[dasiy6]

I was told today that I need to have my thyroid removed. I know that I will now have to take synthetic thyroid for ....... well ever. Does anyone else take thyroid medication along with there psych meds? I have an appointment with my pdoc tomorrow, but I am a fairly new patient and I am not quite sure she likes me.... so I just thought I would put the question out there so I am at least a bit prepared..... Thank you

Current meds:
Effexor xr 600 mg. am
Provigil 200 mg. am
Clozaril 100 mg. bed

[Larry_Hoover]

There are a few interactions, but with total thyroid replacement, the process is individualized anyway.

Whatever the drugs might do to affect thyroid hormone metabolism will be stable inside your body, if the dose of those drugs is stable. You will have to be carefully titrated onto thyroid hormones (probably with a number of blood draws, over a number of weeks). So long as you keep taking the same psych drugs at the same doses, they're not going to change anything about the titration process. You'll get to the right thyroid level via the same means.

Down the road, if you change psych meds, it may conceivably require some planning. Carbamazepine, phenytoin, and sertraline all have some possible interactions with levothyroxine (T4).....but not in every person, even still.

Good luck with this. It can be a bit of a bumpy road at times.

Lar

[dasiy6]

</font><blockquote><div id="quote"><font class="small">Quote:</font>
There are a few interactions, but with total thyroid replacement, the process is individualized anyway.

Whatever the drugs might do to affect thyroid hormone metabolism will be stable inside your body, if the dose of those drugs is stable. You will have to be carefully titrated onto thyroid hormones (probably with a number of blood draws, over a number of weeks). So long as you keep taking the same psych drugs at the same doses, they're not going to change anything about the titration process. You'll get to the right thyroid level via the same means.

Down the road, if you change psych meds, it may conceivably require some planning. Carbamazepine, phenytoin, and sertraline all have some possible interactions with levothyroxine (T4).....but not in every person, even still.

Good luck with this. It can be a bit of a bumpy road at times.

Lar

</div></font></blockquote><font class="post">

Thank you Larry for quick response. I had my fingers crossed that you or Cam would take the time to answer my question. I do see my pdoc this evening and will mention it. Although my blood work for thyroid function came back normal, the size of the mass in my thyroid is too large and needs to be taken out .... Thanks again!

[January]

Larry is indeed, the expert on this, but I just wanted to let you know I have to take synthroid and have never had a problem with it regarding my meds. I know thyroid removal can be scary, but hang right in there.

January

[jbug]

I take synthroid in addition to my psych meds. I take Synthroid, Effexor XR, Prozac,Risperdal,Geodon and Metaformin. I think when your thyroid is out of whack that it messes with your mind and it helped when I started to take my synthroid.

Janniebug

[somebodyelse]

I take synthroid along with Effexor XR, Abilify, Xanax, Lexapro and some other meds. So far, so good.

[darkeyes]

Hi there,
My cousin had his thyroid removed about 6 years ago and has been on thyroid meds., he has been fine, feels better than ever.
I take Synthroid, it helped me with my physical complaints related to hypothyroidism, which I knew I had this but the standard tests never showed it till I was at the point where my hair was thinning out.
Long story, but I want to say it helped with depression, seemed to even boost the efficacy of my psych. meds too
I wish you lots of luck with this, I'm sure everything will be alright

Sincerely,

DE