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Symptoms of Too Much Levothyroxine Thyroid Medication
Symptoms of Too Much Levothyroxine Thyroid Medication
A massive L-Thyroxine (T4) overdose may be accidentally and unintentionally ingested, most commonly by children and adolescents. It may occur intentionally in young and older adults in an attempt to lose weight, with suicidal intentions, or for undeclared purposes. In some localities thyroxine may be obtained at drugstores without prescription (mostly in the generic form). In some reports thyroxine preparations by a pharmacist had an erroneous LT4 dosage. Thyroid hormone pills used to treat hypothyroid dogs typically contains a much higher dose of thyroid hormone and if mistakenly taken by humans can lead to thyroxine poisoning.
As your thyroid hormone medication dose increases, your heart rate will start to increase as well. We report a case of asymptomatic levothyroxine over dosage (2.5mg) in a chronic hypothyroid patient who also was concomitantly taking propranolol and sertraline for adjustment disorder. Thyroid function tests are not routinely indicated following thyroxine overdose.
Serious side effects of Synthroid
Levothyroxine is the first-line drug for the treatment of hypothyroidism 2. Massive amounts of levothyroxine may be ingested intentionally or accidentally. The most common intentional reasons include weight loss and suicidal ideation among others. A potentially toxic dose includes acute ingestion of more than 5 mg of levothyroxine or 0.75 mg of triiodothyronine 3. Given the varied presentations of levothyroxine overdose and a lack of clear benefits of various treatment modalities, treatment of levothyroxine poisoning is challenging, and there are no specific guidelines available. Here, we present a case of levothyroxine overdose in a 69-year-old male with ingestion of 9 mg of levothyroxine.
For healthcare professionals
Nowadays, you can use tracking devices such as an Apple Watch, Fitbit, or various other wearable technologies to keep track of this information for you. It doesn’t allow for the normal peaks of various hormones such as progesterone and estrogen and it is these problems that lead to infertility. You need to put it together with the other symptoms we are discussing here today.
The exact opposite is true when your dose of levothyroxine is too low. As your dose of levothyroxine increases, it will become more and more difficult for you to fall asleep and have a restful night’s sleep. The higher your dose of levothyroxine the more amped up you will feel and the more prone to anxiety you will become. To complicate things further, you should also be aware that levothyroxine itself can cause hair loss.
Other symptoms of taking too much thyroid medication can include anxiety, diarrhea, weight loss, and trouble sleeping. It’s important to identify these side effects and tell your healthcare synthroid tiredness provider, so they can help you find the dose of levothyroxine that’s safe and effective. Thyroid hormones can increase the body’s metabolism and promote weight loss.
- Administering activated charcoal to a patient who has co-ingested a sedative is fraught with danger.
- Dangerous side effects or death can occur from the misuse of levothyroxine, especially if you are taking any other weight-loss medications or appetite suppressants.
- In some cases, they may want you to use a medication known as a beta-blocker which can help reduce the side effects you are experiencing.
- Sodium Ipodate (oral cholecystographic agent) has also been used for blocking the conversion of LT4 to T3, but it is no longer generally available.
- These interactions can be avoided if levothyroxine is taken at least 30–60 minutes before consuming any of these foods and beverages.
Symptomatic patients require correction of dehydration and control of hyperthermia. Unintentional exposures in excess of 5 mg (5000 mcg) of thyroxine may benefit from administration of activated charcoal. Most unintentional exposures can be treated with no decontamination, prudent follow-up, and observation at home, especially if the calculated dose is below 4 mg (4000 mcg). 7 Virtual or telephonic follow-up should be conducted up to 10 days after exposure. Your provider will measure and monitor your vital signs, including temperature, pulse, breathing rate, and blood pressure. Larger doses may produce serious or even life-threatening manifestations of toxicity, particularly when given in association with sympathomimetic amines such as those used for their anorectic effects.
Fortunately, these side effects are quite rare and it’s unlikely that you will experience them because most people will go to their doctor long before they experience them. The patient had no discomfort after discharge, and thyroid function gradually returned to normal. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. NP Thyroid is used for hashimoto’s disease, hypothyroidism, after thyroid removal, thyroid cancer … Euthyrox (levothyroxine) is used to treat hypothyroidism and to treat or prevent goiter. Synthroid works best if you take it on an empty stomach, 30 to 60 minutes before breakfast.
According to research, about 20-30% of all thyroid patients taking thyroid medication are taking more than they need at any given time. We report herein a case of a 21-year-old woman with a history of hypothyroidism and depression who took 200 tablets of levothyroxine, more than 10 tablets of clonazepam, and 20 tablets of zolpidem after mental stimulation. She ultimately developed symptoms of thyrotoxicosis, such as arrhythmia, dyspnea, dizziness, and coma. Because symptoms generally revolve around cardiovascular manifestations of thyrotoxicosis, admit to a cardiac monitored bed while appropriate beta blockade, IV hydration, and control of agitation and hyperthermia are achieved. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention.
Thyroxine overdose
There are plenty of other conditions, including other hormone imbalances such as menopause, which can make it difficult for you to get enough sleep. And, unfortunately, many people are either taking too much or simply not enough resulting in all sorts of symptoms. This section collects any data citations, data availability statements, or supplementary materials included in this article.