How do I change my pill schedule when crossing time zones?

[TimHC]

Hello everyone, I'm new to this forum and actually asking a question on my girlfriend's behalf. ..

She has a job which means she goes from Asia to europe a lot, like 4 months at a time.  And would normally dose herself just after getting up, and in the evening (every 12 hours).  Now when she flys to Asia the 6 hour time difference means that it's midday and the middle of the night!  
She is taking T3 and T4 natural(not sythetic) pills right now.  I think the dose is 100mgs x 1 bi-daily.
Should she
A) skip a pill and have a one off 18 hour gap,
B) add an extra pill and have a one off 6 hour gap,
C) step it by an hour each day  for the first week until it is back to usual.

Thanks for all your help in advance.

Tim

[TimHC]

Thanks Barb,

That is way we went and she seems to have not have had any bad effects from changing. She switched over with a 18hr time gap rather than a 30hr gap.  

Tim

[Barb135]

Your girlfriend will sleep/wake according to local (Asian) time, therefore, she should take her med according to her sleep/wake cycle, just as she would do at home...

[gimel]

If it were me I would split the dose in order to even out the effect over the whole day.  If she did that then she could take her early dose right before lunch and again before dinner.  That way the time would be almost the same as normal.  

[TimHC]

Hi Gimel,
Thank you for your reply, I realise I made a big mistake over the actual dosage. Sorry for being a dope.
She takes a combined T3-T4 pill (100mgs T4, 20mgs T3) once daily.
She was advised to take them on an empty stomach so first thing in the morning.
So how does she change her dose time back to the morning?

Thanks again
Tim

[gimel]

An unusual question.  In thinking about it, the first thought was why should she wait 12 hours between doses.  It would be far better to take her morning dose upon arising and then her second dose about 6 hours later.  I say this because of the T3 in her meds.  T3 has a half life of about 3-4 hours, so many people find it best to split the dose to even out the effect over the day.  A 12 hour delay does not compute, since that gets too close to bedtime and often interferes with sleep.  If she switched to say a 5 or 6 hour interval then she would be taking her med at say midday and early evening, local time in Asia, rather than middle of the night.