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Is It Safe To Start Levothyroxine For Thyroid Disorder During Pregnancy?

Posted on Mon, 13 Apr 2015

Question: Hi ,doctor i have early detected thyroid during pregnancy of 15 wk TSH IS 15.5 MCRO I U/ML and T3 is 195 ng/dL T4 is 8.2 ng/dL.should i start medicine levothyroxine or thyroxine .is it safe.kindly suggest.thanks

Answered by Dr. Mahesh Koregol (20 minutes later)

Brief Answer:
You should start those drugs.

Detailed Answer:
Hi,

You should start those drugs. In fact if you had been my patient, I would have started tab. Thyronorm 50 mcg daily morning on empty stomach. This is my opinion as I hypothyroidism is associated with miscarriages and hence important to be corrected. Discuss about it with your doctor and get started.

Please repeat TSH after 15 days of treatment to check if you are adequately treated or not. Dose can be changed accordingly.

And yes, these drugs do not cause harm.

Let me know if you have any more questions.

Regards
Dr. Mahesh Koregol

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Mahesh Koregol (8 hours later)

Respected Dr,
i got suggested drs she suggested to start levothyroxine 350 mcg it's dose is one tab. daily.and another gynaecologist suggested to not start medicine .becouse tsh value is 15.5 and t3 is 195 .but i am confused to which dr.should i follow .and levothyroxine 350 mcg or thyroxine 50 mcg which is better to start .please suggest me.latest report is attached here plz check
thanking you
XXXXXX

Answered by Dr. Mahesh Koregol (57 minutes later)

Brief Answer:
Start with thyroxine 50

Detailed Answer:
Hi

You should start with thyroxine 50 mcg as of now.

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