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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Adverse effects from TR, 78 year old woman
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.
Adverse effects from TR, 78 year old woman
by thyroidstormsurvivor, Feb 26, 2006 12:00AM
My friend who is 78 yr. old woman, had sub-total thyroidectomy gets very sick when she takes her TR (currently levoxyl).............she tried again the other day with the tiniest bit 37 mcgs., took it for two days, gets nauseous,out of sorts, confused etc..
She is very compliant, that I know for a fact. It is a horrible problem as she was recently hospitalized for myxedema.
We have "considered" ectopic thyroid tissue and also mutant alleles of the liver.
Sadly, her PA we think, thinks she is non-compliant and just tells her, "Don't take it then!" She is very thin and can go for months w/o thyroxin replacement but eventually crashes and burns.
Any input or even questions would be greatly appreciated.
She is very compliant, that I know for a fact. It is a horrible problem as she was recently hospitalized for myxedema.
We have "considered" ectopic thyroid tissue and also mutant alleles of the liver.
Sadly, her PA we think, thinks she is non-compliant and just tells her, "Don't take it then!" She is very thin and can go for months w/o thyroxin replacement but eventually crashes and burns.
Any input or even questions would be greatly appreciated.
Doctor's Answer
by Mark Lupo, M.D., Feb 27, 2006 12:00AM
, Feb 27, 2006 12:00AM
Would go very slowly with her -- 37.5mcg may be too much at this point. It's better to go slow consistently than to be on/off it. I have patients who start with 12.5mcg a day for 2-3 weeks then 12.5mcg alternating with 25mcg, then 25mcg a day etc -- sometimes even slower -- also make sure they have evaluated her for adrenal insufficiency.
Member Comments (2)
by thyroidstormsurvivor, Feb 28, 2006 12:00AM
Thank you so much; will follow your advice!! I will also follow up on this and let you know!!
