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Diabetes - Adult Type II  (Expert Forum)
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TSH, ARMOUR and Propranolol
Answered by
Anita Ramsetty, MD - GeneralEndocrinology, Diabetes Type 1, Diabetes Type 2, Thyroid Disorders, AdrenalInsufficiency, CF-Related Diabetes
Endocrine Care Group
Questions in the Adult Type II Diabetes forum are answered by Dr. Anita Ramsetty. Topics covered include Type 2 Diabetes, blood glucose monitoring, diabetes and heart disease, diabetes and pneumonia, diabetes and pregnancy, diabetes and vision problems, diabetes and wound healing, diabetic complications, hyperglycemia, hypoglycemia, and insulin.

TSH, ARMOUR and Propranolol

by somewhere2007, Jul 01, 2008 12:53PM
My wife takes 15 mg of Armour thyroid 3 times a day for hypothyroidism. She had a tumor (benign) aprrox. 3 cm. half her thyroid was removed. Her TSH levels are now perfect 1.50 to 1.90 range. Her endo said this was perfect because she has another small nodule. Our question is this... she recently had a TIA/stroke and was rushed to the ER. Her Neurologist prescriped 10mg of Propranolol twcie a day - he stated it is related to her migraines. She takes her meds. separate from each other to prevent interaction. I know that Propranolol is used to treat hypEerthyroidism as well as her migraines. Will the Propranolol raise TSH??????????? I can't tell if it is used to treat some of the SYMPTOMS of hypErthyroidism such as high blood pressure or if this drug actually raises the TSH.

We do not want her on this med. if it will have her TSH levels higher.  Thank you for your time.

by Anita Ramsetty, MD, Jul 01, 2008 02:56PM
Hi,
Propanolol can have some effect on the conversion of thyroid hormones and as such MAY have a small effect on TSH(one can only wait and see what effect it has on your wife specifically, especially at this small dose). That said, I strongly urge you NOT to acutely stop taking the propanolol without discussing it with your wife's neurologist. If this medication is thought to be the best for her neurological situation then adjustments can be made to her thyroid medications to keep her TSH in goal range. This case may be complicated in that the neurologists may want your wife' s TSH at a higher level because of her stroke history, so all specialists  need to communicate especially well about this to avoid misunderstandings.

All the best.

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