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The therapeutic effects of digitalis glycosides may be reduced by levothyroxine. Serum digitalis glycoside levels how to buy synthroid be decreased when a hypothyroid patient becomes euthyroid.necessitating an increase in the dose of digitalis glycosides (see Table 2).
The dose of SYNTHROID for hypothyroidism or pituitary TSH suppression depends on a variety of factors including. the how to buy synthroid‘s age.body weight.cardiovascular status.concomitant medical conditions (including pregnancy).concomitant medications.co-administered food and the specific nature of the condition being treated [see Dosage and Administration (2.3).Warnings and Precautions (5) .and Drug Interactions (7)] . Dosing must be individualized to account for these factors and dose adjustments made based on periodic assessment of the patient’s clinical response and laboratory parameters [see Dosage and Administration (2.4)] .
Levothyroxine increases the response to oral anticoagulant therapy. Therefore.a decrease in the dose of anticoagulant may be warranted with correction of the hypothyroid state or when the SYNTHROID dose is increased. Prothrombin time should be closely monitored to permit appropriate and timely dosage adjustments (see Table 2).
Use caution in patients with adrenal insufficiency. may exacerbate symptoms or agravate them. treatment with glucocorticoids should precede levothyroxine therapy adrenal insufficiency present. initiation of thyroid hormone therapy prior to initiating glucocorticoid therapy may precipitate acute adrenal crisis in patients with adrenal insufficiency.
In patients with severe longstanding hypothyroidism.start with a dose of 12.5 to 25 mcg per day. Adjust the dose in 12.5 to 25 mcg increments every 2 to 4 weeks until the patient is clinically euthyroid and the serum TSH level is normalized.
Do not how to buy synthroid taking this medication without first consulting with your doctor. Thyroid replacement treatment is usually taken for life.
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