Brief Answer:
Best to take blood purifier at least 4 hours after thyronorm

Detailed Answer:
Hi XXXXXX,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. Thyronorm contains levothyroxine and is a normal replacement for thyroid hormone.

2. Certain medications when taken along with thyronorm might reduce the efficacy of thyronorm.
These medicines include the following
(i) calcium carbonate
(ii) cholestyramine, colestipol
(iii) ferrous sulfate iron supplement
(iv) sucralfate
(v) sodium polystyrene sulfonate
(vi) antacids that contain aluminum or magnesium

3. As per guidelines it is best to take any other medicine like blood purifier at least 4 hours after taking thyronorm.

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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