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Can she continue THYROXINE with abnormal THYROID profile?

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Hello doctor, . I want to know whether my mom continue taking thyroxine sodium 50 tablets or not . she is taking thyroxine from 2011 . at that time YEAR 2011 - values are T3 - 79.03 NG/DL T4 - 5.3 micro.g/dl TSH - 17.65 micro.IU/ml . AFTER TAKING THYROX 100 FOR 6 MONTH AND THYROX 50 FOR NEXT 6 MONTH . year 2012 T3 -63.6 T4 - 1.6 TSH - 150 . . she is still taking thyroxine sodium 50, but from 2-5 months my moms bp (80/50, 90/60) getting very low, skins getting loose, always feeling sleepy, and some time she wake up at nights, headache, no temperature, no blood infection, she is 52 YRS OLD NOW . I am sending you previous 2 thyroxine test reports . Thanks

Category: Endocrinologist

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Category: Diabetologist
 27 Doctors Online

Thank you for your query at
These reports are fine.
She needs to continue the dose of thyroxine she is taking.
the skin changes may be related to menopausal effect.
However, BP needs to be investigated. It may not be related to Thyroid. Or her Adrenal hormones need testing as low Cortisol can be seen in some patients with thyroid disease and it needs treatment.
Also her heart needs to be seen, for its function.
Please feel free to discuss further.

Patient replied :

Pulse is OK
BP is always low
Previous time when we visited doctor with my mom, doctor has prescribed tab. MENOPACE(Antioxidants & Essential Micronutrients), Can she continue taking those tablets

The main problem i am asking, is thyroxine sodium showing any adr on my moms body ?

No, if the TSH is normal on the dose that she is taking, it means that the dose is adequate and will have no adverse effects.
BP of that degree, unless causing dizziness, blackouts etc is not abnormal. esp if all tests are normal.

Patient replied :

can she try stop taking thyroxine sodium for 1 month, what is esp, (esp if all tests are normal.)

She needs to continue taking the tablet. Reports are normal because she is taking the tablets. Please do not discontinue.

Dr. J Muthukrishnan
Category: Diabetologist
1. 10th Asia-Pacific Pediatric Endocrine Society  Fellows meeting, Seoul, Korea, Oct 2008
2. Eighth ICMR Course on Genetics and Genetic Counseling – Jul 2008 – SGPGI, Lucknow
3. Annual Certificate Course on Endocrinological Laboratory Techniques at National Institute of Nutrition (ICMR) Hyderabad,India, ( Aug-Sep 2006) 
Fellowship: Endocrinology, Diplomate of National Board, National Academy of Medical Sciences, New Delhi, 2008, Medwin Hospital, Hyderabad
Senior Residency: Diplomate of National Board (General Medicine), National Academy of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, 1997-2000, Armed Forces Medical College, 2nd position in University
Medical School: MBBS, Armed Forces Medical College, 1992
Dr. J Muthukrishnan and 4 other Medical Specialists are ready to help you

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