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Hypothyroidism
pale, puffy
skin cold and dry
hair is brittle
heart rate is lowered
cold intolerance
lethargy, fatigue, goiters
Hypothyroidism Med
levothyroxine(Synthroid)
levothyroxine(Synthroid) uses
synthetic preparation of T4
conversion to T3
half-life is 7 days
levothyroxine(Synthroid) Adverse effects
Rare
Monitor for overdose after initial treatment
tachycardia, restlessness, irritability
levothyroxine(Synthroid) education
takes 4-6 weeks to feel better
take with empty stomach 30 min before breakfast
measure labs
on it for life
levothyroxine(Synthroid) interactions
Food and minerals causes decreased absorption of levothyroxine(Synthroid)
increased effects of catecholamines (dysrhythmias)
caffiene
Effects on protein binding
Warfarin
Hyperthyroidism Med
propylthiouracil(PTU)
propylthiouracil(PTU) uses
inhibits production of new thyroid hormone
inhibits conversion of t4 to t3
propylthiouracil(PTU) Adverse effects
Agranulocytosis (low neutrophils)
Hypothyroidism
Acute liver injury