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A. You should wait at least 4 hours after taking levothyroxine prior to taking any supplements with calcium or iron because they can decrease the absorption of the levothyroxine. Normally.levothyroxine is taken on an empty stomach with a full glass of water. Megan Uehara.PharmD.

Dosage is based on your age.weight.medical condition.laboratory test results.and response to treatment.

The main risk is atrial fibrillation.a dangerous heart rate abnormality.which occurs three times more often in patients who are on too much levothyroxine. You may also cost of synthroid with insurance accelerated bone loss and therefore.a higher risk of fractures.

Concurrent use of tyrosine-kinase inhibitors such as imatinib may cause hypothyroidism. Closely monitor TSH levels in such patients.

If this condition is treated.a lower levothyroxine sodium dose (e.g..1 mcg/kg/day) than that used for full replacement may be adequate to normalize the serum TSH level. Patients who are not treated should cost of synthroid with insurance monitored yearly for changes in clinical status and thyroid laboratory parameters.

The therapeutic effects of digitalis glycosides may be reduced by levothyroxine. Serum digitalis glycoside levels may be decreased when a hypothyroid patient becomes euthyroid.necessitating an increase in the dose of digitalis glycosides (see Table 2).

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