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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Hashimoto. Taking Synthroid And Hydrocortison. Have Anxiety, Weakness, Fatigue And Depression. Advise?

addisonian here. also hashimotos. taking 200mg synthroid and hydrocortison 1mg in morning and 1/2 mg in afternoon. usual nasty symptoms, mainly anx, weakness, cant stand up normally, fatigue, depression. felt well until abruptly stopped smoking pot 18 mos ago, after 30 years of moderate use. (i had a cough. wacked out AND in june, hospitalied 8 days, 301ths. a few mos later endo dx addison. gave me a good prognosis. is pot ok for me at this time? d c dowell
Sat, 6 Jul 2013
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Pathologist and Microbiologist,  's  Response
hello and welcome to HCM,

You have mentioned that you are suffering from addisons disease characterized by deficiency of adrenal hormones. Steroids (hydrocortisone) is used for its treatment.
Hashimoto's thyroiditis is an autoimmune disease affecting the thyroid. It leads to hypothyroidism or deficiency of thyroid hormones.
Since, you are taking thyroxine (synthroid) the symptoms of hypothyroidism should be controlled by it.
However, the symptoms that you have mentioned- weakness, anxiety, fatigue, depression, etc are indicative of abnormality of thyroid hormones.
What is your drug compliance? Do you take your medicines regularly well in time?
You need to get thyroid function tests.
If there is any abnormality in the levels of thyroid hormones, the dose of thyroxine needs to be altered.
Consult your treating doctor for further work up.

Thanks and take care
Dr Shailja P Wahal
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Have Hashimoto. Taking Synthroid And Hydrocortison. Have Anxiety, Weakness, Fatigue And Depression. Advise?

hello and welcome to HCM, You have mentioned that you are suffering from addisons disease characterized by deficiency of adrenal hormones. Steroids (hydrocortisone) is used for its treatment. Hashimoto s thyroiditis is an autoimmune disease affecting the thyroid. It leads to hypothyroidism or deficiency of thyroid hormones. Since, you are taking thyroxine (synthroid) the symptoms of hypothyroidism should be controlled by it. However, the symptoms that you have mentioned- weakness, anxiety, fatigue, depression, etc are indicative of abnormality of thyroid hormones. What is your drug compliance? Do you take your medicines regularly well in time? You need to get thyroid function tests. If there is any abnormality in the levels of thyroid hormones, the dose of thyroxine needs to be altered. Consult your treating doctor for further work up. Thanks and take care Dr Shailja P Wahal