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If you are taking a thyroid hormone replacement drug like levothyroxine (Synthroid, Levoxyl, Levothroid, Unithroid, Tirosint), liothyronine/T3 (Cytomel, compounded), or natural desiccated thyroid drugs (Armour, Nature-throid), you may be making one of these common mistakes.
Not Taking Your Medication at All
Some patients decide, without their doctor's approval, to go off thyroid medications entirely.This can be dangerous if you have a surgically removed or radioactive ablated thyroid, or if your thyroid is atrophied or underactive due to Hashimoto's disease. Read more about patients who refuse to take their thyroid medication.
Inconsistency in How You Take Your Medication
One of the keys to success with thyroid medication is consistency. That means, taking your prescribed dosage, daily, at the same time each day. You also want to be consistent about other issues, such as whether you take your medication with or without food, and before or after starting/stopping a high-fiber diet.
Missing Doses of Thyroid Medication
If you have trouble remembering to take your thyroid medication, you are not alone. Some people find it difficult to get into a routine of taking thyroid medication daily, and at the same time each day. Here are ten creative ways to remember to take your thyroid pill.
Taking Generic Levothyroxine
For some patients, the variation in consistency from one maker of generic levothyroxine to another can have a negative impact on proper thyroid replacement.
If you have this experience, you may want to ask your doctor about writing a "dispense as written/no substitutions" prescription for a brand name levothyroxine.
Drinking Coffee With Your Thyroid Medication
Coffee can interfere with the absorption of your thyroid medication. So if you want to drink your morning coffee, take your medication, and wait at least an hour before drinking coffee. (Note: the levothyroxine drug Tirosint, a liquid-cap form, appears to be unaffected by coffee, and may be able to be taken together.)
Not Considering Taking Your Thyroid Medication at Night
If you must have your coffee first thing, or you need to eat in the morning, or take calcium and iron supplements in the morning, you may want to discuss with your doctor whether to take your thyroid medication at bedtime. This can help aid in effective absorption of your medications.
Taking Calcium or Calcium-Rich Foods Too Close to Your Thyroid Medication
Be careful about taking calcium supplements, calcium-fortified orange juice, and high-calcium foods (i.E, Greek yogurt) at the same time as thyroid hormone. Allow at least 2 to 3 hours apart from your thyroid medication, so that absorption is not impaired.
Eating High-Fiber Foods or Taking Fiber Supplements Too Close to Your Thyroid Medication
Be careful about eating high-fiber foods, or taking fiber supplements, with your thyroid medication. The fiber can impair the absorption of your thyroid medication.
Taking Thyroid Medication Too Close to Certain Medications
You need to be careful about taking thyroid medications along with other medications. For example, you should not take antacids within two hours of thyroid hormone. Allow at least two to three hours between your thyroid medication and antacids, so absorption is not affected. Watch for interactions with antidepressants and thyroid hormone. Zoloft, Paxil and Prozac, for example, can make thyroid medications more or less effective, and may mean you need a dosage change in your thyroid medication. Proton pump inhibitor drugs like esomeprazole and omeprazole -- which are taken to combat stomach acid -- can also impair absorption of thyroid medication.
Not Taking Thyroid Medication While Pregnant or Breastfeeding
Some women mistakenly think that thyroid hormone drugs are dangerous to a baby during pregnancy or breastfeeding. The opposite is actually true. Taking the appropriate dose of thyroid medication is essential for a health pregnancy and baby. Don't stop taking thyroid hormone when you're pregnant or breastfeeding
Eating Too Close to the Time You Take Your Thyroid Medication
Ideally, you should take your thyroid medication in the morning, and wait an hour before eating. (Conversely, if you absolutely must eat, make sure you do this consistently, and you should still should put three to four hours between your thyroid medication and iron, calcium and fiber-rich foods.)
Taking Estrogen Without Checking For and Adjusting Your Thyroid Hormone Dose
Women taking estrogen -- hormone replacement therapy, or in the birth contol pill -- may need to more thyroid replacement hormone. The reason? Estrogen increases the body's production of a protein that binds thyroid hormone to it, making it inactive.This can cause a need to increase the dosage level slightly, as there is no thyroid to compensate. After beginning any estrogen therapy, have thyroid levels tested to see if the estrogen is having an impact on thyroid function.
Not Knowing About Synthroid Allergenic Fillers
Synthroid tablets are made with two ingredients -- acacia and lactose that can trigger allergies in some people. Some people who have pollen allergies and hay fever -- especially to tree an d grass pollens -- may also have an allergy to acacia, which is found in Synthroid's formulations. Another ingredient in Synthroid is lactose, which can trigger symptoms in people with lactose intolerance -- the inability to digest lactose, a major sugar found in milk. For those patients with these allergies, the hypoallergenic, liquid-cap, drug Tirosint -- which has no fillers or dyes -- may be a better option.
Mujhe sans lene me taklif hoti hai, meri chhati bhar jati hai. Aisa mujhe hamesa nahi hota hai. Isase pahile 4-5 saal pahile hua tha. Mera vajhan bhi bahut kam hai. Bohat khana khata hu tab nahi mera vajan aur body nahi badati. Please mujhe sahi upay bataiye.
At any cost I will take weight loss treatment I am 28 female weight 91 kgs I want reduce weight immediate kindly sugest good treatment Note I need good treatment I do not bother for money please help me.
I am 18 years old I am very thin, my weight is around 48 kgs and height 5.4. Should I take a medicine for intestinal deworming? If yes then Can you suggest some medicine for worms?
Hi. From this week I found my left eye itching and just a little pain. But yesterday I got up with it red and puffy and even this morning it is still red.. I got this drop clear eyes maximum redness relief but I am not sure if it is the best for it. I am feeling like something is rolling in it. It is very uncomfortable. What should I do? Thanks for your quick response.
Sometimes I feel very week and suddenly all around me looks dark. I feel that I am going to fall down. Why this happens?
I have heavy weight how to reduce the weight and be slim in one month and I have to increase height also pls give me better option to those two. Tq.
Request for my brother his height is 4.11 and weight is 45 kg. Can height will increase in 27 years of age? If yes kindly suggest the homeopathy medicine asap.
Mera age 29. Main ab bhi patla hun 6 hours se yada sleep karta hun. Mera waist ka size 30 tha. Ab kyun 25 size hota hai. Please bolo. Mera kamar ka size kisi bada karun.
I am 18 years old my height is enough for this age but my weight is very less. I tried many medicines but nothing get successful to maintain my weight. What should I do please tell me sir I am waiting.
Angioplasty is referred to as a cardiac procedure, which involves widening the narrowed section of a coronary artery. Usually performed by an interventional cardiologist, this procedure is performed in a cardiac catheterization lab, short for a cath lab. An interventional cardiologist takes extra care to review the risks, in addition to obtaining your counsel prior to preparing you for the procedure. The physician also refers to your medical history in order to determine the amount of anesthesia that should be used.
What happens during the procedure?
Although mild sedatives will be administered to help you relax, the process requires you to remain awake throughout the procedure. The procedure of angioplasty involves cardiac catheterization. The doctor numbs the intended site through medications and inserts the catheter. Following such the doctor inserts a thin sheath in your artery, oftentimes in your groin or arm. A long, narrow, empty tube known as a catheter, is then carefully guided through the sheath, through the blood vessels and into the arteries near the heart.
A little amount of liquid is then injected through the catheter, which is moved through the chambers, valves and vessels of the heart. This movement is then pictured with the help of X-rays, with which the doctors can diagnose the condition and working of the coronary arteries and the heart valve.
The surgical procedure lasts for around 1.5 - 2.5 hours, but the preparation and post - surgical procedures may take several hours. A patient is usually made to stay overnight to be monitored by medical personnel.
What to expect before an Angioplasty?
Most people are made to undergo a blood test and electrocardiogram before having an angioplasty. Usually scheduled a day before the procedure, such tests usually require separate appointments. Usually patients are restricted to eat since 12 hours before the exam.
What happens post-procedure?
After the procedure, you will be instructed to remain flat for 5-6 hours without bending your legs, so as to prevent bleeding. The nurse will instruct you as to when you can get up from your bed. You may not be permitted to drink or eat until the groin sheath is removed as such can cause nausea.
According to the procedure, the doctor will provide you with adequate after care advice.