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Is Ebexid Safe During Pregnancy?

Posted on Wed, 18 May 2016

Question: Hi,
I am 13 weeks pregnant. Took tsh test and the value was 4.72. My doc said its slightly elevated and hence advised me to take ebexid 25 mg. is this safe to take during pregnancy or should I switch to thyronorm. I want to know whether
1. Ebexid safe in pregnancy ?
2. Thyronorm and ebexid same?
3. Is it good to switch to thyronorm than ebexid?

Answered by Dr. V. N. S. Parinam (46 minutes later)

Brief Answer:
Thyronorm and Ebexid are not same

Detailed Answer:
Hello,

I suggest you to repeat the test, fasting Serum T3, T4 and TSH again. Only TSH has no importance and cannot make treatment decisions when high. It is always better to keep TSH between 1.5 to 2.5 during pregnancy, hence your doctor was saying it to be slightly elevated.
If the TSH is still over 3.5 you can seek an Endocrinologist opinion.
Ebexid is not recommended during first 14 weeks of pregnancy. Ebexid contains thyroid 15 mg, tocopheryl acetate 10 mg, thiamine mononitrate 2.5 mg, riboflavin 2.5 mg, calcium pantothenate 5 mg, pyridoxine hydrochloride 1 mg, nicotinamide 25 mg. It has oil soluble Vit E tocopherol which is not good. You can take it later after 14 weeks. It is safe during the later part of pregnancy.
Wait for next report before switching to Thyronorm
Thyronorm contains Levothyroxine sodium which is active form of Thyroid.

Hope this helps.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. V. N. S. Parinam (3 hours later)

Thanks for your reply mam. I am 13 plus 5 days and I have taken ebexid for the past 5 days. Will it cause harm to my baby. Also shall I continue it after 14 weeks? Is it safe after 14 weeks?

Answered by Dr. V. N. S. Parinam (55 minutes later)

Brief Answer:
Repeat test

Detailed Answer:
Hello,

To answer your question it would not have caused any problem. It would be relatively safe after 14 weeks of pregnancy. You can continue. However I suggest you to repeat the test with T3, T4 and TSH. It is not a good practice only to measure TSH and treat.

Thank you.

Above answer was peer-reviewed by : Dr. Deepak

Follow up: Dr. V. N. S. Parinam (13 minutes later)

Thank you mam. I will test for tsh, t4 and t3 levels again. After the test if i have elevated levels of thyroid then may I switch to thyronorm. Will switching to thyronorm from ebexid will cause any harm? Is it advisable?

Answered by Dr. V. N. S. Parinam (24 minutes later)

Brief Answer:
No harm using thyronorm

Detailed Answer:
Hello,

Thyronorm is pure form of thyroxine than ebexid. I prefer the former than latter.
However do not switch to it unless you consult your doctor. The doses have to be properly adjusted.

Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Yogesh D