A 58-year-old woman with hypothyroidism on levothyroxine 100 micrograms has TSH 9.2 mIU/L, free T4 low. She admits taking tablets with breakfast. Best...

Question

A 58-year-old woman with hypothyroidism on levothyroxine 100 micrograms has TSH 9.2 mIU/L, free T4 low. She admits taking tablets with breakfast. Best advice?

Accepted Answer

Take levothyroxine on empty stomach away from food

Answer

Increase dose to 125 micrograms

Answer

Switch to liothyronine

Answer

Stop therapy and recheck in 3 months

Answer

Add iron supplement

mrcgp akt MCQ (SBA): Levothyroxine administration

A 58-year-old woman with hypothyroidism on levothyroxine 100 micrograms has TSH 9.2 mIU/L, free T4 low. She admits taking tablets with breakfast. Best advice?