How Soon After Taking Levothyroxine Can I Take Pantoprazole
Avoid drinking coffee when taking levothyroxine.
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Doctors prescribe levothyroxine for hypothyroidism, a medical status caused by an underactive thyroid. Taking levothyroxine with other drugs or certain foods might accept negative consequences. Learning about these interactions tin can help you lot safely use this medication to its full effectiveness.
Levothyroxine: Drug Interactions
A number of substances — including other medications, foods and beverages — may collaborate with levothyroxine and decrease its absorption and effectiveness. Many drugs affect the way your body absorbs levothyroxine, and then you should tell your health care provider near everything you take, including nutritional supplements.
The authors of a January 2022 report in Clinical Endocrinology listed several known drugs that can interfere with levothyroxine'due south absorption. This listing features a range of substances including proton pump inhibitors used for acid reflux, estrogen replacement medications and statins used to lower cholesterol levels. In addition, sure mineral supplements, including calcium carbonate, calcium citrate and iron sulfate, volition decrease the effects of levothyroxine.
Several medications used for seizure disorders may decrease levothyroxine's effectiveness. Anti-epileptic drugs like phenobarbital and carbamazepine may increase the metabolism of levothyroxine, according to a February 2022 review in Lancet Diabetes and Endocrinology. This means that people with epilepsy and hypothyroidism may need larger doses of levothyroxine.
Antibiotics tin can too cause drug interactions with varying results. A study published in the November 2022 issue of Thyroid shows this paradox. These researchers gave ii antibiotics — ciprofloxacin and rifampin — to eight subjects also given levothyroxine.
Ciprofloxacin decreased thyroid hormone levels by 39 percent, and rifampin increased them by 25 percent. If you need to use levothyroxine and antibiotics, talk with your doctor about the possible interactions.
Foods to Avoid With Levothyroxine
Other substances tin can cause effects similar to drug interactions. The authors of a July 2022 study in Thyroid listed several foods and beverages y'all should stay away from including grapefruit, grapefruit juice, soy protein and coffee. These products decrease the absorption and thus the effectiveness of levothyroxine. Fiber supplements may also negatively impact absorption of the thyroid medication.
Yet some food interactions can have beneficial effects. For example, getting arable vitamin C increases levothyroxine'south absorption, according to a Feb 2022 review in Clinical Therapeutics. Vitamin C is found in a variety of fruits and vegetables, including citrus fruits, strawberries, and bell peppers.
The writers of a June 2022 paper in the Journal of Clinical Endocrinology and Metabolism showed how vitamin C can help people with poor digestive absorption by testing 31 people with hypothyroidism and gastritis. The latter condition typically limits the digestive assimilation of critical nutrients.
The study constitute that combining vitamin C and levothyroxine increased circulating levels of thyroid hormone, presumably due to improved absorption of the medication. Keep in listen that this was a small study, and further research is needed about the interactions between vitamin C and levothyroxine.
How to Take Levothyroxine
Taking levothyroxine with plainly water on an empty stomach first thing in the morning time will aid you avoid near issues with substances that affect its absorption. Wait nearly an 60 minutes before you consume annihilation or drink coffee.
If you take iron or calcium supplements, the Mayo Clinic recommends taking them iv hours apart from your levothyroxine. It's probably best to include these supplements with your lunch or dinner instead.
E'er check with your wellness care provider or pharmacist near the proper way to take your medications, including levothyroxine.
Source: https://www.livestrong.com/article/410650-foods-or-things-to-avoid-when-taking-levothyroxine/
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