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What Cause Sudden Panic Attacks While Treating Hypothyroidism?

Posted on Sat, 1 Jul 2017

Question: I wake up in the night, very cold & panicky. I'm on .25mcg synthroid, which made things better for a while. Should I increase dosage to .50mcg or take steps to lower cortisol levels or something else?

Answered by Dr. Mirjeta Guni (12 minutes later)

Brief Answer:
Re-check the TSH first

Detailed Answer:
Hello and thank you for asking.

I have gone through your concern carefully,

First I would suggest checking the TSH level, if it is still high, the dose of levothyroxine should be increased.

Otherwise, another cause should be found.

A high cortisol level usually is not manifested with the symptoms you reported.
So check the TSH and do not hesitate to attach/upload it here, so I can help you further.

Kind regards,
Dr.Mirjeta

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Mirjeta Guni (2 hours later)

Okay. I will get the test done & send you the results. Thanks.

Answered by Dr. Mirjeta Guni (1 hour later)

Brief Answer:
Thanks to you!

Detailed Answer:
Looking forward to help you further.
Regards,
Dr.Mirjeta

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

Follow up: Dr. Mirjeta Guni (42 hours later)

Hi,

I uploaded my TSH, high sensitivity results. PSA is also shown, this is for another Doctor.

Thanks.

Answered by Dr. Mirjeta Guni (15 hours later)

Brief Answer:
About hypothyroidism monitoring:

Detailed Answer:
Welcome back!
The TSH level is within the normal ranges, but if the signs and sympotms of hypothyrodism persist even with normal TSH the next step is to check FT4 and FT3 level too.
Best wishes,
Dr.mirjeta

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Mirjeta Guni (28 hours later)

Hi,

FT4 & FT3 lab results uploaded.

Thanks!!

Answered by Dr. Mirjeta Guni (3 hours later)

Brief Answer:
Check the cortisol level:

Detailed Answer:
Hi again,
The hormones you attached are within the normal ranges.

At this point, for further evaluation, I would suggest checking the cortisol level at 8.00 am and 16 p.m.

Do not hesitate to attach the result. Will be a pleasure to interpret it.

Best wishes,
Dr.Mirjeta

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Above answer was peer-reviewed by : Dr. Arnab Banerjee