Suggest Dosage For Thyronorm

Dear Madam, Hi & Welcome. I can understand your concern regarding the appropriate dose for Thyronorm. Incomplete data: T3 and T4 levels not included. For the effective management of hypothyroidism, the dosage of Thyronorm needs to be individualized based on a variety of factors including the patient s age, body weight, cardiovascular status, clinical response, biochemical tests or any other concomitant medical conditions. Once on treatment we usually keep the TSH between 0.5-3. 1. Your initial TSH (0.5) was low and your doctor appropriately reduced the dosage of Thyronorm to 150 mcg. on thyroid medications. 2. However, after 3 months your TSH (8.5) is high which suggestive of inadequate dose of Thyronorm. So, now it is appropriate to increase the dose of Thyrornoam to 175 mcg. Regular monitoring of T3, T4 and TSH is recommended when starting therapy or changing the dose. I also advise the following: 1. Do Thyroid peroxidase antibodies (anti TPO antibodies). They are often positive in individuals who truly have a tendency for a permanently under active thyroid 2. Serum ANA (anti-nuclear antibodies) levels 3. Sonography of thyroid. 4. Avoid cauliflower, cabbage like vegetables which can precipitate Hypothyroidism. 5. Thyronorm should be taken in the morning on an empty stomach with water, at least one-half hour before any food is eaten. 6. This drug should be taken at least 4 hours apart from drugs that are known to interfere with its absorption. 7. The peak therapeutic effect of this drug may not be attained for 4 to 6 weeks. So, check TSH after month and than every three month. Consult your physician or nearby endocrinologist if available and discuss all these. Hope I have answered your questions. A feedback is appreciated.