Can I Take Thyroid Medicine Along With SSNRI For Panic Attacks?

Posted on Wed, 20 Mar 2013

Question: Can I take my thyroid med with SSNRI prescribed just yesterday for panic attacks? I usually split my dose of thyroid, 2g in AM, 2g PM.

Answered by Dr. Dr. Michelle Gibson (9 minutes later)

Hi, thanks for using healthcare magic

Thyroid replacement therapy is often prescribed along with SSNRI.
SSNRI are also used for depression and in some persons with depression, low levels of thyroid hormone contribute to their symptoms , so thyroid replacement is added.There are no known problems.

There are drugs that cannot be used with SSRNI such as those in the MAOI family (this is a medication also used for depression). Some medications such as anti- coagulatants (warfarin), medications that control the rhythm of the heart can also be associated with problems.

I hope this helps, feel free to ask any other questions

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Michelle Gibson (3 minutes later)

What about the timing? Can they be taken at the same time? I typically don't take anything within two hours of taking my thyroid but with my schedule, I need to take them at the same time if it will not interfere with either med.

Answered by Dr. Dr. Michelle Gibson (1 hour later)

At present there is no specific time interval between medications that has been suggested.
There is another family of anti depressants that can affect the levels (decrease them) of the thyroid hormone but at present no studies indicate effectively that the SSRI do this.
If you wish to be on the safe side, you can wait at least 1/2 hr before taking the SSNRI.

Please feel free to ask anything else

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar