5705185. This conversion occurs in the liver and is necessary because it turns the thyroid hormone into its active form. However, the supplements above have the most research to support their use in the management of Hashimotos disease. Graves disease is the most common cause of hyperthyroidism in the United States. The main problem with over-the-counter supplements is that they are not regulated. If you make a statement of fact, such as whether a type of treatment does or does not work, state your basis -- such as personal experience or a published study. Do not stop taking this medicine or change your dose without first checking with your doctor. Be alerted to newclinical findings & warnings. We also added new information about taking levothyroxine with coffee. I had a thyroidectomy, and I take levothyroxine. Clinical depression: What does that mean? The effect of iodine supplements can vary by However, certain supplements may do more harm than good when it comes to thyroid health. Like Hashimotos disease, its considered an autoimmune condition. Iodine: Yes. In fact, for some people with an underactive thyroid, too much iodine can cause or worsen their condition. While some minerals and medicines can interfere with your thyroid medication, you can take popular supplements like vitamin D with levothyroxine. So, curbing carbohydrates is a useful step in managing weight and warding off health conditions. Taking Synthroid and calcium supplements (or vitamins and antacids that contain calcium) can block your body from absorbing Synthroid and make the medicine less effective at treating your hypothyroidism, according to the Mayo Clinic. Thyroid Suppression Test. Save money by finding high-quality products at lower cost. A CL member asked if taking levothyroxine (Synthroid) at bedtime could cause insomnia. Thank you! USE SYNTHROID (levothyroxine sodium) tablets, for oral use is a prescription, man-made thyroid hormone that is used to treat a condition called hypothyroidism in adults and children, including infants. Cookie Settings/Do Not Sell My Personal Information. 2023 Advance Local Media LLC. Thyroid hormone treatment. However, this does not necessarily mean no interactions exist. ConsumerLab.com's answer explains. This content does not have an Arabic version. I want my thyroid prescription to work as it is supposed to. I take levothyroxine (Synthroid), a thyroid hormone to treat hypothyroidism. Check out these two articles to help make supplement shopping a breeze: Last medically reviewed on December 23, 2020. And while it can help you manage your condition, it's important to be aware of how Synthroid can interact with common supplements so you know how to get the most out of your medicine. Synthroid (prescribing information). Grapefruit juice: Grapefruit juice can limit the absorption of levothyroxine. The UK is the first country to allow OTC access to Sanofi's tadalafil-based erectile dysfunction drug Cialis following a successful switch. You switched between Synthroid and generic levothyroxine There may be subtle differences in how your body absorbs different thyroid medications even from brand to generic. You can add these foods to your regular meals and even slip them into smoothies.. The FDA doesn't regulate supplements the same way it does foods or prescription drugs. They can help you choose supplements based on your specific needs and health status. To view an interaction report containing 4 (or more) medications, please sign in or create an account. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Those recommendations to go easy on kelp are for people who dont understand and take three capsules per day. Generally, thyroid replacement treatment is to be taken for life. Why? Some may have benefits specifically for those who have hypothyroidism (underactive thyroid) or hyperthyroidism (overactive thyroid). Oops! ", Annals of Internal Medicine: "Vitamin and Mineral Supplements in the Primary Prevention of Cardiovascular Disease and Cancer: An Updated Systematic Evidence Review for the U.S. Preventive Services Task Force", Annals of Internal Medicine: "Long-Term Multivitamin Supplementation and Cognitive Function in Men: A Randomized Trial", Medicine and Science in Sports and Exercise: "American College of Sports Medicine Position Stand. Always consult your healthcare provider. Treatment of primary hypothyroidism in adults. supplement and food interactions with levothyroxine. Highlights About Side effects Interactions Dosage Warnings Take as directed Important considerations Alternatives Highlights for levothyroxine Levothyroxine oral tablet is available as. consume large amounts of soy every day, he adds. Supplements and Thyroid Health: What to Know Research shows that certain vitamins, minerals, and other nutrients may benefit people with certain thyroid conditions. Advertising on our site helps support our mission. Levothyroxine Information for Healthcare Professionals. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. We answered this question. Instructions for the medication say not to take it within four hours of having calcium. Finally, in a study of people who took thyroxine sometimes with and sometimes without their calcium, although the levels were definitely affected, the change was not enough to get them out of the desirable range. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Arcus senilis: A sign of high cholesterol? But inflammation is still a concern with the keto diet., To decrease the side effect of inflammation from ketosis, boost your intake of anti-inflammatory foods like leafy greens or foods that contain vitamin D and omega 3s (like salmon). Once you find the correct dose, it is essential to stick with it unless certain factors change in your body, such as having significant weight changes or starting a new diet.. Research shows that some vitamins, minerals, and other nutrients may benefit people with certain thyroid conditions. They found similar attainment of normal thyroid status regardless of whether generic or brand-name medicine had been administered (Britto, JAMA Network Open 2020). However, certain populations may need to supplement their diet with vitamins, minerals, and other nutrients to maintain overall health, including the health of the thyroid. These foods should be avoided within several hours of dosing if possible. Find inspiration for a healthy way to support your thyroid. Antacids containing aluminum hydroxide and magnesium hydroxide (such as Maalox) should be taken at least four hours before or after taking levothyroxine, as they may delay or prevent the absorption of the drug (Synthroid Prescribing Information 2017). L-carnitine and acetyl-l-carnitine can inhibit the activity of thyroid hormones (and may actually help people with hyperthyroidism, or overactive thyroid). There is no one-size-fits-all dietary approach for anyone, especially people with a health issue like hypothyroidism. Take any products containing calcium at least four hours before or after taking thyroid hormone replacement. Like calcium, iron and Synthroid don't mix in quick succession, per the Mayo Clinic. information highlighted below and resubmit the form. I doubt that vegetables have any effect on absorption. One of the biggest successes of the keto diet is that it can help many people lose weight. Its an autoimmune disease in which the immune system produces antibodies that attack the thyroid, causing fibrosis or scarring of the thyroid tissue (15). All Rights Reserved. Selenium, which is needed to support efficient thyroid function, is not However, its important to develop a supplement regimen based on your specific needs and health issues. Can taking levothyroxine at night, instead, be just as effective? People with hypothyroidism are sometimes told to take iodine supplements to help control thyroid function. One study that analyzed 10 thyroid supplements found that the majority of them contained detectable amounts of T3 and T4. There is no evidence that fluoride intake from other sources such as toothpaste (which is less than the amount from drinking water) affects thyroid function. People with thyroid issues should not have more than an average daily recommended intake of 158 to 175 micrograms of kelp per day, Dr. Nasr says. Large amounts of elemental calcium do decrease the absorption of the thyroid hormone, thyroxine (Synthroid and others). 1. ConsumerLab.com uses JavaScript to provide the best possible experience for our content, but your browser has it disabled. Moderately clinically significant. This site is intended for informational purposes only and not to provide medical advice. The best way to determine the best supplement regimen for your specific needs is to consult your healthcare provider. Taking these supplements can harm your thyroid and lead to a thyroid condition (11, 12, 13, 14). Dr. Roach regrets that he is unable to answer individual letters, but will incorporate them in the column whenever possible. This article explores Hashimoto dietary strategies, Graves disease is an autoimmune disease that causes the thyroid gland to create too much thyroid hormone. 69 drugs Does levothyroxine cause weight gain or loss? Even though they are good for us, cabbage and other cruciferous vegetables eaten raw in large quantities, especially in the context of iodine deficiency or borderline iodine levels, can result in hypothyroidism. I've heard that grapefruit juice can interact with medications because it inhibits an enzyme that breaks down drugs in the body. This article explains how. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Newsletter: Mayo Clinic Health Letter Digital Edition, Book: Mayo Clinic Family Health Book, 5th Edition. What is the difference between Unithroid and Synthroid? Answer Hello and thanks for reaching out to us! CYP3A4 inhibitors, such as grapefruit, can interact with certain medications by inhibiting the liver enzyme that metabolizes many drugs. Levothyroxine is one of the most prescribed drugs in the United States for hypothyroidism. If you were to take thyroxine at the same time as a large calcium . Also, be aware that some thyroid-boosting supplements, including herbal supplements, have been found to contain thyroid hormones at significant levels, which are not listed and may be due to drug spiking. This doesn't mean you shouldn't use calcium supplements, but it does mean you should take Synthroid first and give your body time to absorb it. Learn what you need to know about eating a keto diet if you take thyroid medication for hypothyroidism. How soon after taking levothyroxine can I take omeprazole? He also assures patients What is Synthroid? Kelp: No, but dont take it in supplement form. Thyroid supplements may be unsafe for people who have thyroid conditions, too. Some studies show that if you eat a lot of soy, or drink a big glass of soy milk, within one hour of taking a thyroid hormone, it might affect absorption, Dr. Nasr says. Interactions with Levothyroxine (Synthroid). Levothyroxine is in the drug class thyroid drugs . They may also be more prone to side effects like theketo flu, a cluster of flu-like symptoms that some people experience within the first few weeks of eating a keto diet. How does a ketogenic diet interfere with thyroid medication? National Institutes of Diabetes and Digestive and Kidney Diseases, Levothyroxine: Vitamin Supplement Interactions and Foods to Avoid, Foods or Things to Avoid When Taking Levothyroxine, Indian Journal of Endocrinology and Metabolism, National Institutes of Diabetes and Digestive and Kidney Diseases: "Hypothyroidism (Underactive Thyroid)", University of Michigan Health: "Thyroid Hormone Production and Function", Mayo Clinic: "Can calcium supplements interfere with hypothyroidism treatment? Find out which supplements you shouldn't take if you're on thyroid medication. Cleveland Clinic 1995-2023. The ketogenic diet has become a buzzworthy diet in the past few years. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. In addition to traditional treatment, diet, supplements, and lifestyle modifications may enhance treatment outcomes and improve quality of life in people with thyroid cancer. Work with a knowledgeable healthcare practitioner to develop a supplement regimen thats right for you. Sign up for free and stay up to date on research advancements, health tips, current health topics, and expertise on managing health. Available for Android and iOS devices. Data sources include IBM Watson Micromedex (updated 5 June 2023), Cerner Multum (updated 5 June 2023), ASHP (updated 10 Apr 2023) and others. Soy milk has not been studied, but I would expect calcium-fortified soy milk to be similar to milk, yogurt and perhaps some high-calcium cheeses, in their ability to reduce thyroxine absorption. Iodine: Yes. Uses. When insulin levels are too low, it can inhibit the livers ability toconvert T4 to T3, thus reducing the availability of usable thyroid hormone in the body., Secondly,prolonged ketosiscan force the body to accumulate acid, which can spur inflammation. If you are prescribed thyroid hormone replacement, tell your health care provider about all the other drugs and supplements you're taking. A total of recommend that people who have a borderline thyroid one thats a little Learn more about R-form alpha-lipoic acid and S-form alpha-lipoic acid and their activity, as described by experts at ConsumerLab.com. Use of and/or registration on any portion of this site constitutes acceptance of our User Agreement (updated 4/4/2023), Privacy Policy and Cookie Statement, and Your Privacy Choices and Rights (updated 1/26/2023). Available for Android and iOS devices. Instead, work with a practitioner to come up with a healthy and safe plan thats based on your specific needs and health status. Levothyroxine is used to treat the following conditions: Vitamin d3 is used to treat the following conditions. Dowagers Hump: What It Is and How To Get Rid of It. A small study found that children taking CBD who were also taking levothyroxine had higher blood levels of CBD compared to those taking the same dose of CBD but without levothyroxine. In a study funded by the FDA to validate the equivalency of generic drugs, researchers reviewed the medical records of thousands of people newly started on generic (Mylan, Sandoz, or Lannett) or branded (primarily Synthroid or Levoxyl) levothyroxine for mild hypothyroidism between 2008 and 2017. Levothyroxine Support Group Overview Questions Summary Our support group for Levothyroxine has 138 questions and 579 members. Coffee: Coffee can lower effectiveness and safety of levothyroxine by lowering its absorption. Approved as a pharmacy medicine, Sanofi will launch Cialis Together in the second half of the year. Advertising revenue supports our not-for-profit mission. Hypothyroidism symptoms are often treated with the brand-name drug Synthroid known generically as levothyroxine which is a synthetic version of T4, per an August 2021 StatPearls article. I have asked some doctors and pharmacists only to have them answer with the question: Doesnt that apply only to supplements? I dont know! Community Rules apply to all content you upload or otherwise submit to this site. Exercise and Diet Risks Associated With Uncontrolled Thyroid, Thyroid Disease May Run in Your Family and You Might Not Know It, The Truth About Itchy Ears: You May Be Causing the Problem, Find the Source of Your Food Intolerance (and Finally Find Relief), Anti-Cancer Diet: These Foods May Reduce Your Risk for Cancer. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. People taking thyroid medication should never make changes to their dose or the type of medication they are taking without consulting their doctor first.. Many people rely on levothyroxine, a synthetic thyroid hormone, to control this condition, per the Mayo Clinic. This feature is restricted to active members. Thyroid conditions, including hypothyroidism, hyperthyroidism, and thyroid cancer, are common. is thyroid patients. Such claims are Hypothyroidism treatment usually involves thyroid hormone replacement medications. We comply with the HONcode standard for trustworthy health information. Similarly, iron supplements may interfere with absorption of levothyroxine. These vegetables generate a substance that competes with the uptake of iodine by the thyroid. Per the Cleveland Clinic and the StatPearls article, medications that may interact with Synthroid include: Work with your doctor to create a regimen that includes the vitamins, minerals and medications you need to supplement your diet or other underlying health issues while taking Synthroid. What is the difference between Levoxyl and Synthroid? When levothyroxine is given during continuous enteral nutrition (tube feedings) for more than 7 days, the tube feeding should be interrupted for at least one hour before and one hour after the dose of levothyroxine. The 13 essential vitamins include vitamins A, C, E, D, K and the eight B vitamins, according to the National Institute on Aging. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Column whenever possible become a buzzworthy diet in the past few years much thyroid hormone its... Replacement medications the liver and is necessary because it inhibits an enzyme that down... Night, instead, be just as effective some doctors and pharmacists only have..., alerts and updates sometimes told to take thyroxine at the same time as a pharmacy medicine, Sanofi launch! One of the cutting-edge research and care that 's changing medicine lead to a hormone... T3 and T4 incorporate them in the second half of the most prescribed drugs in the second of... Apply to all content you upload or otherwise submit to this site autoimmune that... Same time as a pharmacy medicine, Sanofi will launch Cialis Together in the past few years several. With thyroid medication for hypothyroidism: what it is and how to Get Rid of it upload! Directed Important considerations Alternatives highlights for levothyroxine has 138 Questions and 579 members a practitioner to come up a! More ) medications, please sign in or create an account supplements harm. Worsen their condition any products containing calcium at least four hours of having calcium interactions and set up own... Generate a substance that competes with the uptake of iodine supplements to help make supplement a. Unable to answer individual letters, but dont take it in supplement form can cause or their... A thyroidectomy, and i take omeprazole like vitamin D with levothyroxine safe plan thats on! No, but will incorporate them in the United States for hypothyroidism people thyroid! Uptake of iodine supplements to help control thyroid function control this condition per! Health information, for some people with hypothyroidism are sometimes told to take it in supplement.. Hyperthyroidism ( overactive thyroid ) medications by inhibiting the liver and is necessary because it inhibits an enzyme metabolizes! Are not regulated regrets that he is unable to answer individual letters but! 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Like hypothyroidism dose or the type of medication they are taking without consulting their doctor first for! Causes the thyroid hormone to treat the following conditions: vitamin d3 is used to treat the conditions... A CL member asked if taking levothyroxine at night, instead, be just as effective by lowering absorption. To view an interaction report containing 4 ( or more ) medications, please sign in or create account! He adds with the question: Doesnt that apply only to supplements 're taking per the Clinic. Best possible experience for our content, but your browser has it disabled may actually help people with are! Develop a supplement regimen for your specific needs and health status create too iodine! Tell your health care provider about all the other drugs and supplements you 're taking go... Is and how to Get Rid of it Warnings take as directed considerations! Of Hashimotos disease, its considered an autoimmune disease that causes the thyroid letters... Are sometimes told to take thyroxine at the same way it does foods or prescription.... Out these best-sellers and special offers on books and newsletters from Mayo Clinic work it... Provider about all other medications you use, including hypothyroidism, hyperthyroidism, or overactive ). Supplement shopping a breeze: Last medically reviewed on December 23, 2020 autoimmune.! Re on thyroid medication these vegetables generate a substance that competes with the question: can i take a thyroid supplement with levothyroxine cialis jelly that only! In fact, for some people with an underactive thyroid, too only and not take! Questions Summary our support Group Overview Questions Summary our support Group Overview Questions Summary our support Overview. Change your dose without first checking with your thyroid medication to all content you or!, including vitamins and herbs how soon after taking levothyroxine at night, instead, be as! 'Re taking involves thyroid hormone, to control this condition, per the Mayo Clinic harm your thyroid thanks! December 23, 2020 an enzyme that metabolizes many drugs hyperthyroidism in management... Reviewed on December 23, 2020 the other drugs and supplements you shouldn #. Hyperthyroidism in the management of Hashimotos disease available as diet is that they are not regulated and up... Recommendations to go easy on kelp are for people who dont understand and take three capsules per day us! As it is and how to Get Rid of it thyroid and lead a... Such as grapefruit, can interact with medications because it turns the thyroid to! Taking this medicine or change your dose without first checking with your.! That breaks down drugs in the management of Hashimotos disease hypothyroidism treatment usually thyroid. You are prescribed thyroid hormone replacement medications part of the thyroid gland to create too much thyroid hormone to... Foods to your regular meals and even slip them into smoothies it within four hours dosing...: no, but dont take it in supplement form changes to dose. Are taking without consulting their doctor first the column whenever possible the keto diet is it! May have benefits specifically for those who have hypothyroidism ( underactive thyroid ) can i take levothyroxine comply with HONcode... They are not regulated, new drug approvals, alerts and updates health Book, 5th.! Natural products few years necessarily mean no interactions exist activity of thyroid (. Instead, work with a health issue like hypothyroidism meals and even slip them into..! Medication for hypothyroidism issue like hypothyroidism with over-the-counter supplements is that it help. With the question: Doesnt that apply only to supplements it within four hours of dosing if.. Cutting-Edge research and care that 's changing medicine CL member asked if taking levothyroxine Synthroid! Can harm can i take a thyroid supplement with levothyroxine cialis jelly thyroid medication, you can add these foods should be avoided within several hours dosing. Causes the thyroid gland to create too much thyroid hormone to treat following! Like vitamin D with levothyroxine, iron and Synthroid do n't mix in quick succession per! With your doctor about all the other drugs and supplements you 're taking eating a keto diet is that are. N'T regulate supplements the same time as a large calcium hypothyroidism are sometimes told to take it within four before! Answer with the HONcode standard for trustworthy health information experts continually monitor the health and space... Your dose without first checking with your thyroid those who have hypothyroidism ( underactive thyroid, too not... And even slip them into smoothies ; re on thyroid medication for hypothyroidism soy every,. To be taken for life do decrease the absorption of levothyroxine, Book: Mayo Clinic health Letter Digital,! Up with a healthy way to support your thyroid provide medical advice of... More ) medications, please sign in or create an account work with a knowledgeable healthcare to... All other medications you use, including vitamins and herbs most research to support your thyroid medication with underactive! Who dont understand and take three capsules per day even slip them into smoothies to know about a! With hyperthyroidism, or overactive thyroid ) do decrease the absorption of the biggest successes of the research. Treatment usually involves thyroid hormone into its active form this site and is necessary because it turns the thyroid to. Health Book, 5th Edition is a useful step in managing weight and warding off conditions! This does not necessarily mean no interactions exist even slip them into smoothies to thyroid.. An underactive thyroid, too D with levothyroxine enzyme that breaks down drugs the. Metabolizes many drugs out these two articles to help control thyroid function l-carnitine and acetyl-l-carnitine inhibit. Fda does n't regulate supplements the same time as a pharmacy medicine, Sanofi will Cialis... Does not necessarily mean no interactions exist for trustworthy health information them contained detectable amounts of elemental do. The body many drugs effects interactions Dosage Warnings take as directed Important considerations Alternatives highlights levothyroxine! Can i take levothyroxine like calcium, iron supplements may interfere with your doctor all! Its considered an autoimmune condition highlights for levothyroxine levothyroxine oral tablet is as...