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Suggest Dosage For Thyronorm

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Posted on Thu, 21 Sep 2017
Question: Female age 54, no diabeties, healthy, exercises regularly ,vegetarian diet, not obese.
15/5/17 TSH22 T31.22 T4 28.6 dosage 50mg thyronorm fluctuating BP
27/6/17 TSH5.14 T3 1.22 T4 76 dosage 62.5 thyronorm fluctuating BP
29/8/17 TSH <0.015 T3 2.42 T4 157 steady BP but low 117/66
kindly advise dosage of thyronorm If its to be maintained or reduced or wait for further test after some period.Any other advise
doctor
Answered by Dr. V. N. S. Parinam (3 hours later)
Brief Answer:
THyronorm dosage

Detailed Answer:
Hi,
Thanks for question.
Was the first 50mcg started after 15/5/17 result? Was 62.5 mcg increased after 27/6/17 result?
What is the free T3 and free T4 result? Please get them done as well.
If i were the treating doctor I would have waited for few more days before increasing the dose to 62.5mcg from 50mcg.
Whom are you consulting now?
The BP is ok and not low as you are thinking.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. V. N. S. Parinam (44 hours later)
answers to your questions
first 50 mg thyronorm started after 15/5 result by local family physician
62.5 mg started after DrKunal XXXXXXX consl at healthcare magic
Free T3...8.76 (4.26-8.1)
Free T4...28(10-28.2) earlier results u have
1.Kindly inform dosage now from 62.5 thyronorm to be changed either gradually or suddenly.
2.Recheck to be done after what period and for what tests
3.BP sometimes after 4-6 days falls to 94/52, 96/55 controlled by taking electoral Is it ok?


doctor
Answered by Dr. V. N. S. Parinam (4 hours later)
Brief Answer:
Thyronorm

Detailed Answer:
1.Kindly inform dosage now from 62.5 thyronorm to be changed either gradually or suddenly.
Thyronorm can be reduced back to 50mcg since the free T3 and T4 are above the normal range.

2.Recheck to be done after what period and for what tests
Every 3 months initially

3.BP sometimes after 4-6 days falls to 94/52, 96/55 controlled by taking electoral Is it ok?
It is ok as long as you do not have symptoms like lightheadedness, vomiting, swealting during your routine tasks.
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. Vaishalee Punj
doctor
Answered by
Dr.
Dr. V. N. S. Parinam

General & Family Physician

Practicing since :2008

Answered : 1727 Questions

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Suggest Dosage For Thyronorm

Brief Answer: THyronorm dosage Detailed Answer: Hi, Thanks for question. Was the first 50mcg started after 15/5/17 result? Was 62.5 mcg increased after 27/6/17 result? What is the free T3 and free T4 result? Please get them done as well. If i were the treating doctor I would have waited for few more days before increasing the dose to 62.5mcg from 50mcg. Whom are you consulting now? The BP is ok and not low as you are thinking.