A 42-year-old woman with autoimmune hypothyroidism on Levothyroxine has TSH persistently raised with symptoms of tiredness and weight gain. She takes ...

Question

A 42-year-old woman with autoimmune hypothyroidism on Levothyroxine has TSH persistently raised with symptoms of tiredness and weight gain. She takes her tablets each morning with breakfast and coffee. What is the most appropriate advice?

Accepted Answer

Take Levothyroxine on an empty stomach, at least 30 minutes before food or coffee

Answer

Stop Levothyroxine as it is ineffective

Answer

Increase the dose and continue same timing

Answer

Change to Liothyronine only

Answer

Take Levothyroxine at bedtime with a snack

uk-plab-1 MCQ (SBA): Optimising Levothyroxine therapy

A 42-year-old woman with autoimmune hypothyroidism on Levothyroxine has TSH persistently raised with symptoms of tiredness and weight gain. She takes her tablets each morning with breakfast and coffee. What is the most appropriate advice?