Generic Name: levothyroxine (oral/injection) (LEE voe thye ROX een)
Brand Name: Euthyrox, Levoxyl, Synthroid, Tirosint, Tirosint-Sol, Unithroid, ...show all 17 brand namesLevothroid, Levo-T, Levotabs, Eltroxin, Levotec, Oroxine, Eutroxsig, L THYROXINE ROCHE, LEVOTHYROX, Evotrox, Thyroxine Sodium Pentahydrate
Dosage Forms: intravenous powder for injection (100 mcg (0.1 mg); 200 mcg (0.2 mg); 500 mcg (0.5 mg)); intravenous solution (100 mcg (0.1 mg)/mL; 20 mcg (0.02 mg)/mL; 40 mcg (0.04 mg)/mL); oral capsule (100 mcg (0.1 mg); 112 mcg (0.112 mg); 125 mcg (0.125 mg); 13 mcg (0.013 mg); 137 mcg (0.137 mg); 150 mcg (0.15 mg); 175 mcg (0.175 mg); 200 mcg (0.2 mg); 25 mcg (0.025 mg); 50 mcg (0.05 mg); 75 mcg (0.075 mg); 88 mcg (0.088 mg)); oral solution (100 mcg (0.1 mg)/mL; 112 mcg (0.112 mg)/mL; 125 mcg (0.125 mg)/mL; 13 mcg (0.013 mg)/mL; 137 mcg (0.137 mg)/mL; 150 mcg (0.15 mg)/mL; 175 mcg (0.175 mg)/mL; 200 mcg (0.2 mg)/mL; 25 mcg (0.025 mg)/mL; 50 mcg (0.05 mg)/mL; 75 mcg (0.075 mg)/mL; 88 mcg (0.088 mg)/mL); oral tablet (100 mcg (0.1 mg); 112 mcg (0.112 mg); 125 mcg (0.125 mg); 137 mcg (0.137 mg); 150 mcg (0.15 mg); 175 mcg (0.175 mg); 200 mcg (0.2 mg); 25 mcg (0.025 mg); 300 mcg (0.3 mg); 50 mcg (0.05 mg); 75 mcg (0.075 mg); 88 mcg (0.088 mg))
What is levothyroxine?
Levothyroxine is also used to treat or prevent goiter (enlarged thyroid gland), which can be caused by hormone imbalances, radiation treatment, surgery, or cancer.
There are many brands and forms of levothyroxine available. Not all brands are listed on this leaflet.
Levothyroxine may also be used for purposes not listed in this medication guide.
You may not be able to take levothyroxine if you have certain medical conditions. Tell your doctor if you have an untreated or uncontrolled adrenal gland disorder, a thyroid disorder called thyrotoxicosis, or if you have any recent or current symptoms of a heart attack.
Levothyroxine should not be used to treat obesity or weight problems.
Before taking this medicine
Levothyroxine should not be used to treat obesity or weight problems. Dangerous side effects or death can occur from the misuse of levothyroxine, especially if you are taking any other weight-loss medications or appetite suppressants.
Since thyroid hormone occurs naturally in the body, almost anyone can take levothyroxine. However, you may not be able to take levothyroxine if you have certain medical conditions. Tell your doctor if you have:
an untreated or uncontrolled adrenal gland disorder;
a thyroid disorder called thyrotoxicosis; or
symptoms of a heart attack (chest pain or heavy feeling, pain spreading to the jaw or shoulder, nausea, sweating, general ill feeling).
Tell your doctor if you have ever had:
a thyroid nodule;
heart disease, a blood clot, or a blood-clotting disorder;
diabetes (insulin or oral diabetes medication doses may need to be changed when you start taking levothyroxine);
anemia (lack of red blood cells);
osteoporosis, or low bone mineral density;
problems with your pituitary gland; or
any food or drug allergies.
Tell your doctor if you have recently received radiation therapy with iodine (such as I-131).
If you become pregnant while taking levothyroxine, do not stop taking the medicine without your doctor's advice. Having low thyroid hormone levels during pregnancy could harm both mother and baby. Your dose needs may be different during pregnancy.
Tell your doctor if you are breast-feeding. Your dose needs may be different while you are nursing.
Do not give this medicine to a child without medical advice. Tirosint is not approved for use by anyone younger than 6 years old.
How should I take levothyroxine?
Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.
Levothyroxine oral is taken by mouth. Levothyroxine injection is given as an infusion into a vein. Levothyroxine is usually given by injection only if you are unable to take the medicine by mouth.
Levothyroxine oral works best if you take it on an empty stomach, 30 to 60 minutes before breakfast. Follow your doctor's dosing instructions and try to take the medicine at the same time each day.
Swallow the tablet or capsule whole, with a full glass (8 ounces) of water. The levothyroxine tablet may dissolve very quickly and could swell in your throat.
Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).
Levothyroxine doses are based on weight in children. Your child's dose needs may change if the child gains or loses weight.
It may take several weeks before your body starts to respond to levothyroxine. Keep using this medicine even if you feel well. You may need to use levothyroxine for the rest of your life.
You may need frequent medical tests. Tell any doctor, dentist, or surgeon who treats you that you are using levothyroxine.
Store at room temperature away from moisture and heat.
Do not share this medicine with another person, even if they have the same symptoms you have.
What happens if I miss a dose?
Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
Overdose symptoms may include headache, leg cramps, tremors, feeling nervous or irritable, chest pain, shortness of breath, and fast or pounding heartbeats.
What should I avoid while taking levothyroxine?
Avoid the following food products, which can make your body absorb less levothyroxine: grapefruit juice, infant soy formula, soybean flour, cotton seed meal, walnuts, and high-fiber foods.
Levothyroxine side effects
Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have:
fast or irregular heartbeats;
chest pain, pain spreading to your jaw or shoulder;
shortness of breath;
fever, hot flashes, sweating;
tremors, or if you feel unusually cold;
weakness, tiredness, sleep problems (insomnia);
memory problems, feeling depressed or irritable;
headache, leg cramps, muscle aches;
feeling nervous or irritable;
dryness of your skin or hair, hair loss;
irregular menstrual periods; or
Certain side effects may be more likely in older adults.
Common side effects may include:
chest pain, irregular heartbeats;
shortness of breath;
tremors, muscle pain or weakness;
headache, leg cramps;
feeling nervous or irritable, trouble sleeping;
changes in your menstrual periods;
skin rash, partial hair loss.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
What other drugs will affect levothyroxine?
Many other medicines can be affected by your thyroid hormone levels. Certain other medicines may also increase or decrease the effects of levothyroxine.
Certain medicines can make levothyroxine less effective if taken at the same time. If you use any of the following drugs, avoid taking them within 4 hours before or 4 hours after you take levothyroxine:
ferrous sulfate iron supplement;
Many drugs can affect levothyroxine. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here. Tell your doctor about all your current medicines and any medicine you start or stop using.
Frequently asked questions
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Copyright 1996-2021 Cerner Multum, Inc. Version: 14.01.
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