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When Can I Discontinue Throfit Medication For Thyroid Problem?
Hi
I am 39 year old housewife lady.
I am having thyroid problem since Dec 2012. That time my TSH level was 11. So as per doctor consult I have started THROFIT Tab 100 mcg step by step (Stat from 25, then 50 and 100). Then afer my TSH level had decreased so I have reduced medicine stp by step as 25 mcg only. Now my TSH level is 4 only from last one year. But some time I have felt some hormons problem is there in my body & felt some minor swelling on face and fingers also. So I want to know when should I stop the medicine?.
I am 39 year old housewife lady.
I am having thyroid problem since Dec 2012. That time my TSH level was 11. So as per doctor consult I have started THROFIT Tab 100 mcg step by step (Stat from 25, then 50 and 100). Then afer my TSH level had decreased so I have reduced medicine stp by step as 25 mcg only. Now my TSH level is 4 only from last one year. But some time I have felt some hormons problem is there in my body & felt some minor swelling on face and fingers also. So I want to know when should I stop the medicine?.
Tue, 4 Feb 2014
Hi, welcome to our site. I am Dr Saumya Mittal.
Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query
The thyroid medicine can be tapered only if your tests remain good.
Personally I dont rely just on tsh to reduce the medicine in my patients. i prefer to go for the complete thyroid profile, including ft3, ft4 and tsh.
You see if one of the components like ft3 or ft4 are reduced, the other component will compensate. However if you stop the medicine altogether, and the levels are deficient, the tsh wil rise again
In fact your facial puffiness would, to me, suggest that your thyroid medicine may need to be stepped up again. If you are using more dose of medicine, than the body requires, you should be getting thinner.
I would also suggest you test for usg thyroid/neck
and thyroid antibodies test.
I think this will help you formulate the plan you need to take and discuss it with your doctor
I hope this helps you. Inform the reports mentioned above so i can be of help further. Best of luck.
I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.
Please do understand that some details could be extracted from a detailed history and examination.
Looking forward to your return query with the details asked so that I can help you further.
(If the answer has helped you, please indicate this)
Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query
The thyroid medicine can be tapered only if your tests remain good.
Personally I dont rely just on tsh to reduce the medicine in my patients. i prefer to go for the complete thyroid profile, including ft3, ft4 and tsh.
You see if one of the components like ft3 or ft4 are reduced, the other component will compensate. However if you stop the medicine altogether, and the levels are deficient, the tsh wil rise again
In fact your facial puffiness would, to me, suggest that your thyroid medicine may need to be stepped up again. If you are using more dose of medicine, than the body requires, you should be getting thinner.
I would also suggest you test for usg thyroid/neck
and thyroid antibodies test.
I think this will help you formulate the plan you need to take and discuss it with your doctor
I hope this helps you. Inform the reports mentioned above so i can be of help further. Best of luck.
I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.
Please do understand that some details could be extracted from a detailed history and examination.
Looking forward to your return query with the details asked so that I can help you further.
(If the answer has helped you, please indicate this)
I find this answer helpful
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