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Mayo Clinic Minute: Levothyroxine overload?
Daim Duab: Mayo Clinic Minute: Levothyroxine overload?

Zoo Siab

Levothyroxine (cov thyroid hormones) yuav tsum tsis txhob siv ib leeg lossis nrog rau lwm yam kev kho mob los kho kev rog lossis ua rau poob phaus.

Levothyroxine tuaj yeem ua rau muaj teeb meem loj lossis txaus ntshai rau lub neej thaum muab rau ntau dua, tshwj xeeb tshaj yog thaum noj nrog amphetamines xws li amphetamine (Adzenys, Dyanavel XR, Evekeo), dextroamphetamine (Dexedrine), thiab methamphetamine (Desoxyn). Qhia rau koj tus kws kho mob yog tias koj muaj cov tsos mob hauv qab no thaum koj noj levothyroxine: mob hauv siab, ceev ceev lossis lub plawv dhia lossis lub plawv dhia, tsis tuaj yeem tshee ntawm ib feem ntawm lub cev, poob siab, ntxhov siab, txob taus, nyuaj poob lossis pw tsaug zog, txog siav. kev ua pa, lossis tawm hws.

Tham nrog koj tus kws kho mob txog cov kev pheej hmoo uas cuam tshuam nrog cov tshuaj no.

Levothyroxine yog siv los kho hypothyroidism (mob uas cov thyroid caj pas tsis tsim cov thyroid hormones txaus). Nws kuj tseem siv nrog phais mob thiab hluav taws xob kho iodine los kho mob qog nqaij hlav cancer. Levothyroxine nyob hauv chav kawm ntawm cov tshuaj hu ua tshuaj hormones. Nws ua haujlwm los ntawm kev hloov cov thyroid hormones txaus uas ib txwm ua los ntawm lub cev.


Yog tias tsis muaj cov thyroid hormones, koj lub cev tsis tuaj yeem ua haujlwm tau zoo, uas yuav ua rau kev loj hlob tsis zoo, hais lus qeeb, tsis muaj zog, nkees dhau heev lawm, cem quav, hnyav ntxiv, plaub hau ploj, qhuav, tawv nqaij, nce rhiab rau mob khaub thuas, sib koom tes thiab mob nqaij, hnyav los yog ntas poj niam coj khaub ncaws, thiab kev nyuaj siab. Thaum noj kom raug, levothyroxine thim cov tsos mob no.

Levothyroxine los ua ib ntsiav tshuaj thiab tshuaj ntsiav los noj ntawm qhov ncauj. Nws feem ntau raug noj ib hnub ib zaug nyob rau ntawm lub plab khoob, 30 feeb txog 1 teev ua ntej noj tshais. Ua raws li cov lus qhia ntawm koj daim ntawv sau tshuaj noj kom zoo, thiab nug koj tus kws kho mob lossis kws muag tshuaj kom piav qhia ib feem uas koj tsis nkag siab. Noj levothyroxine raws nraim li qhia. Tsis txhob noj ntau dua lossis tsawg dua lossis siv ntau dua li uas koj tus kws khomob tau qhia.

Nqos cov tsiav tshuaj tag nrho; tsis txhob zom lossis tsuj. Tsis txhob tshem tawm cov tshuaj capsule los ntawm pob kom txog rau thaum koj npaj txhij yuav nws.

Siv cov ntsiav tshuaj nrog rau khob dej puv vim tias lawv yuav daig caj pas lossis ua rau zawm caj pas lossis txhaws qa.


Yog tias koj muab levothyroxine rau me nyuam mos, menyuam yaus lossis neeg laus uas tsis tuaj yeem nqos lub ntsiav tshuaj, tsoo thiab muab sib tov hauv 1 mus rau 2 me nyuam diav (5 txog 10 ml). Tsuas yog muab cov ntsiav tshuaj qhuav nrog dej; tsis txhob sib xyaw ua ke nrog cov khoom noj los yog mis ua kua mis. Muab qhov sib tov no los ntawm rab diav lossis cov dej tawm kiag tam sim ntawd. Tsis txhob cia nws rau tom qab siv.

Koj tus kws kho mob tej zaum yuav pib koj noj qis dua levothyroxine thiab maj mam nce koj koob.

Levothyroxine tswj hwm hypothyroidism tab sis nws tsis kho nws. Nws yuav siv sijhawm li ob peb asthiv uantej koj pom tias muaj qhov txawv txav licas hauv koj cov tsos mob. Txuas ntxiv noj cov tshuaj levothyroxine txuas ntxiv txawm tias koj xis neej. Tsis txhob tsum tsis txhob noj levothyroxine yam tsis tau tham nrog koj tus kws kho mob.

Cov tshuaj no tuaj yeem tsim tawm rau lwm txoj kev siv; nug koj tus kws kho mob lossis kws muag tshuaj kom paub ntaub ntawv ntau ntxiv.

Ua ntej noj levothyroxine,

  • qhia rau koj tus kws kho mob thiab kws muag tshuaj yog tias koj muaj kev fab tshuaj rau levothyroxine, cov thyroid hormones, lwm yam tshuaj, lossis lwm yam tshuaj hauv levothyroxine ntsiav tshuaj lossis tshuaj ntsiav. Nug koj tus kws muag tshuaj rau cov npe ntawm cov khoom xyaw.
  • qhia rau koj tus kws kho mob thiab kws muag tshuaj uas siv tshuaj thiab cov tshuaj uas tsis yog kws kho mob, cov vitamins, khoom noj khoom haus zoo, thiab tshuaj ntsuab koj tau noj lossis npaj yuav noj. Nco ntsoov hais txog ib qho ntawm cov hauv qab no lossis cov uas tau teev tseg hauv ntu CEEB TOOM TSEEM CEEB: amiodarone (Nexterone, Pacerone); androgens xws li nandrolone thiab testosterone (Androderm); qee yam antacids muaj txhuas lossis magnesium (Maalox, Mylanta, lwm tus); anticoagulants ('ntshav thinners') xws li heparin lossis warfarin (Coumadin, Jantoven); beta-blockers xws li metoprolol (Lopressor), propranolol (Inderal, Innopran), lossis timolol; tshuaj kho mob cancer xws li asparaginase, fluorouracil, thiab mitotane (Lysodren); carbamazepine (Carbatrol, Equetro, Tegretol, lossis Teril); clofibrate (Atromid); corticosteroids xws li dexamethasone; tshuaj rau qhov hnoos thiab mob khaub thuas lossis rau lub cev yuag; digoxin (Lanoxin); cov tshuaj noj tshuaj uas muaj cov tshuaj estrogen xws li kev hloov kho tshuaj hormone lossis tshuaj tiv thaiv tshuaj (tshuaj txwv, tshuaj pleev ib ce, ib ncig, pleev, lossis txhaj); furosemide (Lasix); tshuaj insulin lossis lwm yam tshuaj los kho ntshav qab zib; maprotiline; mefenamic acid (Ponstel); tshuaj txiav yeeb (Methadose); niacin; orlistat (Alli, Xenical); phenobarbital; phenytoin (Dilantin, Phenytek); proton twj tso kua mis inhibitors xws li esomeprazole (Nexium), lansoprazole (Prevacid), thiab omeprazole (Prilosec); phom phom (Rifater, Rifamate, Rifadin); sertraline (Zoloft); simethicone (Phazyme, Gas X); ua tau zoo (Carafate); tamoxifen (Soltamox); tyrosine kinase inhibitors xws li cabozantinib (Cometriq) lossis imatinib (Gleevac); thiab tricyclic cov tshuaj tiv thaiv kab mob xws li amitriptyline (Elavil).Ntau lwm yam tshuaj kuj tseem tuaj yeem cuam tshuam nrog levothyroxine, yog li nco ntsoov qhia koj tus kws kho mob txog txhua yam tshuaj uas koj siv, txawm tias tsis tshwm nyob hauv daim ntawv no. Koj tus kws kho mob tej zaum yuav tau hloov qhov tshuaj ntawm koj cov tshuaj lossis saib xyuas koj kom zoo rau kev phiv.
  • yog tias koj noj tshuaj calcium carbonate (Tums) lossis ferrous sulfate (hlau ntxiv), noj tsawg kawg 4 teev ua ntej lossis 4 teev tom qab koj noj levothyroxine. Yog tias koj noj cholestyramine (Prevalite), colesevelam (Welchol), colestipol (Colestid), sevelamer (Renvela, Renagel), lossis sodium polystyrene sulfonate (Kayexalate), noj nws tsawg kawg 4 teev tom qab koj noj levothyroxine.
  • qhia rau koj tus kws kho mob yog tias koj muaj adrenal tsis txaus (tus mob qog qog ua tsis txaus tsim cov tshuaj hormones xav tau rau lub cev tseem ceeb). Koj tus kws kho mob yuav hais kom koj tsis txhob noj levothyroxine.
  • qhia rau koj tus kws kho mob yog tias koj nyuam qhuav tau txais kev kho mob hluav taws xob lossis yog tias koj tau lossis koj tau muaj ntshav qab zib dua; cov leeg ntawm cov hlab ntsha (atherosclerosis); teeb meem los ntshav lossis ntshav khov; porphyria (mob uas cov tshuaj lom neeg tsis zoo tshwm sim hauv cov ntshav thiab ua teeb meem rau daim tawv nqaij lossis hlab ntsha); txha os (mob uas tus pob txha ua nyias thiab tsis muaj zog thiab tawg yooj yim); pituitary caj pas (qog me me hauv lub paj hlwb) cuam tshuam; tej yam mob uas ua rau nws nyuaj rau koj nqos; lossis raum, mob plawv, lossis kab mob siab.
  • qhia rau koj tus kws kho mob yog tias koj cev xeeb tub, npaj yuav cev xeeb tub lossis pub niam mis. Yog tias koj xeeb tub thaum noj cov tshuaj levothyroxine, hu rau koj tus kws kho mob.
  • yog tias koj muaj kev phais, suav nrog kev phais hniav, qhia tus kws kho mob lossis kws kho hniav tias koj noj levothyroxine.

Qee cov zaub mov thiab dej haus, tshwj xeeb yog cov uas muaj cov taum pauv, walnuts, thiab kev noj haus fiber ntau, yuav cuam tshuam li cas levothyroxine ua haujlwm rau koj. Tham nrog koj tus kws kho mob ua ntej noj mov lossis haus cov zaub mov no.


Tham nrog koj tus kws kho mob txog kev noj txiv kab ntxwv qaub thiab haus kua txiv thaum lub sijhawm noj cov tshuaj no.

Noj cov koob tshuaj uas ploj lawm sai li sai tau thaum koj nco qab nws. Txawm li cas los xij, yog tias nws yuav luag txog rau koob tshuaj txuas ntxiv, hla cov koob tshuaj uas tsis nco qab noj thiab txuas ntxiv koj lub sijhawm noj tshuaj kom tsis tu ncua. Tsis txhob noj tshuaj rau ob zaug kom ua rau qhov ploj lawm ib zaug.

Levothyroxine yuav ua rau muaj kev phiv. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:

  • qhov hnyav los poob
  • mob taub hau
  • ntuav
  • zawv plab
  • hloov pauv hauv qab los noj mov
  • ua npaws
  • hloov kev coj khaub ncaws
  • rhiab siab rau tshav kub
  • plaub hau poob
  • mob tej pob txha
  • txhais ceg cramps

Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog koj muaj cov tsos mob li hais los no lossis cov uas teev rau hauv seem ceebtoom, hu rau koj tus kws kho mob sai lossis tau txais kev kho mob kub ceev:

  • txog siav ua pa, hawb pob, ua xua, khaus, tawm pob, xoo dej, mob plab, xeev siab, lossis o ntawm tes, taw, pob taws, lossis ceg qis

Yog tias koj muaj kev mob tshwm sim loj, koj lossis koj tus kws kho mob tuaj yeem xa ntawv ceeb toom rau Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) lossis hauv xov tooj ( 1-800-332-1088).

Khaws cov tshuaj no rau hauv lub khob uas nws nkag los, kaw kom nruj, thiab ncav tsis cuag ntawm cov menyuam. Khaws nws ntawm chav sov thiab deb ntawm qhov kub thiab noo noo (tsis nyob hauv chav dej).

Nws yog ib qho tseem ceeb kom tsis txhob muaj txhua yam tshuaj rau qhov tsis pom thiab ncav cuag ntawm cov menyuam yaus ntau li ntau ntim (xws li tshuaj ntsiav tshuaj txhua lub limtiam thiab cov tshuaj rau qhov muag, tshuaj pleev, pleev xim, thiab nqus tshuaj) tsis tiv thaiv menyuam yaus thiab cov menyuam yaus tuaj yeem qhib lawv tau yooj yim. Txhawm rau tiv thaiv cov menyuam yaus me los ntawm kev lom, ib txwm kaw lub kaus mom kev nyab xeeb thiab muab cov tshuaj tso rau qhov chaw nyab xeeb - ib qho chaw nyob thiab deb thiab tawm ntawm lawv pom thiab ncav cuag. http://www.upandaway.org

Cov tshuaj tsis siv tshuaj yuav tsum tau muab pov tseg hauv txoj kev tshwj xeeb kom ntseeg tau tias cov tsiaj, menyuam yaus, thiab lwm tus neeg tsis tuaj yeem haus lawv. Txawm li cas los xij, koj yuav tsum tsis txhob yaug cov tshuaj no hauv lub qhov viv. Hloov chaw, txoj hauv kev zoo tshaj plaws hauv kev muab koj cov tshuaj tshem tawm yog los ntawm kev siv tshuaj rov qab. Tham nrog koj tus kws muag tshuaj lossis tiv tauj koj lub chaw khaws khib nyiab / chaw khaws khoom ubno hauv ib cheeb tsam kom paub txog cov haujlwm thim rov qab hauv koj lub zej zog. Saib ntawm FDA's Kev Nyab Xeeb Kev Nyab Xeeb Kev Siv Tshuaj lub vev xaib (http://goo.gl/c4Rm4p) kom paub cov ntaub ntawv ntau ntxiv yog tias koj tsis muaj kev nkag mus saib rov qab.

Yog hais tias noj ntau dhau, hu rau kem tus xov tooj kev pab tswj kev lom ntawm 1-800-222-1222. Cov ntaub ntawv tseem muaj nyob online ntawm https://www.poisonhelp.org/help. Yog tus neeg raug tsim txom, tsaus muag, ua tsis taus pa, lossis sawv tsis taus, hu rau 911 tus neeg pab thaum muaj xwm ceev.

Cov tsos mob ntawm kev noj haus ntau heev yuav suav nrog cov hauv qab no:

  • mob hauv siab
  • lub plawv dhia ceev lossis tsis khov
  • kev tswj tsis tau ib qho ntawm lub cev
  • kev tshee
  • ntxhov siab
  • txob taus
  • teeb meem tsis tsaug zog los yog pw tsaug zog
  • txog siav
  • tawm hws ntau dhau
  • tsis meej pem
  • tsis nco qab
  • qaug dab peg

Khaws tag nrho cov kev teem caij mus ntsib koj tus kws kho mob thiab chav kuaj mob. Koj tus kws kho mob yuav xaj qee yam kev kuaj sim kuaj xyuas koj cov lus teb rau levothyroxine.

Kawm paub cov npe tshuaj thiab cov npe tsis raug ntawm koj cov tshuaj. Tsis txhob hloov cov khoom lag luam yam tsis tau tham nrog koj tus kws kho mob lossis kws muag tshuaj, vim tias txhua hom npe tshuaj levothyroxine muaj ntau cov tshuaj sib txawv.

Tsis txhob cia lwm tus noj koj cov tshuaj. Nug koj tus kws muag tshuaj cov lus nug uas koj muaj txog kev rov ntxiv tshuaj rau koj.

Nws yog ib qho tseem ceeb rau koj kom koj muaj ib daim ntawv sau tag nrho cov tshuaj noj thiab cov tshuaj uas tsis yog kws kho mob sau ntawv (tsis yuav khoom) uas koj tab tom noj, nrog rau txhua yam khoom xws li cov vitamins, minerals, lossis lwm yam tshuaj noj rau lub cev. Koj yuav tsum nqa cov ntawv no nrog koj txhua zaus koj mus ntsib kws kho mob lossis yog tias koj tuaj nyob hauv tsev kho mob. Nws tseem yog cov ntaub ntawv tseem ceeb los nqa nrog koj thaum muaj xwm txheej ceev.

  • Levothroid®
  • Levo-T®
  • Levoxyl®
  • Synthroid®
  • Tirosint®
  • Unithroid®

Cov khoom muaj npe khoom no tsis nyob rau ntawm kev ua lag luam. Muaj lwm cov kev xaiv uas siv tau.

Kawg Kho - 02/15/2019

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