Suggest Dosage For Thyronorm
 
                                    
                                    
                                          
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                                           Wed, 30 Aug 2017
                                           
                                        
                                        
                                        
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                                                Wed, 30 Aug 2017
                                                
                                            
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                                                Thu, 21 Sep 2017
                                                
                                                
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                                            Question : Female age 54, no diabeties, healthy, exercises regularly ,vegetarian diet, not obese.
15/5/17 TSH22 T31.22 T4 28.6 dosage 50mg thyronorm fluctuating BP
27/6/17 TSH5.14 T3 1.22 T4 76 dosage 62.5 thyronorm fluctuating BP
29/8/17 TSH <0.015 T3 2.42 T4 157 steady BP but low 117/66
kindly advise dosage of thyronorm If its to be maintained or reduced or wait for further test after some period.Any other advise
                            15/5/17 TSH22 T31.22 T4 28.6 dosage 50mg thyronorm fluctuating BP
27/6/17 TSH5.14 T3 1.22 T4 76 dosage 62.5 thyronorm fluctuating BP
29/8/17 TSH <0.015 T3 2.42 T4 157 steady BP but low 117/66
kindly advise dosage of thyronorm If its to be maintained or reduced or wait for further test after some period.Any other advise
                                    Brief Answer:
THyronorm dosage
Detailed Answer:
Hi,
Thanks for question.
Was the first 50mcg started after 15/5/17 result? Was 62.5 mcg increased after 27/6/17 result?
What is the free T3 and free T4 result? Please get them done as well.
If i were the treating doctor I would have waited for few more days before increasing the dose to 62.5mcg from 50mcg.
Whom are you consulting now?
The BP is ok and not low as you are thinking.
                                    
                            THyronorm dosage
Detailed Answer:
Hi,
Thanks for question.
Was the first 50mcg started after 15/5/17 result? Was 62.5 mcg increased after 27/6/17 result?
What is the free T3 and free T4 result? Please get them done as well.
If i were the treating doctor I would have waited for few more days before increasing the dose to 62.5mcg from 50mcg.
Whom are you consulting now?
The BP is ok and not low as you are thinking.
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Nagamani Ng
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    answers to your questions
first 50 mg thyronorm started after 15/5 result by local family physician
62.5 mg started after DrKunal XXXXXXX consl at healthcare magic
Free T3...8.76 (4.26-8.1)
Free T4...28(10-28.2) earlier results u have
1.Kindly inform dosage now from 62.5 thyronorm to be changed either gradually or suddenly.
2.Recheck to be done after what period and for what tests
3.BP sometimes after 4-6 days falls to 94/52, 96/55 controlled by taking electoral Is it ok?
                                
                            first 50 mg thyronorm started after 15/5 result by local family physician
62.5 mg started after DrKunal XXXXXXX consl at healthcare magic
Free T3...8.76 (4.26-8.1)
Free T4...28(10-28.2) earlier results u have
1.Kindly inform dosage now from 62.5 thyronorm to be changed either gradually or suddenly.
2.Recheck to be done after what period and for what tests
3.BP sometimes after 4-6 days falls to 94/52, 96/55 controlled by taking electoral Is it ok?
                                    Brief Answer:
Thyronorm
Detailed Answer:
1.Kindly inform dosage now from 62.5 thyronorm to be changed either gradually or suddenly.
Thyronorm can be reduced back to 50mcg since the free T3 and T4 are above the normal range.
2.Recheck to be done after what period and for what tests
Every 3 months initially
3.BP sometimes after 4-6 days falls to 94/52, 96/55 controlled by taking electoral Is it ok?
It is ok as long as you do not have symptoms like lightheadedness, vomiting, swealting during your routine tasks.
                                    
                            Thyronorm
Detailed Answer:
1.Kindly inform dosage now from 62.5 thyronorm to be changed either gradually or suddenly.
Thyronorm can be reduced back to 50mcg since the free T3 and T4 are above the normal range.
2.Recheck to be done after what period and for what tests
Every 3 months initially
3.BP sometimes after 4-6 days falls to 94/52, 96/55 controlled by taking electoral Is it ok?
It is ok as long as you do not have symptoms like lightheadedness, vomiting, swealting during your routine tasks.
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Vaishalee Punj
                                  
                              
                                         
 
                                    
                                    
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