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Drug interactions between fluoxetine and Synthroid

Results for the following 2 drugs:
fluoxetine
Synthroid (levothyroxine)

Interactions between your selected drugs

Minor

fluoxetine ↔ levothyroxine

Applies to:fluoxetine and Synthroid (levothyroxine)

Case reports suggest that thyroid hormone supplementation may enhance the therapeutic effects of fluoxetine in the treatment of major depression. The mechanism is unknown.

References

  1. Agid O, Shalev AY, Lerer B "Triiodothyronine augmentation of selective serotonin reuptake inhibitors in posttraumatic stress disorder." J Clin Psychiatry 62 (2001): 169-73
  2. Gupta S, Masand P, Tanquary JF "Thyroid hormone supplementation of fluoxetine in the treatment of major depression." Br J Psychiatry 159 (1991): 866-7

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Drug Interaction Classification

The classifications below are a guideline only. The relevance of a particular drug interaction to a specific patient is difficult to determine using this tool alone given the large number of variables that may apply.

Major Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.
Moderate Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.
Minor Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan.

Do not stop taking any medications without consulting your healthcare provider.

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