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LEVOTHYROXINE-ORAL (cont.)

SIDE EFFECTS: Symptoms of low thyroid levels include fatigue, muscle aches, constipation, dry skin, weight gain, slow heart rate, sensitivity to cold, or dry brittle hair that tends to fall out easily. These symptoms should disappear as your body adjusts to the medication. If they persist or become bothersome, notify your doctor promptly. Headache, nervousness, trembling, sweating, increased appetite, diarrhea, weight loss or insomnia may occur. If any of these effects persist or worsen, notify your your doctor promptly. In rare instances, some hair loss may occur during the first few months of starting this drug. This effect is usually temporary as your body adjusts to this medication. If this effect persists or worsens, notify your doctor promptly. Tell your doctor immediately if you have any of these unlikely but serious side effects: chest pain, rapid or irregular heartbeat, shortness of breath. Tell your doctor immediately if you have any of these very unlikely but serious side effects: seizures. An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: overactive thyroid conditions (e.g., thyrotoxicosis), a heart attack (acute myocardial infarction), adrenal gland problems (e.g., uncorrected adrenal insufficiency). Do not use thyroid drugs for weight control. Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (e.g., hypertension, congestive heart failure, arrhythmias, coronary artery disease), diabetes, male or female infertility problems, bone loss disease (e.g., osteoporosis), other hormone disorders (e.g., hypothalamic/pituitary hormone deficiencies, autoimmune polyglandular syndrome), other thyroid problems (e.g., nontoxic diffuse goiter, nodular thyroid disease), blood clotting disorders, any allergies. Notify your doctor or dentist that you are taking this medication prior to any surgery. Caution is advised when using this drug in children because overuse may reduce the child's future adult height. Consult your doctor for details. Caution is advised when using this drug in the elderly because they may be more sensitive to the effects of the drug. Current information shows that this drug may be used during pregnancy. Tell your doctor if you are pregnant because your dose will have to be adjusted. Small amounts of this drug pass into breast milk. Consult your doctor before breast-feeding.




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