Thyroid Replacement Hormones (cont.)
Eni Williams, PharmD, PhD
Eni Williams, PharmD, PhD
Dr. Eni Williams graduated from Creighton University in 1988 with a B.S. degree in pharmacy and a Doctor of Pharmacy from Howard University in 1994. She also obtained a Ph.D. in Public Policy in 2009 at the University of Maryland, Baltimore County.
Medical and Pharmacy Editor:
In this Article
What are the side effects of thyroid replacement hormones?
Thyroid replacement hormones usually are well tolerated. Symptoms that occur during treatment are often due to toxic, elevated levels of thyroid hormones and resulting symptoms from hyperthyroidism. Symptoms may include chest pain, increased heart rate or pulse rate, excessive sweating, heat intolerance, nervousness, headache, insomnia, diarrhea, vomiting, weight loss, and fever. Some women may experience irregular menstrual cycles.
With which drugs do thyroid replacement hormones interact?
Thyroid replacement hormones should be used cautiously in people with diabetes since starting or discontinuing therapy may lead to a loss of control of the blood sugar requiring adjustments in doses of insulin or oral antidiabetic drugs (for example, glyburide [Micronase]). The effects of blood thinners such as warfarin (Coumadin) may be increased by thyroid replacement hormones warranting a decrease in the dose of warfarin in addition to monitoring of blood clotting.
Intravenous epinephrine administration in patients with coronary artery disease who are taking thyroid replacement hormones may increase the risk of complications such as difficulty in breathing and possibly heart attacks. The effectiveness of some beta blockers [for example, metoprolol (Lopressor) orpropranolol (Inderal)] may be reduced when a patient is converted from a state of hypothyroidism (under activity) to a normal state (euthyroid state). It also may be necessary to modify the dose of digoxin (Lanoxin) and theophylline (Slo-Bid) when a patient is converted from hypothyroidism (under activity) to a normal state (euthyroid state). There is increased elimination of theophylline in a euthyroid state compared to a state of hypothyroidism.
The effectiveness of thyroid replacement hormones may be decreased when given with drugs such as calcium carbonate, ferrous sulphate,cholestyramine (Questran) and colestipol (Colestid) that binds thyroid replacement hormones and prevent their absorption. This interaction may be reduced by separating the administration of these drugs from thyroid replacement hormones by four hours.
REFERENCE: FDA Prescribing Information.
Medically Reviewed by a Doctor on 5/30/2014
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