A 68-year-old woman presents with weight gain, constipation and fatigue. Examination shows dry skin and periorbital puffiness. TSH is 18 mU/L (0.4-4.0...

Question

A 68-year-old woman presents with weight gain, constipation and fatigue. Examination shows dry skin and periorbital puffiness. TSH is 18 mU/L (0.4-4.0) and free T4 is low. She has no ischaemic heart disease. According to Australian practice, which levothyroxine starting regimen is most appropriate?

Accepted Answer

50 micrograms daily, titrating every 6-8 weeks

Answer

150 micrograms daily from the outset

Answer

25 micrograms daily, titrating every 6-8 weeks

Answer

200 micrograms daily on alternate days

Answer

Once-weekly high-dose thyroxine supervised in clinic

au-amc MCQ (SBA): Primary hypothyroidism

A 68-year-old woman presents with weight gain, constipation and fatigue. Examination shows dry skin and periorbital puffiness. TSH is 18 mU/L (0.4-4.0) and free T4 is low. She has no ischaemic heart disease. According to Australian practice, which levothyroxine starting regimen is most appropriate?