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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Normal To Have Jittery Feeling With Nervousness Post Intake Of Levothyroxine?

i have been told to take levothyroxine 25 mcg tablets (synthroid) i took first one this morning on empty stomach with full glass water for the whole day i felt jittery nervous hyper i phoned pharmacy she told me to cut the tablet in halffor a few days until i got used to it more i phoned my endrigonolgist he is bulgarian and in bulgaria at moment the girls on reception very rude, i dont like them at all they said jut take it and see how you feel but it was too late to call back again and ask if i can cut this tablet in half is that ok can you tell me thanks
Fri, 3 Jul 2020
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General & Family Physician,  's  Response
Hi

General recommendation is to avoid cutting the tablet since certain drugs may not be absorbed properly and also the drug may not be distributed equally in the cut tablets.

Thyroxine can cause palpitations,tremors,anxiety or jitters when taken above normal dose.Dose reduction may be required in order to reduce your symptoms.

With respect to Levothyroxine,you can cut the tablet.I would recommend you to cut the tablet and take one half a day before food until you are able to get an appointment with your Doctor.


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

Regards
Dr.Saranya Ramadoss, General and Family Physician
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Is It Normal To Have Jittery Feeling With Nervousness Post Intake Of Levothyroxine?

Hi General recommendation is to avoid cutting the tablet since certain drugs may not be absorbed properly and also the drug may not be distributed equally in the cut tablets. Thyroxine can cause palpitations,tremors,anxiety or jitters when taken above normal dose.Dose reduction may be required in order to reduce your symptoms. With respect to Levothyroxine,you can cut the tablet.I would recommend you to cut the tablet and take one half a day before food until you are able to get an appointment with your Doctor. Hope I have answered your query. Let me know if I can assist you further. Regards Dr.Saranya Ramadoss, General and Family Physician