Question

A 46-year-old woman with primary hypothyroidism started levothyroxine 100 micrograms daily. After 8 weeks her TSH is suppressed and she is symptomatic with palpitations. What is the best next step?

Accepted Answer

Reduce dose to 75-88 micrograms and recheck in 6-8 weeks

Answer

Continue current dose and recheck in 12 months

Answer

Increase dose to 125 micrograms

Answer

Switch to liothyronine

Answer

Stop therapy for 6 months

Practice question

A 46-year-old woman with primary hypothyroidism started levothyroxine 100 micrograms daily. After 8 weeks her TSH is suppressed and she is symptomatic with palpitations. What is the best next step?