A 60-year-old woman is reviewed for hypothyroidism. She has been on thyroxine 100 micrograms daily for 6 weeks. Recent TSH is 8.0 mIU/L (elevated) and...

Question

A 60-year-old woman is reviewed for hypothyroidism. She has been on thyroxine 100 micrograms daily for 6 weeks. Recent TSH is 8.0 mIU/L (elevated) and free T4 is mildly low. She is otherwise well. What is the most appropriate management?

Accepted Answer

Increase thyroxine to 112 micrograms daily and repeat TFTs in 6-8 weeks

Answer

Continue current dose and repeat TFTs in 12 months

Answer

Stop thyroxine and repeat TFTs in 6 weeks

Answer

Switch to liothyronine

Answer

Refer urgently to an endocrinologist

au-amc MCQ (SBA): Hypothyroidism management

A 60-year-old woman is reviewed for hypothyroidism. She has been on thyroxine 100 micrograms daily for 6 weeks. Recent TSH is 8.0 mIU/L (elevated) and free T4 is mildly low. She is otherwise well. What is the most appropriate management?