Question

A 32-year-old woman with primary hypothyroidism on levothyroxine presents with palpitations and insomnia. Her TSH is suppressed. According to NICE guidelines, what is the most appropriate levothyroxine dose adjustment?

Accepted Answer

Decrease by 25 micrograms

Answer

Increase by 25 micrograms

Answer

Stop levothyroxine for 2 weeks

Answer

No change, recheck TSH in 3 months

Answer

Add liothyronine

Practice question

A 32-year-old woman with primary hypothyroidism on levothyroxine presents with palpitations and insomnia. Her TSH is suppressed. According to NICE guidelines, what is the most appropriate levothyroxine dose adjustment?