Dear Sir/mad
I have gone through your question.
I can understand your concern.
Can you tell me if you feel :
•
Cold extremities
• Cold sweats
• Night sweats
Or Sweat a lot in arm and your body? (and this is hyperthyroid problems)
Did you check thyroid function, Until you begining the therapy ?
Initial dose: 25 to 50 mcg/day, with gradual increments in dose at 6 to 8 week intervals, as needed
-Initial dose: 12.5 to 50 mcg orally once a day; dosage can be increased in 12.5 to 25 mcg/day increments every 2 to 4 weeks (accompanied by clinical and laboratory assessment, until the
TSH level is normalized)
My advissed is to the thyroid function
TSH ,FT3 FT4 and than to discutation about the dose .
You must to know that :
-The dose should be individualized on the basis of clinical response and biochemical tests.
-This drug should be taken in the morning on an empty stomach with water, at least one-half hour before any food is eaten.
-This drug should be taken at least 4 hours apart from drugs that are known to interfere with its absorption.
-The peak therapeutic effect of this drug may not be attained for 4 to 6 weeks.
So you change the dose every 20 days , in my opinion it must change every 10-14 days .
So please chekc thyroid function and counsoult with your endocrinolog. To see if your thyroid is underactive or hyperactive?
Hope I answered your questation and don’t hesitatetd to ask me please
Kind regards
Klodiana Poshi