A1,
A2,
B,
C1,
C2,
D,
E,
F,
G-H,
I-K,
L,
M,
N,
O,
P1,
P2,
Q-R,
S,
T,
U-V,
W-Z
Armour Thyroid Patient, Information, Instructions - Thyroid tablets
Armour Thyroid Patient, Information, Instructions - Thyroid tablets
PATIENT INFORMATION
Patients on thyroid hormone preparations and parents of children
on thyroid therapy should be informedthat:
1. Replacement therapy is to be taken essentially for life,
with the exception of cases of transient hypothyroidism, usually associated
with thy-roiditis, and in those patients receiving a therapeutic trial of the
drug.
2. They should immediately report during the course of therapy
any signs or symptoms of thyroid hormone toxicity, e.g., chest pain, increased
pulse rate, palpitations, excessive sweating, heat intolerance, nervousness,
or any other unusual event.
3. In case of concomitant diabetes mellitus, the daily dosage
of antidiabetic medication may need readjustment as thyroid hormone replacement
is achieved. If thyroid medication is stopped, a downward readjustment of the
dosage of insulin or oral hypoglycemic agent may be necessary to avoid hypoglycemia.
At all times, close monitoring of urinary glucose levels is mandatory in such
patients.
4. In case of concomitant oral anticoagulant therapy, the prothrombin
time should be measured frequently to determine if the dosage of oral anticoagulants
is to be readjusted.
5. Partial loss of hair may be experienced by children in the
first few months of thyroid therapy, but this is usually a transient phenomenon
and later recovery is usually the rule.
Laboratory Tests
Treatment of patients with thyroid hormones requires the periodic
assessment of thyroid status by means of appropriate laboratory tests besides
the full clinical evaluation. The TSH suppression test can be used to test the
effectiveness of any thyroid preparation bearing in mind the relative insensitivity
of the infant pituitary to the negative feedback effect of thyroid hormones.
Serum T4 levels can be used to test the effectiveness of all thyroid
medications except T3. When the total serum T4 is low
but TSH is normal, a test specific to assess unbound (free) T4 levels
is warranted. Specific measurements of T4 and T3 by competitive
protein binding or radioimmunoassay are not influenced by blood levels of organic
or inorganic iodine.
Please also refer to the WARNINGS
and PRECAUTIONS sections.
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