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Levothyroxine, the active substance in Euthyrox, is a synthetic thyroid hormone for the treatment of diseases and dysfunctions of the thyroid gland. It has the same effect as the naturally occurring thyroid hormones. Euthyrox is used To treat benign goitre in patients with normal thyroid function, To prevent recurrence of goitre after surgery, To replace natural thyroid hormones, when your thyroid gland does not produce enough, To suppress tumour growth in patients with thyroid cancer. Euthyrox 25 microgram are also used to balance thyroid hormone levels, when overproduction of hormones is treated with antithyroid medicines How to use Adults: The recommended starting dose is 1.6 mcg/kg/day. The dose is adjusted in increments of 25–12.5 mcg every 4–6 weeks until normal thyroid hormone levels are achieved. TSH levels are then checked every 6–12 months thereafter. The starting dose is not fixed and can change depending on the indication and its severity. Pregnant women may also require higher doses depending on their thyroid hormone levels. Children: Dosage is based on weight. Take your dose as prescribed by your doctor. Close monitoring of thyroid hormone levels is required every 2-4 weeks until normal levels are reached and every 3-12 months thereafter until growth is complete. Take the tablet as a single daily dose. Take on an empty stomach, half an hour to an hour before breakfast. Take tablets at least 4 hours before or after calcium, iron, and antacids. Take one tablet with a full glass of water. Warnings and precautions Talk to your doctor or pharmacist before taking euthyrox if you have any of the following heart diseases: Insufficient blood flow in the blood vessels of the heart (angina pectoris), Heart failure, Rapid and irregular heart beat, High blood pressure, Fatty deposits in your arteries (arteriosclerosis). Side Effects If you experience any of the following symptoms you should contact your doctor or go to the hospital straight away: You may experience one or more of the following side effects if you take more Euthyrox than prescribed, or if you do not tolerate your prescribed dose (e.g. when the dose is increased quickly): Irregular or rapid heart beat, chest pain, headache, muscle weakness or cramps, flushing (warmth and redness of the face), fever, vomiting, disorders of menstruation, pseudotumor cerebri (increased pressure in the head), trembling, restlessness, sleep disturbances, sweating, weight loss, diarrhoea. Storage Information Do not store above 30° C. Keep the blisters in the outer carton, in order to protect from light. Drug Interactions Tell your doctor or pharmacist if you are taking, have recently taken or might take any of the following medicines, because Euthyrox may influence their effect: Anti-diabetic medicines (blood-sugar-lowering medicines): Euthyrox may reduce the effect of your anti-diabetic medicine, so you may need additional checks of your blood sugar levels, especially at the start of Euthyrox treatment. While you are taking Euthyrox, adjustment of the dose of your anti-diabetic medicine may be necessary. Coumarin derivatives (medicines used to prevent blood clotting): Euthyrox may intensify the effect of these medicines, which may increase the risk of bleeding events, especially in elderly people. You may need regular checks of your blood clotting values, at the start of and during Euthyrox treatment. While you are taking Euthyrox, adjustment of the dose of your coumarin medicine may be necessary. Ingredients The active substance is levothyroxine. The other ingredients are maize starch, citric acid, croscarmellose sodium, gelatine, magnesium stearate (Ph.Eur.) and mannitol (Ph.Eur.). Specifications Euthyrox 25 microgram tablets are white, round, flat on both sides, with a bevelled edge, a dividing score and an inscription EM 25 on one side.
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