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Advice on meds
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.

Advice on meds

by karenscar, Mar 22, 2007 12:00AM
Hi Doctor.

My name is Karen.  I am hypothyroid and have been taking synthroid for 4 1/2 months.  (TSH .99, Free T3 2.8, Free T4 1.29).I am feeling pretty good except for hair loss, bloating, etc.  I also take Prozac 20 mg.  My questions are:

1.  Do you know if Prozac would affect thyroid levels?  I do not take them together.

2.  Do you think that I need an increase to 112 of Synthroid, or
maybe switch to decreased dose of Synthroid and add cytomel?

3.  Or stay on 100 mcg and add a multivitamin and selenium and see how that goes.

Thank you.

by Mark Lupo, M.D., Mar 24, 2007 12:00AM
Prozac is not known to alter thyroid levels (unlike Zoloft) -- probably ok to take together -- key is being consistent with the way you take the medications.  Hard to advise on question #3 without evaluating you clinically.  The TSH is fine on current dose.
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