How should levothyroxine (Thyronorm) dosing be adjusted for a pregnant patient at 12 weeks gestation whose TSH recently rose from 1.7 to 10.7 mIU/L after a dosage reduction to 37.5 mcg, and is an increase to 67.5 mcg appropriate if their FT3 and FT4 levels remain normal? | Apollo Pharmacy

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How should levothyroxine (Thyronorm) dosing be adjusted for a pregnant patient at 12 weeks gestation whose TSH recently rose from 1.7 to 10.7 mIU/L after a dosage reduction to 37.5 mcg, and is an increase to 67.5 mcg appropriate if their FT3 and FT4 levels remain normal?

Asked by Female, 32 · 16 days ago

Vikas Singh

M Pharmacy

16 days ago

It is very common for thyroid needs to increase during this time. Since your TSH rose to 10.7 mIU/L, raising your levothyroxine (Thyronorm) dose is a safe and crucial step to protect both you and your baby, even though your FT3 and FT4 are currently normal. Increasing your daily dose to 67.5 mcg is a very reasonable and appropriate adjustment. Please contact your doctor or endocrinologist right away to confirm this change. They will likely want to recheck your thyroid levels in 4 weeks to ensure your TSH safely returns to the ideal target range.

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How should levothyroxine (Thyronorm) dosing be adjusted for a pregnant patient at 12 weeks gestation whose TSH recently rose from 1.7 to 10.7 mIU/L after a dosage reduction to 37.5 mcg, and is an increase to 67.5 mcg appropriate if their FT3 and FT4 levels remain normal?

Answered 16 days ago

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How should levothyroxine (Thyronorm) dosing be adjusted for a pregnant patient at 12 weeks gestation whose TSH recently rose from 1.7 to 10.7 mIU/L after a dosage reduction to 37.5 mcg, and is an increase to 67.5 mcg appropriate if their FT3 and FT4 levels remain normal? | Apollo Pharmacy