Question

A 68-year-old man with ischaemic heart disease and hypothyroidism is tired with TSH 14 mIU/L and low free T4. What is the most appropriate initial levothyroxine dosing strategy?

Accepted Answer

Start 25 micrograms daily and titrate slowly

Answer

150 micrograms daily

Answer

100 micrograms daily

Answer

Alternate-day 100/50 micrograms

Answer

No treatment if asymptomatic

Practice question

A 68-year-old man with ischaemic heart disease and hypothyroidism is tired with TSH 14 mIU/L and low free T4. What is the most appropriate initial levothyroxine dosing strategy?