Thyroxine
Avoid the ELDERLY to get too MUCH levothyroxine
As a pharmacy specialist, you should avoid many older adults to get too much levothyroxine ( Synthroid, Euthyrox, Eltroxin, etc) , increasing their risk of atrial fibrillation and fractures . Levothyroxine requirements decrease as people age, but doses are often not reduced accordingly. Younger adults need about 1.7 mcg/kg/da…
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Thyroxine
Strict control of HYPOthyroidism during pregnancy
As a clinical pharmacist, you should know how to treat hypothyroidism in pregnant women. New guidelines will call for tighter and more aggressive control of hypothyroidism before and during pregnancy. Levothyroxine needs rapidly increase when a woman becomes pregnant, leaving many patients undertreated during early pregnancy. …
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Thyroxine
Take Euthyrox FIRST THING on an empty stomach
As a clinical pharmacist, you should advice your patient that It's important to take levothyroxine FIRST THING in the morning on an empty stomach, because absorption can be decreased by calcium , iron , fiber, and other substances. New evidence suggests that even coffee MIGHT reduce absorption. Tell patients to wait at least 30 mins before ea…
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Thyroid Disease
Monitor THYROID disease during pregnancy
Uncontrolled thyroid disease during pregnancy has risks, such as miscarriage, preterm birth, low birth weight, and cognitive defects. Consider these tips to limit adverse fetal outcomes... HYPOthyroidism Pregnant women need higher levothyroxine doses due to faster drug metabolism, T4 transfer to the baby, etc. Generally aim for a TSH less than …
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