For oral dosage form (solution): For hypothyroidism: Adults and children older than 12 years of age (growth and puberty complete)—Dose is based on body weight and
Coffee, however, prevents the body from efficaciously absorbing LT4
Ann Moreover, many patients drink coffee in the morning, often instead of eating breakfast, 6 or may take other
Liquid levothyroxine can be taken independently, without water, or mixed with water or juice
Levothyroxine (l ‐thyroxine) sodium is the sodium salt of the levo isomer of the thyroid hormone thyroxin (T4)
Other caffeinated drinks such as caffeinated tea, hot cocoa, or caffeinated soft drinks could have the same effect at limiting levothyroxine 8
Although clinically significant interactions between l-T4 and food can alter the safety and efficacy of the treatment, they still seem to be generally underestimated by patients, physicians and pharmacists
The British National Formulary (BNF) recommends: For adults aged 18–49 years — initially 50–100 micrograms once daily; adjusted in steps of 25–50 micrograms every 3–4 weeks, adjusted according to response; maintenance 100–200 micrograms once daily
Taking either with food, drink or other medication could significantly decrease their absorption
The main aim of this article was to review and present the latest information on factors that affect the gastrointestinal absorption of this drug
If you take hypothyroid medicine, you may want to adjust your before-noon routine
2 About 60%–80% of an oral dose of thyroxine is absorbed, both in patients with normal thyroid function and in those with hypothyroidism
An alternative route of treatment in transient hypothyroxinemia of prematurity: rectal administration of levothyroxine
Therefore, if you are taking this medicine then you should wait for at least an hour before you can drink coffee
The role of gastric acid and food interactions with levothyroxine is commonly known with a proposed one-hour delay between administration of levothyroxine and breakfast being recommended
There may also be interference related to the macronutrient content within milk
For oral dosage forms (liquid or tablets): For treatment of corticosteroid-induced osteoporosis: Adults—5 milligrams (mg) once a day at least 30 minutes before the first food or drink of the day other than water
Synthroid should ideally be taken on an empty stomach with a full glass of water, 30 to 60 minutes before food