Foods like soybean flour, cottonseed meal, cabbage, cauliflower, walnuts, dietary fibre, calcium and calcium-fortified juices may affect the working of LEVOTHYROXINE SODIUM. Hence, avoid the intake of these foods within several hours of dosing if possible. LEVOTHYROXINE SODIUM should not be administered to patients with acute myocardial infarction and high blood pressure patients. So, close clinical monitoring of heart function is recommended before taking LEVOTHYROXINE SODIUM.

Drug-Drug Interaction: Medicines like appetite suppressant (phentermine), acidity medicine (esomeprazole), anti-diabetic drug (metformin), calcium/vitamin D, neuro-related medicine (amphetamine/dextroamphetamine), Antidepressant(amitriptyline, imipramine, dosulepin), Beta Blockers (propranolol, atenolol and sotalol), Anti-convulsants (carbamazepine, primidone and phenytoin), interact with LEVOTHYROXINE SODIUM. So, if you are taking these medicines make sure you contact your doctor before taking LEVOTHYROXINE SODIUM.

Drug-Food Interaction: If you are taking any homoeopathic, ayurvedic, Unani or any OTC items let your doctor know about this. These medicines may interact with LEVOTHYROXINE SODIUM and affect its working. Besides this, absorption of LEVOTHYROXINE SODIUM may be decreased by foods like soybean flour, cottonseed meal, walnuts, dietary fibre, calcium and calcium-fortified juices. So, try to avoid these foods if possible.

Drug-Disease Interaction: Thyroid hormones increase the workload of the heart and oxygen consumption of the body. Hence, a LEVOTHYROXINE SODIUM should be taken with caution in the heart patients (cardiovascular disorders) like high blood pressure, chest pain (angina) and coronary artery disease. You should have regular monitoring of heart function. If chest pain occurs frequently contact the doctor so that doctor may reduce the dosage.

• Eating the right nutrients and taking a regular dose of your prescribed medications may help reduce your symptoms and improve your thyroid function. Iodine, zinc and selenium are beneficial for people with hypothyroidism. However, it’s best to avoid iodine and selenium supplements unless your doctor advises you to take them.
• In hypothyroidism usually, there is a loss of calcium (hypocalcemia) and Vitamin D in our body. In such a case, people affected with hypothyroidism should opt for calcium-enriched foods.
• People with hypothyroidism usually have a slower metabolism and eating more protein may help boost your metabolism.
• Daily yoga and aerobics exercises can help in boosting the metabolism.
• People with hypothyroidism should prefer the intake of more vegetables, fruits and lean meats. These foods are low in calories and may help prevent weight gain.
• Avoid taking Goitrogens (agents which interfere with the normal function of the thyroid gland) which generally includes soy foods (tofu), cabbage, broccoli, kale, cauliflower, spinach, sweet potatoes, cassava, peaches, strawberries, millet, pine nuts, peanuts, etc.

• Doses beyond the range of may produce serious or even life-threatening manifestations of toxicity. Thus, if you forget to take LEVOTHYROXINE SODIUM anytime, take the medicine as soon as you remember to take it. However, if it is almost time for your next dose, you make avoid the skipped dose and continue with your regular regime as advised by your doctor.
• LEVOTHYROXINE SODIUM should not be used for the treatment of obesity or for weight loss.
• Patients with adrenaline or pituitary gland problem, heart diseases, diabetes, clotting disorders should not take LEVOTHYROXINE SODIUM without consulting doctor as the dose may need to be adjusted.
• Diabetes patients taking LEVOTHYROXINE SODIUM should contact the doctor before starting this medicine as it may worsen glycaemic control and may result in increased antidiabetic pills or insulin therapy.
• Regular intake of LEVOTHYROXINE SODIUM may decrease bone mineral density, particularly in post-menopausal women. Hence, consult your doctor who might prescribe you the lowest dose possible for your bone health.
• If you are taking LEVOTHYROXINE SODIUM prior to any surgery let your doctor know about this.
• Thyroid function tests are usually done on an empty stomach after overnight (6-8 hrs) fasting.
• Patients with rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption should not take this medicine.