I am 31 year old female, 67 weight 5 feet height. My tsh level is 0.04. With doctor prescription I am taking 75 mcg thyronorm tablet. But now a days I am feeling dizziness and weakness. Is it due to high dose of thyronorm.
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Daer ma'm, it is possible that the dizziness may be related to the dose, a little titration can be tried to see what suits you. For that a few details are needed. 1. How long since you are being treated? 2. Was the dose recently changed? And a few more. Please consult if you need guidance on the titration. Also, get your blood sugar tested (since you mention you are diabetic). Take care.
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Hello, thanks for the query. Madam I have seen the details mentioned. Your tsh 0.04 mu/l is too low, suggesting you have been taking more than required quantity of levothyroxine. This has led to drug induced hyperthyroidism. It would have been better if you had mentioned t3 & t4 levels too. Ideally in a well controlled hypothyroid patient tsh should be maintained around 3 to 4 mu/l. So for the time being reduce the dosage to 50 mcg, then check tsh again after 6 weeks, to see if the desired level is achieved. If you have any questions please do come back. Thanks.
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1. get recent blood sugar levels , ECG . 2. thyronorm might be a little higher , consult to reduce dose (it takes 4-6months for thyroid levels to be accurate after changing dose of thyronorm. 3. monitor weight .
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Dear lybrate-user, the tsh value of 0.04 is low, suggesting that we should slightly reduce the dose of thyronorm. I suggest that you reduce the dose to one and a half of 50 ug tab (dose 62. 5ug) daily on empty stomach and recheck free t4 and tsh after 2 months and inform you need to maintain a tsh value of 1-5 uiu/ml regards, Dr. seshadri.
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