Question

A 40-year-old with primary hypothyroidism is on levothyroxine. Her TSH remains high. According to BNF, how should levothyroxine be titrated?

Accepted Answer

Increase levothyroxine dose by 25-50 micrograms and re-check in 6-8 weeks

Answer

Halve the dose and re-check in 6 months

Answer

Switch to liothyronine immediately

Answer

Add propranolol

Answer

Stop levothyroxine for 2 weeks and repeat blood tests

Practice question

A 40-year-old with primary hypothyroidism is on levothyroxine. Her TSH remains high. According to BNF, how should levothyroxine be titrated?