First increase in Levothyroxine due soon - advice needed

[NortherlyRose]

I’ve been taking 50mcg of Accord Levothyroxine for 4 weeks for hypothyroidism and I’m seeing my GP on Friday to schedule blood tests for next week (week 5). My initial blood test results are in my profile. I have had very helpful advice on these previously.

I read somewhere that repeat blood tests at 4-6 weeks are recommended for over 65s like me. I’m keen to increase the dose, but don’t want to rush things and make matters worse.

Would it be better to wait a full 6 weeks?

Thanks to this forum I know about getting my blood test done first thing in the morning and not taking Levothyroxine until afterwards.

I’ve had slight palpitations and anxiety surges since taking Accord Levothyroxine but not so bad that I sought medical advice. I think this is probably due to being under medicated, rather than the side effects of the medication.

Accord Levothryoxine isn’t available in 25mcg tablets so I am wondering what to do. My local pharmacist stocks Wockhardt 25mcg. Should I ask my GP to request 50mcg Accord + 25mcg Wockhardt, or ask for the whole prescription to be issued as Wockhardt? I’m not keen on pill splitting unless that’s unavoidable.

Any advice would be very much appreciated.

Best wishes

Rose

[Buddy195 Administrator]

We advise to wait 6-8 weeks after a change in medication to have a blood test. Personally, I like to wait the full 8 weeks as it seems to take my body this amount of time to fully adjust to the dose change.

I take a number of brands to make make up my daily Levo dose. I have the brands I can tolerate written (by GP) on my prescription.

I also experienced palpitations/ anxiety when first diagnosed and whilst adjusting doses. I found it beneficial to adjust very slowly- whereas some members are fine increasing by 25mcg Levo, I need to do this in increments of 12.5mcg (alternate days at first).

[NortherlyRose in reply to Buddy195]

That’s really helpful. Thank you so much.

[Tina51]

hi at the moment I’m having my levo amounts changed and monitored as I’m in for an op soon, was on 100 gms but had to decrease to 15 as anaesthetist said thyroid was imbalanced so op pushed back couple of weeks to ensure new amount levelled so I’m not the person to ask. Sorry unless this helps ie. It’s not a perfect science me thinks. Good luck.

[NortherlyRose in reply to Tina51]

Thank you.

There’s so much to it. I had no idea that getting optimal treatment would be such a challenge.

Do hope all goes well with your operation.

[kaula]

sorry it take me to long to write you back i have been on different kinds of Lev to fit

my body and take blood test to check on my blood level donot worry about.