Thyroxine tablet may be taken at bed time too for hypothyroidism

Thyroxine tablet may be taken at bed time too for hypothyroidism 

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We know that Levothyroxine is one of the most commonly prescribed medications in the US and world wide .L-Thyroxine tablet is usually prescribed to take in empty stomach before breakfast because “We have plenty of evidence that taking levothyroxine with a meal decreases its absorption and may lead to variability in TSH levels,” says Amy Hess-Fischl, at the University of Chicago’s Kovler Diabetes Center.“For that reason, it’s recommended to wait 30-60 minutes after taking the thyroid hormone before we have breakfast, particularly for those with thyroid cancer, pregnant women, and those sensitive to thyroid fluctuations.”

“                        What this study proves is that calcium does affect absorption of levothyroxine, making it inadvisable to take with cow’s milk at the same time,” says Ms. Hess-Fischl.“For practicality’s sake, patients need to find a schedule to take their levothyroxine at a time that will not be affected by meals – some examples would be right when they get up and wait at least 30-60 minute, or plan to take it four hours after they finish eating for the night, if they are having calcium-containing foods such as milk or ice cream,”

            she tells EndocrineWeb.She notes that since people tend to continue to eat after dinner, scheduling a dose of levothyroxine in the evening can be as problematic as taking it first thing in the morning.“It’s also easier to forget to take the medication in the evening,” she tells EndocrineWeb.So it cant be taken in evening.The research brings into question what other foo ds and dietary substances aside from milk, soy, and iron that have yet to be studied that may also interfere with levothyroxine.

               But to take it at bed time after 3-4 hrs of dinner is idle as another point in planning for bedtime dosing of your levothyroxine is other medications. Ideally, levothyroxine should be the only medication taken at bedtime. Just as with morning dosing, it is best to avoid co-administration with other medications such as statins, blood pressure drugs, and metformin.If we take other medications that must be taken in the evening, consider adjusting the timing of these medications so we take them with dinner, leaving four hours afterward so you can take the levothyroxine at bedtime.