I was taking Synthroid then my insurance decided that they wouldn't cover that drug anymore (only generic) unless the doctor did a lot of paperwork and showed that it was medically necessary. She decided to prescribe the Levothyroxin instead, and I have heard and read that there is a difference and Synthroid is really the only drug that should be given. I have felt very fatigued and just not "right" lately, and think it is the change in drugs. Anyone else have any experience in switching between the two? If it's all in my head I don't want to complain to the doctor and make her jump thru hoops for the insurance company. I fear this is just the beginning of insurance companies denying coverage for expensive brand names.
thanks.
How much difference-if any-is there between Synthroid and Levothyroxin? Are they interchangable?
Question posted by jackiewright on 3 May 2010
Last updated on 18 June 2024
The information on this page reflects personal experiences shared by our community members. It is not reviewed for medical accuracy and should not replace professional medical advice.
29 Answers Page 2
No they are not the same. Generic medicines are allowed to use different "fillers" the actual medicinal part is exactly the same but other ingredients can be used to be more cost effective as in a synthetic or natural product. After having my first child I had so much trouble getting my thyroid level to stay in the norms that were accepted I was sent to an Endocrinologist. For over a year they did tests and all kinds of dosages of Levothoraxin. He then out of frustration decided to use Synthroid and within one month my level was at a normal level. That was 17 years ago. When our insurance company started making us use generics i told my doctor about what happened all those years ago. He just put a notation in my records and had one phone call with my insurance and I still get Synthroid. However the generic is a little over $3.00 and for the name brand I pay over $37.00.
I used to be on levothyroxine then one time the they gave me name brand synthroid. I felt different fatigued for about a week until my body got used to the name brand Synthroid now my new insurance won't cover the name brand anymore so right now I have to go back to Levothyroxine and this is going to be a real pain in the butt but I guess this is what I have to do because I can't afford to pay out of pocket for name brand. It's only about a week of fatigue tho. At least that's how we it was before hope this info helps u.
There is a significant difference between synthroid and the generics. I pay extra for synthroid because I've had a big improvement in my energy level as well as hair loss and skin issues. The generic does nothing for me. And in fact cause significant depression. FYI: I've taken both drugs for 30 plus years and there is a difference depending on your metabolism.
I have been on Levothyroxine for appox. 17 years. I noticed a,difference in the shape of the med a year ago. I started feeling depressed, sensitive to perfumes & chemicals,tired and feeling horrible. Felt like I was dying I asked my doctor to switch me to name brand only- synthroid. It's been 3 days on synthroid. Can't wait to feel good again.
I have been on Levothyroxin at same dose for almost 8 months, has anyone had mode swings because of the this med? restless sleep at night but can sit down and fall asleep in the day ?\
I have my bottle of levothyroxine in hand. It is the generic for synthroid. You are correct that insurance companies do not want to pay for brand name drugs any more. My doctor wrote my script for synthroid. Because of insurance, the pharmacy dispensed levothyroxine.
I am noticing that there is a levothyroxine and a levothyroxine. Notice our generic for synthroid does't have the e on the end of the word. My levothyroxine is manufactured by Mylan.
My father has been taking hypothyroid medication for years. The generics did not work for him either. It is a trial and error situation. Look at it this way. Designer jeans are built for different body types. They do not fit everyone. The cheaper jeans fit some people but not others. That is the same with medications. We all have a slightly different chemical make up so medications affect each of us differently.
I see many comments on various medications on this site that could scare a person to death. You and your doctor have to find what works best for you and fight with the insurance company if necessary. My father was forced by the insurance company to try a lot of cheaper medication before being allowed the brand name medications; not only for his hypothyroidism, but his other health issues as well. It is ridiculous that the insurance company does this. They are not doctors. Just cost cutters. It is the patient who pays the ultmate price.
So far, the levothyroxine is working for me. My T3 is up 5 points above the lowest number that is acceptable. The hypothyroidism is the least of my problems. I have CRPS (Complex Regional Pain Syndrome) formally known and still referred to by most in the professional field as RSD (Reflex Sympathetic Dystrophy).
Has your doctor done more blood work to see if the prescribed levothyroxine does is the correct dose for you? T-3, T-4, TSH, Thyroid Peroxidase AB and Thymoglobulin AB are the test my doc runs all at once.
I have also found that with some meds, it takes your body time to adjust to it. Once your body adjusts to the medication, you no longer feel some of the side effects and can begin to see the benefits.
I am interested in your reading that synthroid is the only drug that should be given. I have not done research on hypothyroidism as I am too busy getting my CRPS under control for now. Feel free to pm me on what you have read up on regarding synthroid and levothyroxine. Perhaps share websites etc.Thanks. Your help is appreciated. One can ony tackle one thing at a time.
Just another thought, were there any other medications that were changed or adjusted when you were put on the levothyroxine? My doc tries not to add or adjust more than one med at a time if she can help it so she can monitor the effectiveness of the medication and or its side effects.
I know this was lengthy, but I hope it has helped in some way.
Blessings, Rollerskater
T 4-based medication must be taken at bedtime in order to receive the full strength. When taken at bedtime AND on the right dose it regulates: the circadian rhythm, relieves body aches, lethargy disappears, regulates BM, regulates menstrual cycle, less hair loss, dizziness disappears
I hope you find this information somewhat helpful.
Good luck with the Levothyroxine
It must be taken on an empty stomach and by itself. How is that possible at bedtime??
vhcambrian1, I am responding to your latest response. Any Thyroid medication works best taken on an EMPTY stomach, which is 1 hour after eating or drinking anything. This means after dinner after your snack then wait an hour and this is an empty stomach. So if taken right before bedtime then ALL of the medication is absorbed. If taken during the day, it ends up in the toilet and you will see the difference upon feeling better. Upon waking up I felt an immediate improvement. I slept all night, circadian rhythm regulated, no body aches, no longer constipated. My numbers improved also along with my blood pressure.
Taking at bedtime means no more eating or drinking until you wake up in the morning, which should be 8 hours later. Bedtime for you may be in the morning or at night depending on what time you go to work, just take at bedtime and no food or liquids for 8 hours. Thanks for your response, Brian
Not possible to take at bedtime on an empty stomach as I take all my other meds/vitamins/minerals at that time. And my bottle specifically states to take 30 minutes before breakfast.
Brian1, For me Vitamins and supplements were taken in the morning. If you must take other medication at bedtime then avoid taking thyroid medications at bedtime also because other medications would interfere with the absorption of thyroid medication. I was not on any other medications, I only had a thyroid problem.
Brian1, If you want to take thyroid medication at bedtime, try 7 hours then take your other at 30 minutes before breakfast. Maybe 7 hours could be good absorption. Try it. If it doesn't work then go back to your other schedule. I just seemed to get 8 hours sleep so when I woke up, it was coffee time, for me.
Insurance did the same to me, two months later on generic and I have had no issues. Heed the advice of those above, if you feel crummy or weird, you may need another blood test and a dosage adjustment. Good luck!
yes, this is true about feeling crummy. My doc will only let me take synthorid. Von
jackiewright, there is a difference. My brother's friend's wife WAS on levothyroxine and is now on SYNTHROID. She says it is so good that she takes less of a dose then the Levo.
It is worth it to make your doctor jump thru hoops for YOU.
Wish you the best
I was on levothyroxine for 3 years and every time I went for labs the doctor increased my medicine. then I became allergic to it, my doctor put me on Armour, I don't think the dosage is right, I have brain fog, fatigued and in pain like from arthtitis in the joints, what can I do to get the doctor to listen to me?
I am in the same situation. I cannot afford the script synthroid. i have been on the levithyroxin for about 4years. it is making me sick as a dog. my whole body hurts, i feel like i am living in a fog. no energy. sweet cravings constantly. i am on my fourth day without it and i feel like a new person. i am seeing a new endo in a couple weeks to inquire about something else. i had my thyroid removed so i HAVE to take it and will start again tomorrow. just wanted to see how i felt without it. i was thinking i had a serious health issue i was feeling so bad. must be those pills because i feel great without them. i am hoping she can give me something else, i cannot live that way. all i do is lay on the couch, can't think, depressed, etc. all my blood tests for my tsh and t4 come back good, so my doctor says not much else i can do. there has to be something. i will post again once i see the new specialist!
Never stop thyroid meds. If you have no thyroid your asking for trouble. I've been on this medicine for years. I'm leary of generic brand to
hypothyroid has been linked to fibromyalgia (body aches) so stick with the brand name Synthroid as there is a difference. Your doctor should be happy to help you get the brand name. I hate when they say it is too much work to get you the drug you need. You deserve the best medical care.
I am using Synthroid for 18years. As I know it is not recommended by the doctors to switch Synthroid to levothyroxine. Your doctor will have to decide if it is ok for you. And if you have side effects from Synthroid he may prescribe you different meds..
My Endo just switched me from Levo to Synthroid, and told me it is like comparing apples to oranges. No Generics, he told me the generic versions can be different each refill depending on where the pharmacy gets it stock., and what fillers each company uses in there manufacture. Synthroid is ithe best as it is always the same. I was on Levo for 4 years and had problems with bouncing from high to low. Will know my next labs if I am doing better on Synthroid...
Yes, your lab test will show how you responding to Synthroid.
I have been on synthroid for 6 months now and all seem to be well, I still have the flucation ups an downs but my Endo is on top of it, I have had my dosage increased 3 times 75 to 88 and now 100 and I have labs every 8 weeks. I do sometimes get hyper with palpatations, I go back in 2 weeks for labs again and will see where I am then so far the synthyroid is better than the Levo.
I too was switched to levothyroxine from synthroid, my hair was falling out and it was brittle, so i stopped taking it, then my legs and feet hurt sooo bad,now i am going back to the synthroid, i am not sure if the pain is from being off for a month, we will see.
It is not safe to stop using the medicine with out your doctor’s advice. It is a great possibility your legs pain was because you stopped using Levothyroxin.
Also you may experience water retention, syncope, and other health problems. If you stop your meds. Please refer to your doctor for consultation.
Never, ever stop taking Thyroid Meds unless oked by your Dr. He/she may adjust them according to your lab tests, but you will be on them for life... Talk to your Dr if you think you are having a problem with your meds. Stoping can be very dangerous
I have always been on Synthroid and it has worked fine. I was put on Levothyroxine a few months back and began gaining weight. After about 7 pounds I googled to see if anyone else has experienced this. Thousands have reported the same thing. I went off it and for now, I am taking a natural supplement. I need to ask the doctor for the real thing but it's hard to get an appointment.
Have others on here had the same experience?
I am a female & my hair is very brittle & falling out terribly... I am almost bald in the center of my scalp & I have to do a comb over now & it is so bad that I now have to use Toppik in my hair to cover the bald shiny areas. Several years ago I had my doctor give me the Synthroid instead of the generic which is Levothyroxine. So for the past few years my hair has gotten worse & I am very tired. One day I looked at the bottle & noticed it said levothyroxine so I called the pharmacy to find out what the generic name is & that was it. I told them I was supposed to be on Synthroid & asked how long has it been switched... they said almost 3 yrs. I was shocked & they didn't know why it was switched. I think my insurance dictated the generic.so today I went back to my Dr. & asked him if this could be why the hair is falling out & so brittle & I am tired. He said it could be so he is putting me back on the brand Synthroid. O will let you know what happens.
thought it was just me I have been taking levothyroxine and noticed by lower back hurt sooooooo bad I could hardly stand up. Then my hips,knees,and ankles felt like they were breaking and I had a constant throbing/aching in my calves, I determined the only thing different was this med. I stopped taking it and with in 24/48 hrs all the above mentioned pains disappeared. I had always taken synthroid and wonder if it is the difference between levo and synthroid that caused the problem.
I have been on synthroid for about 8 years. When I use the generic, my system is pretty messed up. I find I cannot use any generic, but the brand synthroid. Now I think I need T3's. Just had a full panel TSH blood work and will get the results either tomorrow or Thursday. I've been hearing wonderful review on Armour thyroid, a more natural medication that has T4, T3, T2 and T1. Depending on the results, I'm thinking of switching over.
Do you need a doctor's prescription for the Armour, like you do for Sythroid and Levo.? Where can I find out about it - I have actually heard of it but never paid attention to what I was hearing. I really think the generic is not working that well for me, but until I get lab work done there is nothing I can put my finger on to convince the doctor that it isn't working like the Sythroid. I get terrible fatigue, occasional anxiety, flushing (like hot flashes), and just don't feel good. Thanks for your response.
Yes, you do need a prescription. I got my test result and my Free t4 are high and free t3 are low. I really think I need some T3's. I have a followup with DR next Thursday where I will discuss results and see if he will prescribe Armour. Some DR do not like to do that. If he doesn't then, I will experience with Cytomel, which is synthetic formula for T3. Will let you know the results.
Keep me posted on what you find out. I don't have another lab and doctor apt scheduled till June, so by then maybe I will know enough to ask about switching to something else.
Thanks.
Hi Jackie, sorry to get back with you so late but I wanted to make sure I tried the Cytomel for a week before I make a judgement and give my experience. My PC started me with 5 mcg for once a day. With insurance it cost $25 for 60 tablets per month with 2 times daily... the doctor did this so that I could get more for the buck. On day 1 day 2, I followed the Dr advice and took only 1 (5mdg) a day and I was still crashing by 2PM. Day 3, 4, 5, 6 and 7, I took it upon myself to take to take 2 daily (one with the 0.075 mg synthroid) in the AM and the 2nd dose at about 2PM. Still was very fatigue after 3PM.
Today May 21 is actually my 8th day and decided to up my dose by taking 2 X 5 mcg = 10 mcg with the synthroid this morning. Surprising I was able to go thru this afternoon without crashing. I didn't even take a mid evening. The 10 mcg seemed to be enough for me at 1 time. However, this is just the first time I'm doing this, so I'll be doing this again tomorrow and report in another 2-3 day.
I do have more energy and I made sure to look out for heart palpitations (there was none so far). BTW, searching the Web, 0.075mg is equivalent to 75 mcg and cytomel dosage is for every 5mcg is equal to 20 mcg Synthroid since cytomel is 4 X potent. So by this calculation at 75 mcg synthroid I should be taking at least 15 mcg cytomel. If I find myself crashing after my body get used to 10mcg then I'll up my dose to 15 and probably split this with 10 AM and 5 PM. I'll be giving myself another week of experiment.
It really does help with the energy. Really hoping I will see some results of weight loss but right now is too soon to tell.
vinsquet, I was wondering how Cytomel worked for you. Are you still on it?
Good luck changing over! I would like to try Armour but both my Dr's refuse because it is natural and they can't track it on blood work.
Also good luck with getting the cymtel (sp) I asked for that too and was turned down becasue once you start taking it it is a forever drug and you can get to a point where the dose it super high but it does not work anymore :(
Not everyone can take generic meds.
I don't take thyroid replacement myself. I do know that levothyroxine is a fine drug to be on, but it is a slightly different formulation than synthroid. You may be feeling crummy because your TSH might have changed slightly, and your doctor might need to adjust your dose a bit to make sure you're back where you were before.
If you continue to feel "not right," however, maybe the synthroid formulation is better for you personally. I would talk with you doctor. Definitely don't feel guilty about asking her to jump through hoops. It is annoying, but unfortunately part of the job these days.
Good luck!
SYNTHROID is definitely better than LEVOTHYROXINE. I had my thyroid removed in 1974, and have been on a replacement thyroxine for all these years.
If your insurance has denied SYNTHROID, don't sit back. Ask your doctor to specific prescribe it and clearly stating NO GENERIC SUBSTITUTES.
If you don't take the medicine at all, then how can you comment on something like this. Do you even know what it's like.
How do you know it’s a good drug? I just got done speaking to a pharmacist because my old pharmacy changed the manufacturers 3 times in one year. He said absolutely there is a difference in Levothyroxine and Synthroid. My levels have been a roller coaster in the last year. If you had hashimoto you would know what it feels like.
Related topics
Further information
- Synthroid uses and safety info
- Synthroid prescribing info & package insert (for Health Professionals)
- Side effects of Synthroid (detailed)
Similar questions
Search for questions
Still looking for answers? Try searching for what you seek or ask your own question.