How Can One Resume Taking Thyronorm For Elevated TSH Levels After Discontinuing It For A Few Days?

Posted on Fri, 9 Mar 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 9 Mar 2018 Answered on

Mon, 15 May 2023 Last reviewed on

Question : Hi,
I had high level of TSH. So I used to take thyronorm 50mcg.. But for last few days I was not taking this. So now after doing the test my TSH level elevated as 8.5. What dosage of terrorism should I administer.

Please advice medicine for the report attached.

Answered by Dr. Suresh Heijebu (2 hours later)

Brief Answer:
50 mcg is sufficient.

Detailed Answer:

Hello,

It's very important that you continue taking thyroxine supplementation regularly.

Discontinuation of these medications can result in rapid worsening of thyroid issues resulting in gross expression of symptoms.

Considering the latest value of TSH of 8.5, it's advisable to resume a similar dose of thyroxine of 50 mcg only.

Likewise, it's advisable to repeat the Complete Thyroid profile after 1 month to titrate the dosage.

Additionally, the reports show severe vitamin D deficiency which requires correction by oral vitamin D supplementation at the earliest.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Suresh Heijebu, General & Family Physician

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Suresh Heijebu (3 days later)

can you suggest me some good vitamin D supplements and dosage.. how many days do I need to take those supplements?? how and when to take.

Answered by Dr. Suresh Heijebu (6 hours later)

Brief Answer:
Initial 12 weeks of therapy may be required.

Detailed Answer:

Hello,

As you have reported severe vitamin D deficiency, it's advisable to consider Vitamin D supplementation for at least 12 weeks initially. Further extension of therapy to another 12 weeks may depend on the vitamin D levels after the initial 12 weeks.

I generally prescribe oral medications of Cholecalciferol 60,000 IU, one pill once a week only for 12 such weeks to my patients with lab abnormalities.

Please check with your physician if he shares my view and if can prescribe these medications to you.

Hope I have answered your query.

Regards,
Dr. Suresh Heijebu, General & Family Physician

Above answer was peer-reviewed by : Dr. Kampana