Managing Your Thyroid Medication Schedule

A Guide for Patients with Thyroid Disorders

Endocrinology

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Last updated: Mar 24, 2025

General Guidelines

Timing of Medication

  • Take thyroid medication first thing in the morning
  • Wait 30-60 minutes before eating or drinking anything except water
  • Take on an empty stomach for best absorption

Important Interactions to Avoid

Food and Beverages (Wait 4 hours)

  • Coffee and tea
  • Calcium-rich foods
  • Soy products
  • High-fiber foods

Medications (Space 4 hours apart)

  • Iron supplements
  • Calcium supplements
  • Antacids
  • Proton pump inhibitors
  • Cholesterol-lowering medications

Special Instructions

Daily Routine

  1. Take medication at the same time each day
  2. Keep medication beside your bed with water
  3. Set a daily alarm as a reminder
  4. Track your doses using a medication diary

Missing Doses

  • If you miss a dose, take it as soon as you remember
  • If it's almost time for next dose, skip the missed dose
  • Never take a double dose

Monitoring

Regular Testing

  • Follow your doctor's schedule for blood tests
  • Usually every 6-8 weeks until stable
  • Then every 6-12 months

Storage Guidelines

  • Store at room temperature
  • Keep away from heat and moisture
  • Keep out of reach of children
  • Check expiration dates

Contact Your Doctor If

  • You experience new symptoms
  • You start or stop other medications
  • You become pregnant or plan to become pregnant
  • You have difficulty maintaining your schedule

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