image
humanbean

Your eyes actually look quite like mine do when I have eczema around my eyes. I never found a cause for it and it has been happening occasionally since long before I was ever treating my thyroid.

I first developed eczema when I was 9 years old and I'm now in my 60s. I (mostly) got rid of the eczema in my 50s and the things that helped were increasing my Vitamin B12 level to top of the range or over, despite the fact my serum B12 was never low. But the important thing for me was I had to supplement with methylcobalamin which is the active form of B12. I had previously supplemented B12 with cyanocobalamin which is the cheapest form of B12 there is and it hardly exists in nature.

The other thing I need to keep my eczema at bay is methylfolate which is the active form of folate. I had previously taken folic acid which is an artificial form of folate. I aim to keep my folate level at the top of the range but not over the range.

So to summarise - my eczema and my skin generally has massively improved since taking :

Methylcobalamin - I take my B12 to top of range or over - it isn't poisonous at high levels.

Methylfolate - I take this to top of range. If there is no top of range I aim for 20 micrograms/L.

Both the above supplements can be bought without prescription. If you decide to try these I wouldn't buy a lot the first time you buy if you haven't tried them before, just in case it doesn't suit you.

Baileyleigh123 profile image
Baileyleigh123 in reply tohumanbean

Thankyou I will try this because I stopped my b12 I was thinking it could be anything x

humanbean profile image
humanbean

my thyroxine was put up from 150 mg to 200 mg

I don't know why doctors do this - it is far too big an increase all in one go. Your dose wasn't low at 150mcg, so increases should have been done at a slower rate.

I would have suggested adding 12.5 mcg per day then getting tested 6 - 8 weeks later. If your results were still too low when tested I would then have added a further 12.5 mcg per day for another 6 - 8 weeks, and then another test.

Some of us suspect that big increases in dose all in one go are given in order to set the patient up to fail so they stop asking for increases in their dose - but then I'm cynical and don't trust doctors.

The closer you get to an ideal dose the smaller the dose changes should be, up or down. Some people have found that they miss their "sweet spot" by raising (or dropping) dose too fast.

Baileyleigh123 profile image
Baileyleigh123 in reply tohumanbean

Yes I agree with you x

asiatic profile image
asiatic

Your eyes look identical to mine did a couple of years ago. Dermatologist diagnosed periocular dermatitis and prescribed Tacrolimus which cleared it up in a couple of days. She told me to use it at the first sign of them flaring up again. I blamed it on a reaction to the Covid Jag but I could be wrong. It hasn't come back thank goodness. I have TED but this was different. It was the skin around the eyes that was red and inflamed.

Baileyleigh123 profile image
Baileyleigh123 in reply toasiatic

It’s awful isn’t it x

asiatic profile image
asiatic in reply toBaileyleigh123

Yes I can empathise with you. I was amazed how quickly the Tacrolimus cleared it. GP sent photo to Dermatologist who sanctioned it as I don't think GP can prescribe it. You may want to check with your GP if he would do this for you.

Baileyleigh123 profile image
Baileyleigh123 in reply toasiatic

The ones they gave me were really good I had to take 8 every day for 5 days but when I finished them I noticed it coming back a couple of days later they had give me extra so I’m just finishing them at 10 mg a day where the original dose was 40 mg I really hope it doesn’t come back haven’t got many left x

asiatic profile image
asiatic in reply toBaileyleigh123

What tablets were you given? Tacrolimus is an ointment and easy to use whenever needed

Baileyleigh123 profile image
Baileyleigh123 in reply toasiatic

They were called prednisone x

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