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Hashimoto's Disease (cont.)

Hashimoto's Thyroiditis Medications

If thyroid hormone deficiency is noted on blood tests, the treatment involves daily dosing of a synthetic form of thyroid hormone. This may be in the form of levothyroxine, which is synthetic T4 (Levothroid, Levoxyl, Synthroid), or occasionally in the form of liothyronine sodium (Cytomel, Triostat) (a synthetic T3).

There are other versions of thyroid hormone available (such as Armour thyroid, which is a combination of T3 and T4) but the details regarding these regimens are beyond the scope of this article. Oral medications can restore hormone levels and reverse the symptoms of hypothyroidism, but they must be taken regularly and over the long term. Dosing is adjusted based on blood levels. Levels are usually checked every 6-12 weeks when the medication is actively being adjusted, and 6-12 months thereafter once stable.

Side effects of over-replacement are similar to those of hyperthyroidism, and may include palpitations, tremors, nervousness, sweating, and restlessness.

Medically Reviewed by a Doctor on 6/4/2014

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