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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Levothyroxine Increase Heart Rate And BP?

32 year old male. 6'1, 210llbs. Am on Lisinopril and Verapamil for HBP. I also have a TSH of 11. My doctor put me on 75mcg levothyroxine today. I start tomorrow - I read many saying 50mcg is normal to start with - should I actually take 3/4 of the tablet, or exactly a prescribed. I am concerned that it will increase my heart rate and BP which I am being treated for separately.
Fri, 30 Dec 2016
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Cardiologist,  's  Response
yes certainly thyroxine can increase heart rate and bp. According to me your tsh is mildly elevated and we don't even start treatment if it is less than 10. I think, I would have started you on 12.5 or 25 ug before breakfast.
you discuss this issue with your doctor.
Also consider low salt diet and regular exercises.
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Can Levothyroxine Increase Heart Rate And BP?

yes certainly thyroxine can increase heart rate and bp. According to me your tsh is mildly elevated and we don t even start treatment if it is less than 10. I think, I would have started you on 12.5 or 25 ug before breakfast. you discuss this issue with your doctor. Also consider low salt diet and regular exercises.